A member asked:

Is it pretty common to have normal tsh level (levothyroxine 12 yrs) but still be symptomatic?

2 doctors weighed in across 2 answers
Dr. Vasu Brown answered

Specializes in Integrative Medicine

Yes: Thyroid levels does not take into account the peripheral conversion of t4-t3 sometimes T3 (liothyronine) at tissue level would be low. I found environmental pollution and increased plastic usage thyroid requirements are higher. People who has muscle issues - myopathy has higher thyroid need.

Answered 1/15/2015

6.3k views

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Dr. Jack Morgan answered

Specializes in Internal Medicine

Thyroid : Yes. The "TSH" is actually produced by the pituitary gland to stimulate the Thyroid to produce T 3 , T 4 , which negative feed back to the pituitary gland . The T3, T 4,T 7 , as well as the Thyroid Antibody needs to be analyzed , because a normal TSH , is not diagnostic unless it is analyzed with T3, T4, T7 and antibodies at the same time.

Answered 1/3/2019

231 views

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