Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 Hi Barb- I'll leave the lab tests to Elaine. Many of them are outdated, but your FT4 is the number I'd be concerned with (TSH tends to lag). 0.86 is at the lower end of normal and your symptoms do appear to be hypo. When is your next appt? Hopefully, the endo, if he/she concentrates on TSH, will recognize the newer parameters. If not, the ATA (American Thyroid Association which is geared towards endos) has them. It's at www.thyroid.org. I think it was presented at their 2002 meeting. I tried to pull it up for you but my babies started fussing. Hopefully, Elaine has the reference at hand for you. Otherwise, cruise around on that site and you should be able to find it. I had hyperish bowel symptoms the entire time I was hypo (11 years) and it always confused me too. Take care, dx & RAI 1987 (at age 24) > Hi again all - I was told last week that my facial swelling might be due to becoming hypo after more than a month on Tap. (I had been on PTU for two months before that.) > > My doc had not called me with the results, so I went and picked them up at the lab. While everything seems to be " within normal reference range " I'm afraid this is not " normal " for me. > > All he tested this time on Saturday, 5/24 was FT4 and TSH. My FT4 (or Thyroxine, Free as they call it) was 0.86 with a ref range of 0.75 - 2.00. (I am also puzzled by this, as I thought Thyroxine was T7, not T4. I'm so sorry - I'm just so confused. It seems as though different labs call tests different things. Using three labs, I have results over time for Thyroxine (T7), Thyroxine, Free and Free T4 Index (FTI), not to mention T3 Uptake, and T3 Total (RIA.) Thryoxine, Free seems to be what I thought the FT4 was?! > > Anyway, my last test prior to this one was ono May 8th, and my Free T4 index at that time was 2.0 with ref range of 1.40 - 3.00. (Why do I feel like I'm comparing apples to oranges?? Am I?) > > Also, my TSH was 1.69 (ref range 0.35 - 5.50) on May 8th - this past Saturday it was 3.35 (ref range 0.45 - 5.50.) Kind of mid-range, except when you consider the " new " range Elaine brought to our attention. In that case, it's high if it should be less than 3.04. > > I am continuing to lose tons of hair, still have a swollen face, I am incredibly tired and now have some of my old (hyper) bowel symptoms back. Is that common in hypo as well?? It may be unrelated, I guess. > > What are your thoughts?? I'm just expecting the endo who ordered the tests to say I'm within range, and things are fine. I'm wondering if that is the case, do I need to try to explain otherwise to him? > > Thanks again! > > Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 Hi Barb- I'll leave the lab tests to Elaine. Many of them are outdated, but your FT4 is the number I'd be concerned with (TSH tends to lag). 0.86 is at the lower end of normal and your symptoms do appear to be hypo. When is your next appt? Hopefully, the endo, if he/she concentrates on TSH, will recognize the newer parameters. If not, the ATA (American Thyroid Association which is geared towards endos) has them. It's at www.thyroid.org. I think it was presented at their 2002 meeting. I tried to pull it up for you but my babies started fussing. Hopefully, Elaine has the reference at hand for you. Otherwise, cruise around on that site and you should be able to find it. I had hyperish bowel symptoms the entire time I was hypo (11 years) and it always confused me too. Take care, dx & RAI 1987 (at age 24) > Hi again all - I was told last week that my facial swelling might be due to becoming hypo after more than a month on Tap. (I had been on PTU for two months before that.) > > My doc had not called me with the results, so I went and picked them up at the lab. While everything seems to be " within normal reference range " I'm afraid this is not " normal " for me. > > All he tested this time on Saturday, 5/24 was FT4 and TSH. My FT4 (or Thyroxine, Free as they call it) was 0.86 with a ref range of 0.75 - 2.00. (I am also puzzled by this, as I thought Thyroxine was T7, not T4. I'm so sorry - I'm just so confused. It seems as though different labs call tests different things. Using three labs, I have results over time for Thyroxine (T7), Thyroxine, Free and Free T4 Index (FTI), not to mention T3 Uptake, and T3 Total (RIA.) Thryoxine, Free seems to be what I thought the FT4 was?! > > Anyway, my last test prior to this one was ono May 8th, and my Free T4 index at that time was 2.0 with ref range of 1.40 - 3.00. (Why do I feel like I'm comparing apples to oranges?? Am I?) > > Also, my TSH was 1.69 (ref range 0.35 - 5.50) on May 8th - this past Saturday it was 3.35 (ref range 0.45 - 5.50.) Kind of mid-range, except when you consider the " new " range Elaine brought to our attention. In that case, it's high if it should be less than 3.04. > > I am continuing to lose tons of hair, still have a swollen face, I am incredibly tired and now have some of my old (hyper) bowel symptoms back. Is that common in hypo as well?? It may be unrelated, I guess. > > What are your thoughts?? I'm just expecting the endo who ordered the tests to say I'm within range, and things are fine. I'm wondering if that is the case, do I need to try to explain otherwise to him? > > Thanks again! > > Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 Hi Barb, T7 is an old test and today an FT4 is performed when a T7, which is really a calculation, is ordered. T3 uptake and the FT4 index are both obsolete tests that we once used before tests to measure free T4 directly became available. We one used the T3 uptake, along with total T4, to calculate the approximate FT4 level or index. .. You should also have a test for FT3 to help determine if you're hypothyroid. Many people do not convert T4 into T3 very well, and a low FT3 can cause symptoms of hypothyroidism. I don't recall where you are in terms of treatment, but TSH is often falsely decreased in Graves' disease and these results can be misleading. Take care, Elaine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 Hi Barb, T7 is an old test and today an FT4 is performed when a T7, which is really a calculation, is ordered. T3 uptake and the FT4 index are both obsolete tests that we once used before tests to measure free T4 directly became available. We one used the T3 uptake, along with total T4, to calculate the approximate FT4 level or index. .. You should also have a test for FT3 to help determine if you're hypothyroid. Many people do not convert T4 into T3 very well, and a low FT3 can cause symptoms of hypothyroidism. I don't recall where you are in terms of treatment, but TSH is often falsely decreased in Graves' disease and these results can be misleading. Take care, Elaine Quote Link to comment Share on other sites More sharing options...
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