Question 1

being treated for hypothyroid after case of thyroiditis.  tsh was 94+ at last check.  urine-protein, blood & bilirubin & creat 1.39.  egfr 45.  weight gain, blurry vision also.  ideas?

Accepted Answer

See doctor, now: You have a number of issues that need attention. A TSH of 94 warrants thyroid replacement treatment. A EGFR of 45 needs evaluation by a nephrologist. Your weight gain may be due to thyroid deficiency. Cannot comment on blurry vision without examining you. Please see your doctor at the earliest.

Question 2

what does it mean if i have low tsh and low freet4? both .6

Accepted Answer

It depends: Are you taking thyroid hormone? If yes, it changes how the tests are interpreted.  If you are not on thyroid medication, a low free T4 and low TSH can indicate a pituitary disorder.

Question 3

what can be the cause of low testostorone and low tsh count?

Accepted Answer

Central: If this is hypothyroidism, low TSH and low testosterone together may have a hypothalamic/hypopituitary etiology. Please discuss this with your physician. You may need a work-up for other pituitary hormone deficiencies.

Question 4

what is meant by low tsh high free t4?

Accepted Answer

Hyperthyroidism: A low TSH and high T4 is an indication of over-active thyroid (hyperthyroidism). This should be evaluated further for any potential cause and discuss treatment options with your physician. Referral to an endocrinologist may be necessary.

Question 5

having heel pain since one year,low tsh?

Accepted Answer

Unrelated: Heel pain is not a symptom of thyroid disease.  When you say low TSH, do you mean in the range of 0.1-0.4 or less than 0.1?  A slightly low TSH of 0.1 to 0.4 is usually a benign normal variation whereas a TSH of less than 0.1 could be a sign of an overactive thyroid which would require further testing and possibly treatment.

Question 6

low tsh high free t4?  what is the cause?

Accepted Answer

Hyperthyroidism: High ft4 and low TSH are a combination usually indicating an over active thyroid. It doesn't explain the cause which will require further testing to figure out.

Question 7

can you have hyperthyroidism without a low tsh?

Accepted Answer

Yes: If the problem is in the pituitary or hypothalamus, you can have high tsh, high ft4 and high ft3.  This is very rare but can happen.

Question 8

what does borderline low tsh and t3 (liothyronine) mean?

Accepted Answer

Nothing usually: Borderline is still within the normal range. Ask the physician who ordered the test why he got both and what his/her interpretation is.

Question 9

what could be the reason for a low t4 and low tsh on the bloodwork?

Accepted Answer

Many causes: There are many causes. Much depends on what exactly "low" means.  One cause is "euthyroid sick syndrome". If you have other illnesses, including depression, the whole thyroid system tends to get lower. The solution is to treat the primary condition (eg depression).  Other causes include pituitary disease, taking certain thyroid supplements (eg cytomel).  Talk to your doctor.

Question 10

does medication for low tsh hyperthyroidism cause you to gain weight?

Accepted Answer

Thyroid and weight: As the medication (eg. Methimazole) normalizes your thyroid levels, your metabolic rate will return to normal.  Your appetite, however, may still be in hyper-mode.  Weight gain is common, but if you take care with what you eat you can minimize this.

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Doctor answers about:

Blurry vision and low tsh

A member asked:

Being treated for hypothyroid after case of thyroiditis. tsh was 94+ at last check. urine-protein, blood & bilirubin & creat 1.39. egfr 45. weight gain, blurry vision also. ideas?

A member asked:

What does it mean if i have low tsh and low freet4? both .6

A member asked:

What can be the cause of low testostorone and low tsh count?

A member asked:

What is meant by low tsh high free t4?

A member asked:

Having heel pain since one year,low tsh?

A member asked:

Low tsh high free t4? what is the cause?

A member asked:

Can you have hyperthyroidism without a low tsh?

A member asked:

What does borderline low tsh and t3 (liothyronine) mean?

A member asked:

What could be the reason for a low t4 and low tsh on the bloodwork?

A member asked:

Does medication for low tsh hyperthyroidism cause you to gain weight?

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