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Graves and these labs


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#1 Annabanana

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Posted 29 January 2021 - 11:21 PM

Hello! Graves for 5 years. In remission in and out several times. Thyroid Intact. Methimizole 10 mg/day. Started feeling really out of breath, my NP ordered these labs and said my Graves ok. Concerned she didn't order the right labs. What do you think? Thyroid peroxidase antibodies 488 H ref <9
Tish with reflex to FT4 2.59 ref 0.40- 4.5
First labs In year. I have fine tremors some nights as I drop of to sleep, and I can barely walk without being out of breath... thank you!

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#2 GOLGO13

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Posted 30 January 2021 - 02:49 PM

I'm not a graves expert, but a TSH of 2.59 is just a tad on the hypo side of things. Not by very much though. However, for you it maybe more hypo than it would be for me. And without the other tests, it's kind of hard to say what's really going on.

 

For sure I would suggest them getting TSH, FT4 and FT3. What she ordered was TSH with reflex to FT4, meaning, they only run the FT4 is the TSH is abnormal by the range (which it was not, so they didn't run the FT4). Often, just going by TSH doesn't show enough of the picture to decide whether the labs are OK or not. I've had cases where TSH wasn't showing the whole picture...I think because I had issues with my Iron levels. So while my TSH may have looked somewhat normal, I had highish FT4 and lowish FT3. 

 

So for sure ask them to run TSH, FT4 and FT3 and see what those are. Then you can report back here for some interpretation.


Original: TSH 71 TPO 1980

Levo 100 (March 2018): TSH 1.02 (range .5-4.5)....FT4 1.65 (range .82 to 1.77).

Levo 100 (April 2018): Felt terrible TSH .68

Levo 88 (May 29 2018): Felt better but low energy TSH 3.010 (.450-4.5)|Free T3 2.8 (2.0-4.4 pg/ml)| Free T4 1.50 (.82-1.77ng/dl) TPO 226

Levo 91 (equivalent) (July 16 2018): Felt sort of OK TSH 4.470 (.450-4.50)|Free T3 2.6 (2.0-4.4 pg/ml)| Free T4 1.44 (.82-1.77 ng/dl)|TPO 181

94 (half 88 and half 100) Best I have felt so far TSH 3.671 uIU/mL (0.350 - 5.000)| Free T4 1.14 ng/dL (0.70 - 1.25)| Free T3 2.2 pg/ml (1.7-3.7)

94 generic (Dec 2018) TSH 4.98...boo...

94 Synthroid (Feb 2019)Name Brand 6 days a week and 100 Sythroid one day a week TSH 4.829 uIU/mL (0.350 - 5.000 uIU/mL)| FT4 1.01 ng/dL (0.70 - 1.25 ng/dL)|FT3 2.6 pg/mL(1.7 - 3.7 pg/mL)

94 Synthroid (April 2019) 5 days a week, 100 twice a week TSH 2.763 uIU/mL (0.350 - 5.000 uIU/mL)| FT4 1.08 ng/dL (0.70 - 1.25 ng/dL)|FT3 2.5 pg/mL(1.7 - 3.7 pg/mL)

94 Synthroid (June 2019) 4 days a week, 100 3 days a week TSH 2.889 uIU/mL 0.350 - 5.000 uIU/mL| FT4 1.15 ng/dL 0.70 - 1.25 ng/dL|FT3  2.7 pg/mL 1.7 - 3.7 pg/mL

94 Synthroid (July 2019) 2 days a week, 100 5 days a week TSH 3.931 0.350 - 5.000 uIU/mL| FT4 1.07 ng/dL 0.70 - 1.25 ng/dL| FT3 2.4  pg/mL 1.7 - 3.7 pg/mL

100 Synthroid (Oct 2019) 7 days a week, 50 once a week TSH 2.479 0.350-5.000 uIU/mL| FT4 1.06 ng/dL 0.70 - 1.25 ng/d

100 Synthroid daily Synthroid 50 once a week TSH TSH 2.874 range .350 to 5 | T3 free 2.5 pg/ml range 1.7 to 3.7

112 Synthroid daily (Jan 2019) TSH 2.43 range .350-5.000 uIU/ml |  FT3 3.3 range 1.7-3.7 pg/mL | FT4 1.04 range .7-1.25 ng/Dl 

112 Synthroid Daily (Mar 2020)  TSH 2.069 range .350-5.000 uIU/ml |  FT3 2.8 range 1.7-3.7 pg/mL | FT4 1.08 range .7-1.25 ng/Dl (doing pretty good in general)

 

 


#3 Annabanana

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Posted 02 February 2021 - 10:37 PM

Thanks for reply! Saw a endo today and she is ordering a whole panel of graves labs. Like you, she thought maybe my Methimazole dose too high and swinging my thyroid to low.... as soon as I get full labs, I'll post. THANK YOU for your help!
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