help me to understand my test results
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From: yoshi.mitsou on 6 May 2008 13:23 On May 6, 12:19 pm, amanita <tiredofs...(a)ntlworld.com> wrote: > yoshi.mitsou wrote: > > Here are the my thyroid-related numbers and reference ranges from > > recent blood studies. > > > Thank you so much for any help. > > > Thyroxine (T4) Free, Direct S T4, Free (Direct) > > results: 1.13 ng/dL > > range: .6 - 1.7 > > > TSH > > results: .294 L uIU/mL > > range: 0.350 - 5.5500 > > > Thyroid Peroxidase (TPO) Ab > > results: 52 H IU/mL > > range: 0 - 34 > > > Triiodothyronine, Free, Serum > > results: 3.2 pg/mL > > range: 2.3 - 4.2 > > I can see that if your doctor only looks at the TSH number, he will say > that you are slightly hypER because 0.294 is just below 0.35 > However, the real story is in the T4 and T3 numbers, both of which are > well within the referemnce ranges. > > So I agree with what you said in your original post. You are not hypER > at all. That is a relief. I have been hyper with graves on and off through the years and could always tell at the early onset just from the symptoms. With the above results I am asymptomatic so if the numbers indicated hyper without typical symptoms, that would mean that I might have lost my built-in thyroid gauge. Thank you so much for your help, amanita and to the Herman Family as well. And I guess I owe a thank-you to Alan MacFarlane for suggesting the hatwear. This is a nice group. I wish I would have found it years ago when my thyroid first started to act out.
From: yoshi.mitsou on 6 May 2008 11:14 Here are the my thyroid-related numbers and reference ranges from recent blood studies. Thank you so much for any help. Thyroxine (T4) Free, Direct S T4, Free (Direct) results: 1.13 ng/dL range: .6 - 1.7 TSH results: .294 L uIU/mL range: 0.350 - 5.5500 Thyroid Peroxidase (TPO) Ab results: 52 H IU/mL range: 0 - 34 Triiodothyronine, Free, Serum results: 3.2 pg/mL range: 2.3 - 4.2
From: amanita on 6 May 2008 12:19 yoshi.mitsou wrote: > Here are the my thyroid-related numbers and reference ranges from > recent blood studies. > > Thank you so much for any help. > > > Thyroxine (T4) Free, Direct S T4, Free (Direct) > results: 1.13 ng/dL > range: .6 - 1.7 > > TSH > results: .294 L uIU/mL > range: 0.350 - 5.5500 > > Thyroid Peroxidase (TPO) Ab > results: 52 H IU/mL > range: 0 - 34 > > Triiodothyronine, Free, Serum > results: 3.2 pg/mL > range: 2.3 - 4.2 I can see that if your doctor only looks at the TSH number, he will say that you are slightly hypER because 0.294 is just below 0.35 However, the real story is in the T4 and T3 numbers, both of which are well within the referemnce ranges. So I agree with what you said in your original post. You are not hypER at all.
From: Herman Family on 7 May 2008 10:32 "amanita" <tiredofspam(a)ntlworld.com> wrote in message news:py%Tj.11965$EH2.2595(a)newsfe1-win.ntli.net... > yoshi.mitsou wrote: >> Here are the my thyroid-related numbers and reference >> ranges from >> recent blood studies. >> >> Thank you so much for any help. >> >> >> Thyroxine (T4) Free, Direct S T4, Free (Direct) >> results: 1.13 ng/dL >> range: .6 - 1.7 >> >> TSH >> results: .294 L uIU/mL >> range: 0.350 - 5.5500 >> >> Thyroid Peroxidase (TPO) Ab >> results: 52 H IU/mL >> range: 0 - 34 >> >> Triiodothyronine, Free, Serum >> results: 3.2 pg/mL >> range: 2.3 - 4.2 > > I can see that if your doctor only looks at the TSH > number, he will say that you are slightly hypER because > 0.294 is just below 0.35 > However, the real story is in the T4 and T3 numbers, both > of which are well within the referemnce ranges. > > So I agree with what you said in your original post. You > are not hypER at all. Actually, those tests do say hyper, and say that there is an organic reason for it. They aren't super hyper, just a bit, but hyper nonetheless. The tsh is a little lower than normal, which indicates hyper. The t4 is indeed within range, but that range is a population range, not a personal range. It looks close to normal right now. That combined with the tsh which is just below normal point to either an episodic problem, or a milder case of hyperthyroidism. The kicker here is the excessive thyroid peroxidase. I think that points to graves disease. In this case, we see a reason for the numbers. That peroxidase value tells us that these numbers should be watched and that even if things are normal now, they may not stay that way over the long haul. We can also ponder whether the tsh is meaningful here. In my opinion, in this case, it is probably telling the right story given the rest of the numbers. It is important that the numbers all tell a story together. If they don't then either the story is wrong, or the story tellers are in error. Michael
From: johnson917 on 7 May 2008 12:38
On May 7, 10:32 am, "Herman Family" <the_sawdust_place_no_undersc...(a)frontiernet.net> wrote: > "amanita" <tiredofs...(a)ntlworld.com> wrote in message > > news:py%Tj.11965$EH2.2595(a)newsfe1-win.ntli.net... > > > > > > > yoshi.mitsou wrote: > >> Here are the my thyroid-related numbers and reference > >> ranges from > >> recent blood studies. > > >> Thank you so much for any help. > > >> Thyroxine (T4) Free, Direct S T4, Free (Direct) > >> results: 1.13 ng/dL > >> range: .6 - 1.7 > > >> TSH > >> results: .294 L uIU/mL > >> range: 0.350 - 5.5500 > > >> Thyroid Peroxidase (TPO) Ab > >> results: 52 H IU/mL > >> range: 0 - 34 > > >> Triiodothyronine, Free, Serum > >> results: 3.2 pg/mL > >> range: 2.3 - 4.2 > > > I can see that if your doctor only looks at the TSH > > number, he will say that you are slightly hypER because > > 0.294 is just below 0.35 > > However, the real story is in the T4 and T3 numbers, both > > of which are well within the referemnce ranges. > > > So I agree with what you said in your original post. You > > are not hypER at all. > > Actually, those tests do say hyper, and say that there is an > organic reason for it. They aren't super hyper, just a bit, > but hyper nonetheless. > The tsh is a little lower than normal, which indicates > hyper. The t4 is indeed within range, but that range is a > population range, not a personal range. It looks close to > normal right now. That combined with the tsh which is just > below normal point to either an episodic problem, or a > milder case of hyperthyroidism. > The kicker here is the excessive thyroid peroxidase. I > think that points to graves disease. In this case, we see a > reason for the numbers. That peroxidase value tells us that > these numbers should be watched and that even if things are > normal now, they may not stay that way over the long haul. > > We can also ponder whether the tsh is meaningful here. In > my opinion, in this case, it is probably telling the right > story given the rest of the numbers. It is important that > the numbers all tell a story together. If they don't then > either the story is wrong, or the story tellers are in > error. > > Michael- Hide quoted text - > > - Show quoted text - When I still had a thyroid and my labs looked like yours, (low TSH, within range FT4 and T3 and high antibodies) I was told I was subclinically hyperthyroid. Which translated into not doing anything but retesting in 3 or 6 months (and meds to relieve hyper symptoms only, such as beta blockers for heart racing/palpitations, if desired). With your Graves and tapazole history, sounds like you may be the victim of the battle between your thyroid and the antibodies and can expect these rollercoaster test results until the antibodies take over or some outside intervention is done, ie thyroid ablation or thyroidectomy. I think your internal thyroid gauge is still working. Interestingly, now that I am without a thyroid and on a combo of Synthroid and Cytomel, my endo likes my TSH to be out of range low and the FT4 and T3 to be mid range. So with a thyroid, those labs are to be considered suspicious and without one, perfect. LOL Best of Luck and keep us posted. |