Thyroid / TSH level of 6.45

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12 years ago 12/01/2011 6:34am EST

re: no fuel

About 6 years ago, when I was 25 (I'm male), my training went off the rails. I was running 70-80 miles a week and completely exhausted all the time. I was sleeping, no joke, 12-14 hours a day. Could not function. Beyond that, I had all the classic symptoms of hypothyroid.

The first doc ran some bloodwork. My TSH came back in the 3-4 range. The doc said everything was normal and sent me on my way.

I went to another doc, told him my symptoms, and he ran another thyroid panel PLUS the thyroid antibodies.

My TPO antibodies were through the roof. He immediately put my on 100mcg Levoxyl per day.

Very quickly, I felt like a normal person again, and my TSH dropped to 1.

Moral: even if your TSH is within the lab-defined normal range, you may still have a thyroid related problem. Make sure to get the antibodies tested as well.

12 years ago 12/01/2011 1:03pm EST

re: My Anecdote

My Anecdote wrote:
I went to another doc, told him my symptoms, and he ran another thyroid panel PLUS the thyroid antibodies.
My TPO antibodies were through the roof. He immediately put my on 100mcg Levoxyl per day.
Very quickly, I felt like a normal person again, and my TSH dropped to 1.
Moral: even if your TSH is within the lab-defined normal range, you may still have a thyroid related problem. Make sure to get the antibodies tested as well.

Do you know what information that the antibodies provide? If the TSH is the gold standard for diagnosis and treatment, then what what is it about the antibodies that would say "you need more thyroid hormone" even when the THS is normal?

12 years ago 12/01/2011 1:51pm EST

re: no fuel

My understanding is that high antibodies suggest an autoimmune version of hypothyroidism, like Hashimoto's.

As far as why more thyroid hormone helps with Hashimoto's in the context of normal TSH, that's a little above my pay grade... I just know it helped (dramatically) in my case.

Every 6 months, I get these tests:

TSH

antithyroid peroxidase (antibodies)

antithyroglobulin (antibodies)

Most docs only run the first 3 tests.

In my case, I'm only out of the normal range on the antithyroid peroxidase.

With treatment, my TSH dropped from 3 to 1 and all the other values remained the same. Huge difference in quality of life.

4 years ago 11/12/2019 1:38am EST

re: athlete

43 years old female, 5'7", 76 kg. I used to be 56 kg , and in a matter of 2 years I reached 80 kg after quitting smoking. I also had a plethora of other problems, amount which lethargy, extreme fatigue , depression . My doc discovered by accident my TSH was 10 , plus huge antibodies values. Started me at 50 mag Syntroid and I went up from there. I am now at 175 mcg , huge dose, and feel fantastic. My blood values are low,TSH , upper limit T4. I kind of talked my doc in increasing the dose.... as his choice was 125 mcg and I felt that was too low . I finally have the energy to go to the gym . I feel like my old self. I LOVE Syntroid (https://www.pillsfind.com/synthroid) and I hope he won't lower it for me

4 years ago 11/12/2019 3:52am EST

re: athlete

athlete wrote:
very helpful advice from no fuel... many thanks

it's subclinical hypothyroidism.

You should do a thyroid ecography to see if there is a very common Hashimoto's thyroiditis.

I found it some months ago, now i take levothyroxine pills.

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