atrial fibrillation T3 and TSH
in [Thyroid]
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From: ray on 19 Apr 2008 20:12 I am taking 120mg Armour thyroid daily. My recent test results were: TSH 0.01 (0.50-8.90) T4 7.3 (4.7-13.3) FT4 0.72 (0.60-1.61) T3 84.5 (41-202) FT3 2.0 (1.8-4.2) With the TSH suppressed, the FT3 and FT4 are near the bottom 10% of their range. I have been on thyroid replacement for 2 years now. I am feeling much better except for some pain in my neck area which I believe is thyroid related because it is somewhat improved since starting thyroid replacement. I have no symptoms of being hyperthyroid. I would like to try an increase in the Armour to see if it effects the neck pain. The doctor says no because it will increase the risk of atrial fibrillation. My question is does lack of TSH increase the risk of atrial fibrillation, or is it caused the excess of T3 and or T4? My thoughts on my problem is maybe pituitary problem because of suppressed TSH with lowish T3 and T4. I also have low, out of range, testosterone, LH and FSH. Again testosterone level not obeying the LH and FSH signals. Before starting thyroid replacement I was suffering from arm going numb, arms and leg swelling, constipation, severe joint and muscle pain, etc. Now if I could only get rid of the constant sore throat, pain when I try to turn my head and intense neck / throat pain when I exercise hard.
From: Herman Family on 20 Apr 2008 10:34 "ray" <spammers(a)do.not.reply.com> wrote in message news:1c1l045lagqbjhqpbssscsenm66u05p6jj(a)4ax.com... >I am taking 120mg Armour thyroid daily. My recent test >results were: > > TSH 0.01 (0.50-8.90) > T4 7.3 (4.7-13.3) > FT4 0.72 (0.60-1.61) > T3 84.5 (41-202) > FT3 2.0 (1.8-4.2) > > With the TSH suppressed, the FT3 and FT4 are near the > bottom 10% of > their range. I have been on thyroid replacement for 2 > years now. I > am feeling much better except for some pain in my neck > area which I > believe is thyroid related because it is somewhat improved > since > starting thyroid replacement. I have no symptoms of being > hyperthyroid. I would like to try an increase in the > Armour to see if > it effects the neck pain. The doctor says no because it > will increase > the risk of atrial fibrillation. My question is does lack > of TSH > increase the risk of atrial fibrillation, or is it caused > the excess > of T3 and or T4? > > My thoughts on my problem is maybe pituitary problem > because of > suppressed TSH with lowish T3 and T4. I also have low, > out of range, > testosterone, LH and FSH. Again testosterone level not > obeying the LH > and FSH signals. > > Before starting thyroid replacement I was suffering from > arm going > numb, arms and leg swelling, constipation, severe joint > and muscle > pain, etc. Now if I could only get rid of the constant > sore throat, > pain when I try to turn my head and intense neck / throat > pain when I > exercise hard. I don't think your thyroid numbers look good. Your tsh is too low for your ft3 and ft4 levels. Coupled with the pain in your neck, I would suggest that you go back to the doctor and have them look for nodules in your thyroid. Something is very wrong here. This isn't related to the synthroid or armour debate. It is related to why your thyroid is out of whack in the first place. Your problem could very well be related to the pituitary not producing enough tsh or it could be related to the thyroid consuming it but not producing t4 in return in adequate quantities, or something is sequestering the tsh. Bottom line is that in your case the tsh may not be the right indicator. Michael
From: ray on 20 Apr 2008 12:35 On Sun, 20 Apr 2008 14:34:07 GMT, "Herman Family" <the_sawdust_place_no_underscore(a)frontiernet.net> wrote: > >"ray" <spammers(a)do.not.reply.com> wrote in message >news:1c1l045lagqbjhqpbssscsenm66u05p6jj(a)4ax.com... >>I am taking 120mg Armour thyroid daily. My recent test >>results were: >> >> TSH 0.01 (0.50-8.90) >> T4 7.3 (4.7-13.3) >> FT4 0.72 (0.60-1.61) >> T3 84.5 (41-202) >> FT3 2.0 (1.8-4.2) >> >> With the TSH suppressed, the FT3 and FT4 are near the >> bottom 10% of >> their range. I have been on thyroid replacement for 2 >> years now. I >> am feeling much better except for some pain in my neck >> area which I >> believe is thyroid related because it is somewhat improved >> since >> starting thyroid replacement. I have no symptoms of being >> hyperthyroid. I would like to try an increase in the >> Armour to see if >> it effects the neck pain. The doctor says no because it >> will increase >> the risk of atrial fibrillation. My question is does lack >> of TSH >> increase the risk of atrial fibrillation, or is it caused >> the excess >> of T3 and or T4? >> >> My thoughts on my problem is maybe pituitary problem >> because of >> suppressed TSH with lowish T3 and T4. I also have low, >> out of range, >> testosterone, LH and FSH. Again testosterone level not >> obeying the LH >> and FSH signals. >> >> Before starting thyroid replacement I was suffering from >> arm going >> numb, arms and leg swelling, constipation, severe joint >> and muscle >> pain, etc. Now if I could only get rid of the constant >> sore throat, >> pain when I try to turn my head and intense neck / throat >> pain when I >> exercise hard. > >I don't think your thyroid numbers look good. Your tsh is >too low for your ft3 and ft4 levels. Coupled with the pain >in your neck, I would suggest that you go back to the doctor >and have them look for nodules in your thyroid. Something >is very wrong here. This isn't related to the synthroid or >armour debate. It is related to why your thyroid is out of >whack in the first place. > >Your problem could very well be related to the pituitary not >producing enough tsh or it could be related to the thyroid >consuming it but not producing t4 in return in adequate >quantities, or something is sequestering the tsh. Bottom >line is that in your case the tsh may not be the right >indicator. > >Michael > Thanks for the reply. An ultrasound a year ago showed a cyst 3x4x5 mm. Current doctor says it is insignificant and ultrasound really not worth repeating. To my mind the TSH, T3, and T4 results are inconsistent. As per standard medical training current doctor says T3 and T4 are in range, TSH is too low and is a problem. Finding a knowledge doctor is soo difficult. Any ideas on what type of doctor I should be looking for and how to go about finding one? Ray
From: Yvonne on 20 Apr 2008 14:38 Hi Ray I can relate to you with regards to your blood test results. I am taking thyroxine and liothyronine and also have a supressed TSH (<0.03) despite low fT3 and lower than range fT4. It has been that way for several years. The Doctors decided a couple of years ago that I "must be overmedicated" and reduced my medication which made me extremely ill. |At the time I could hardly get out of bed, but still my TSH didn't respond or go up despite being dangerously hypo and undermedicated. I was getting a lot of palpitations, skipped heart beats and was extremely cold and depressed. In the end I contacted them and said I needed to put the meds back up due to being so ill (I was sick of their little "lets see what it takes to get her TSH to change" experiment). In the end the Endo had to agree that my TSH just isn't going to budge, no matter how much they lower my dose of thyroid meds. They then raised my dose back to where it had been. Presently my TSH is <0.03, my fT3 is at the bottom of the range and my fT4 is significantly below the range. I am still hypo and undermedicated despite a supressed TSH. As you state in your posting this could be a pituitary problem. The next thing they want to do with me is blood test for adrenals and pituitary brain scan. The problem is that in some cases the TSH just isn't indicative and one should aim towards getting the fT3 and ft4 at least mid range, and also look at symptoms. Regarding atrial fibrilation, I am no expert but I think it is more an issue with hyper patients who have a supressed TSH (along with high fT3 and high fT4). You could probably afford to go a little higher on the meds, given that your ft4 and ft3 are quite low. I would aim for more mid range frees if possible, depending entirely on how you are feeling. Yvonne "ray" <spammers(a)do.not.reply.com> wrote in message news:1c1l045lagqbjhqpbssscsenm66u05p6jj(a)4ax.com... >I am taking 120mg Armour thyroid daily. My recent test results were: > > TSH 0.01 (0.50-8.90) > T4 7.3 (4.7-13.3) > FT4 0.72 (0.60-1.61) > T3 84.5 (41-202) > FT3 2.0 (1.8-4.2) > > With the TSH suppressed, the FT3 and FT4 are near the bottom 10% of > their range. I have been on thyroid replacement for 2 years now. I > am feeling much better except for some pain in my neck area which I > believe is thyroid related because it is somewhat improved since > starting thyroid replacement. I have no symptoms of being > hyperthyroid. I would like to try an increase in the Armour to see if > it effects the neck pain. The doctor says no because it will increase > the risk of atrial fibrillation. My question is does lack of TSH > increase the risk of atrial fibrillation, or is it caused the excess > of T3 and or T4? > > My thoughts on my problem is maybe pituitary problem because of > suppressed TSH with lowish T3 and T4. I also have low, out of range, > testosterone, LH and FSH. Again testosterone level not obeying the LH > and FSH signals. > > Before starting thyroid replacement I was suffering from arm going > numb, arms and leg swelling, constipation, severe joint and muscle > pain, etc. Now if I could only get rid of the constant sore throat, > pain when I try to turn my head and intense neck / throat pain when I > exercise hard.
From: amanita on 20 Apr 2008 14:52
Yvonne wrote: > In the end the Endo had to agree that my TSH just isn't going to budge, no > matter how much they lower my dose of thyroid meds. They then raised my dose > back to where it had been. Presently my TSH is <0.03, my fT3 is at the > bottom of the range and my fT4 is significantly below the range. I really don't understand the obsession the medics have with TSH. With your FT4 and FT3 so low, they surely cannot be concerned about you being hypER? Did they give a reason for trying to raise the TSH? > I am still > hypo and undermedicated despite a supressed TSH. As you state in your > posting this could be a pituitary problem. The next thing they want to do > with me is blood test for adrenals and pituitary brain scan. With the doses you're taking, I can certainly understand why they want to investigate further. Presumably they have tried increasing your meds and it hasn't helped your symptoms or raised your FT4/FT3 levels? |