Thyroid Panel Results

chelekaz

Ok, so I am a bad girl because the girl at my primary docs's office knows that i am to get a copy of all of my labs via fax to my home office; and they did call gave to give me a heads up on the results but said the Endo's office would review them.

Well, today I have yet to hear from Endo. Called, left message.

Anyways. If I am reading this correctly:

Anti-Thyroperoxidase ref rage females <20 iu/ml ... H 941.8 Positive
Anti-Thyroglobulin ref range females <45 IU/ml ... H >1000 Positive

All that this is proving is that his initial diagnosis of Hashi's is correct.. right? Has anyone else had levels this high?

chelekaz

Update: Just received TSH = 1.1 (normal .4 - 4.0) and FT4 - 1.45 (normal .8 - 1.76).
Notice no Free or Reverse T3. Endocrinologist still will not test it because "I relented and test FT4 when you asked even though I knew the TSH told us what I needed to know". Yeah; nice huh?

So, I called primary and he is running an entire new blood panel CBC, CBC Diff, the whole 9 yards! And I asked him to repeat TSH, FT4 and FT3/Reverse T3. He of course said, "Honey, whatever you need just tell me". Wish he felt confident in treating this part of my health because I love this man!

nataleeps

Sorry Off Topic but I love your Ticker

chelekaz

Sorry Off Topic but I love your Ticker

Awe thank you! :flowerforyou:

Marll

Glad your primary is running more tests. It was like pulling teeth to get my wife's doc to do anything other than call her fat and lazy.

That being said, if the results don't come back the way that you think they should, get another opinion. Take the results to someone like a naturopath. That's the only way my wife started getting help, her primary doc and endo both said that she was "normal" and that her problem was eating too much, moving too little and that she was probably just lazy.

She's now on daily thyroid supplementation pills and feels a lot better.

chelekaz

Thanks, I am actually on 175mcg of Levothryoxine and just started today (after complaining - and yes, nurse said "He says since you keep complaining about not feeling well to try this") Cytomel 5mcg twice a day - supposed to take both in morning with the Levothyroxine but OMG, did that today and felt awful. Someone else recommended splitting the Cytomel for 5mcg in morning and then again last afternoon / early evening.

I'm also concerned that Endo cancelled ultrasound that Primary Doc ordered. He can feel the nodules but said of course they are there; don't worry about it yet. I explained discomfort when swallowing or lying on my back and his response "I doubt it's related".

Marll

Ugh, doctors....

I feel for you, they seem only willing to do what some chart in some insurance company "allowed" procedures tells them to and never think for themselves.

ginnylee74

Thanks, I am actually on 175mcg of Levothryoxine and just started today (after complaining - and yes, nurse said "He says since you keep complaining about not feeling well to try this") Cytomel 5mcg twice a day - supposed to take both in morning with the Levothyroxine but OMG, did that today and felt awful. Someone else recommended splitting the Cytomel for 5mcg in morning and then again last afternoon / early evening.

I'm also concerned that Endo cancelled ultrasound that Primary Doc ordered. He can feel the nodules but said of course they are there; don't worry about it yet. I explained discomfort when swallowing or lying on my back and his response "I doubt it's related".

Good Lord. Get a new Endo. When are you supposed to worry about them. When you are strangling/ Call your primary and tell him you want the test. If he argues, get a new primary. You are the patient. You hire them. You can fire them. Your Endo must have bumped his head.

brandiuntz

Makes me thankful my primary suspected, even though a general checkup had my levels "normal" (really borderline). She suspected a goiter and ordered an ultrasound. Very glad she paid attention.

piesbd

I would agree.... get a new Endo.....

It does not seem like the one you currently have is willing to work with you, and to address your concerns.

Additionally, I wonder about the respect issues in the office. It seems he is disrespectful, and appears to be reflected in how the nurse spoke to you.

chelekaz

Thanks everyone.

I have started the 10mcg Cytomel a day and I took both in morning yesterday. I felt like a disaster hit me. So taking suggestions from some others on it, I took 5mcg last night around 10 and then the Levo and 5mcg Cytomel this morning (talked to a RN prior to taking the 5 last night and she said go for it; would be good to get "on cycle"). What a difference. Am I 100% not by any means but wow, I feel so much better. Haven't even layed down on the couch once yet today!

I loved hearing the nurse say that all my labs were fine and when I asked even the antibodies she said "I told you he said that everything is fine". I made her get me the numbers and she then said well he must have meant that they were as suspected. whatever.

I have a call into insurance to find out where else I can go. It will be out of the area but for a every 3 month appt I can handle that!

tecallahan

Wow - that endo is a complete moron!! Unfortunately, most of them are!

I don't know if you really need that much Levoxy if you are taking Cytomel. Don't forget that some/most of the T4 you are taking is converted to T3... and then you are taking more T3 with the Cytomel. Too much T3 can give you hyper symptoms - rapid heartbeat, anxiety, high blood pressure/pulse. sweating, etc.

The other thing to remember is that thyroid medication only works in the presence of optimized Ferritin/Iron Levels and optimized adrenals.

Many of us that have been hypo for a long time have adrenal fatigue. Our metabolism is slow and our adrenals jump in to try to help out. Over time, this causes high cortisol levels (hello belly fat), insomnia, constipation, and other symptoms. If it goes on a long time, your adrenals go into fatigue and cortisol levels drop to low or flat line. Without cortisol, the T3 cannot get into your cells -- and every cell in our body needs T3 to function. So too high cortisol or too low cortisol indicates adrenal stress and adrenal fatigue -- therefore you will still have hypo symptoms even taking thyroid medication.

It's technical, I know, but important you understand how it works so that you can be an advocate for yourself when dealing with idiot endos.