A member asked:

What is the target 'ideal' ft4 value? not on meds. normal labs: ft4: 0.7 ng/dl tsh: .48 uiu/ml brain hemorrhage 04/2011 symptoms hypothyroid?

6 doctors weighed in across 2 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

Need exam: In diagnosing hypothyroidism, labs don't tell the complete story. http://tinyurl.com/ywjxg4 clinical correlation and physical exam are needed. Please work with your own doctor on this. Also, you can get a second opinion from an integrative medicine or holistic medicine physician; they're familiar with situations like this -- where a symptomatic person has "normal" labs. http://www.abihm.org/.

Answered 6/26/2013

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Consider pituitary: Your free T4 level would be considered low in most labs, the TSH is at the lower range of normal. Considering your history of brain hemorrhage, you should be evaluated for pituitary disease that can cause "secondary hypothyroidism", especially if you are no longer menstruating.

Answered 9/3/2016

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