Doctor insights on:
Graves Low Tsh
Preg wife-had low TSH high t3/t4 tsabs; drs didn't treat; now has elevated liver enzymes; so, can untreated grave's dis. Cause elevated enzymes?
What can cause low TSH of its not a Thyroid or pituitary problem? 0.01 TSH T3 (liothyronine) and T4 free normal, graves and hasmitos negative
2 possibilities: Hi. First of all, Hashimoto's doesn't cause a suppressed TSH, and YES, your TSH is SUPPRESSED, not "low", because your free T4 and total T3 (liothyronine) are "normal". A low TSH (pituitary defect) would cause low free T4 and possibly/probably low T3 (liothyronine). The most likely is a "hot" thyroid nodule (autonomously hyper-functioning); second most likely would be a phase of subacute thyroiditis. Follow over time to tell. ...Read more
What could cause hyperthyroidism if it's not graves, hasmitos, pituitary problem? I have low TSH 0.01 but normal free T3 (liothyronine) and T4 and normal total t3t4
Already answered: Hi. I already told you: hyper-functioning ("hot") thyroid nodule is most likely, but a phase of subacute thyroiditis (ST) is certainly a possibility. Following thyroid function over time, or a 123-I thyroid scan (and uptakes) would tell the difference. This all assumes you're not surreptitiously TAKING thyroid hormone (which would look like ST, but unlike ST would have a suppressed thyroglobulin). ...Read more
When taken off thyroid meds and your TSH is low and you have graves disease does it throw everything out of wack?
It depends: A low TSH indicates that your thyroid level is high. Graves disease is the most common cause for an overactive thyroid. I assume the medication you had been taking was to bring down your thyroid level. If the TSH had been normal on medication, and is now low off medication, it means that the graves disease is still active and the thyroid level is becoming overactive again. ...Read more
Thyroid issues. HaD thyroidectomy Feb 2015. (Graves dz).cannot get lands to stabilize. Tsh low, t3 high t4 low. Tried many meds. Not working. Help?
A long time: Not to have the level regulated. See an endocrinologist for a high T3/T4 ratio medicine like thyroid extract ...Read more
My TSH is low, my T3 (liothyronine) and T4 is high. I don't have graves disease or thyroiditis. My dr. Suggested a partial thyroidectomy to correct this. Is that ok?
Graves and RAI 12 years ago. 125mcg synthroid (thyroxine). All levels normal. 6 years ago TSH dropped to 0 and Free T3 & T4 low normal. TSH won't increase?
How do you feel?: This is really the question to be asking. Whoever is managing you may feel a need to lower your dose slightly to see if TSH rises / protect you from osteoporosis later in life / practice defensive medicine, but I'd be most concerned with how you actually feel. If you don't recognize symptoms / signs of hypothyroidism / hyperthyroidism, perhaps doing what's working is best. ...Read more
Graves disease & take tapezole 5mg. Recent bloodwork: tsh, T4 free normal. T3 (liothyronine) total: 72 low, tsi: 265 high. What does this mean particulary high tsi?
It means: You have graves' disease, which you apparently already knew, so it's totally superfluous and doesn't ever need to be repeated. ...Read more
Tsh in range. Normal t3 high ft4. Negative antibodies for graves and Hashi. Low b12 lower vit D. Normal prolactin level. Endo believes it’s pituitary?
Diagnosed with hyperthyroidism. Unknown cause. Tsh in range. Normal t3 high ft4. Negative antibodies for graves and Hashi. Thyroid ultrasound normal. Low b12 lower range vit D. Normal prolactin level. Endo believes it’s pituitary?
Yes, transiently: Hashimoto's thyroiditis can go through a phase of thyroid hyperactivity early in the course of disease and that would be associated with low TSH. Sooner or later enough thyroid is destroyed that thyroid functions declines and TSH rises. ...Read more
No: Not if those values are within the lab's stated and assayed normals, and if your not on any medication to lower active thyroid hormones. ...Read more
Could a successful 20 year old hodgkins chemotherapy recovery cause hypothyroid with a low TSH production?
What does low TSH 0.2 with normal free T4 mean? What is its treatment and does it need to be taken all life long?
Likely normal: Your TSH may be slightly low and may be normal for you. Do you have any symptoms? It is generally not a good idea to treat lab values. All lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. It is likely that you need no treatment, however, it would be prudent to follow your doctor's advice for follow up tests. ...Read more
Can a low TSH completely prevent pregnancy? Not extremely low but median low. Can the medication alap have an effect? Thanks in advance
Thyroid problem: Decrease TSH may be a result of primary disease of pituitary gland causing secondary hypothyroidism or it may be a consequence of negative feed back of elevated thyroid hormone (T4) in thyrotoxicosis. Both may (not always) cause infertility or menstrual cycle abnormality. After treatment, hormone levels return to normal and pregnancy is achieved more easily. ...Read more
Unlikely but...: Rhodiola is known to improve thyroid function and thus might be expected to reduce TSH levels somewhat (though more research on this is needed). However, a low TSH tends to be a sign of hyperthyroidism and, as far as I know, rhodiola is not known to stimulate the thyroid to the point of hyperthyroidism. ...Read more
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. ...Read more
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. ...Read more
How low?: If these were taken during a time that you were emotionally distraught, and they are not strikingly removed from the reference range (which is set so that several percent of healthies fall outside), your physician will repeat them when your life gets better. If way-low, pituitary disease is a concern. ...Read more
What does a low TSH score of. 08 indicate? I have been takin levothyroxin for 9 years and my last blood test shows a TSH score of. 08.
Too much levothyrox?: That result is below the usual target of 0.5-5, indicating that there may be too much T4 (levothyrox) in your system. 1. the doctor who prescribes your T4 should determine whether a dose reduction is needed. 2. if you are feeling well, the first thing to do may be to repeat the test. 3. after 9 years, it is possible that your T4 requirement has indeed gone down and your dose should be lowered. ...Read more
Can you stop taking Synthroid (thyroxine) after (5-6)years of taking it? Borderline -low TSH is why it was prescribed. Dose. 050mcg.
Synthroid (thyroxine): You must mean a borderline high TSH for an underactive thyroid. Anyhow, the thyroid does not revert back to its normal level on its own, it ages with us and needs frequent monitoring, I would suggest not to stop it, but this is something you need to discuss with your doctor who knows you best. ...Read more
Struggling with very low TSH 0 01 for 1 yr. Compliant with levo although doc keeps lowering it. No supps etc that would cause malabsorption. Ugh!
Over replaced: As your TSH is low and you're having symptoms of hyperthyroid (i presume), the answer is simply that your dose is too high. Dropping it carefully, as your doctor is doing, should work to bring your levels back in to control. (low TSH = high thyroid). ...Read more
Need further eval: The low TSH needs to be addressed as it can cause problems for you. In the presence of thyroid nodules, you will need a thyroid uptake and scan to make sure the nodules are not producing too much thyroid hormones. Treatment then would be antithyroid drugs, radioactive iodine, or surgery. You should not be doing nothing with a low tsh. ...Read more