A 33-year-old male asked:
we have case , femal patien , age 60 years, the tsh less than 0.05 while t4 in normal range , and she has not any symptom of thyroidism , is it ok ?
1 doctor answer
Dr. Alan Feldman answered
41 years experience Endocrinology
Subclinical hyperthy: A low TSH with a normal T4 and no symptoms is usually subclinical hyperthyroidism. She may have a multinodular goiter that is autonomously functioning, or very early graves disease. A T3 (liothyronine) level and free T4 level should be checked. There is a higher risk of developing atrial fibrillation despite the normal T4 level, but many endocrinologists would just follow her levels for progression.
Answered on Nov 21, 2018
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A 29-year-old female asked:
Dr. Patrick Kohlitz answered
11 years experience Internal Medicine
Hypothyroid: The answer to this question depends on what your exact levels are and what type of symptoms you have. "Subclinical Hypothyroidsim" sometimes presents ... Read More
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A 51-year-old female asked:
Dr. Amrita Dosanjh answered
36 years experience Pediatrics and Pediatric Pulmonology
Mgt.: If he is taking immune modulators, I would suggest possible imaging and an appointment with Endocrinology.
A 41-year-old female asked:
Dr. Dustin Colegrove answered
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No: As long as your tsh is normal there is nothing to be concerned about.
A 53-year-old female asked:
Dr. Randy Baker answered
40 years experience Holistic Medicine
Maybe thyroiditis: Your Free T4 is on the high side, suggesting you're on too much levothyroxine, but Free T3, while "normal" is on the low side suggesting that (like ma ... Read More
1
1 thank
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