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Re: low TSH, low FT4

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Hi Fay,

This could be central hypothryoidism. After being hypo for some time, which

could happen with an FT4 of 0.8 and/or a low FT3, the pituitary can also slow

down its function. In central hypoT, either the hypothalamus or the pituitary

loses its usual response to a low thryoid hormone level and TSH secretion slows

down.

This used to be considered rare but it's known to be fairly common. You test

for it with a TRH test. Here thyrotropin (TSH) releasing hormone [TRH} is

administered. It should cause a rise in TSH if the pituitary/hypothalmic/thyroid

axis is functioning ok. if TSH doesn't rise in the 30 and 60 min tests post

dose, one has central hypoT. Take care, Elaine

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