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Doctor insights on: Tsh 4 Less

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TSH w/reflex to T4 was 0.25. T4 free 1.2. T3 free 2.7. 4 months ago TSH 2.01. Synthroid (thyroxine) 137mg year. Fatigue weight gain hair loss. Suggestions?

TSH w/reflex to T4 was 0.25. T4 free 1.2. T3 free 2.7.   4 months ago TSH 2.01.  Synthroid (thyroxine) 137mg year. Fatigue weight gain hair loss. Suggestions?

Not hypothyroid: Your TSH was within normal range(0.4-0.6 ) 4 months ago indicating you were not hypothyroid then and were on the proper dose of Synthroid (thyroxine). Your current Free T4 is within normal limits. However your TSH is slightly low which suggests that your current dose of Synthroid (thyroxine) is slightly too high and can be reduced. YOU ARE NOT HYPOTHYROID and your symptoms are not due to this. ...Read more

Dr. Quang Nguyen
936 doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more


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Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Probably not thyroid: Nodule does not appear autonomous ( doing its own thing) TSH still normal. No sptoms related to normal thyroid function. Sptoms usually come from an underlying autoimmune cponent. ...Read more

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My TSH level is 122, total T3 (liothyronine) 78 and total T4 2.2 what does that mean?

My TSH level is 122, total T3 (liothyronine) 78 and total T4 2.2 what does that mean?

Hypothyroidism: You are already on thyroxine; meaning you are diagnosed with hypothyroidism. Under active thyroid. Your TSH is high;t3;t4 levels are low. Your doctor has to adjust medication till the levels are in therapeutic range. Why you have hypothyroidism? Is it goiter, nodule or autoimmune?See an endocrinologist. Pls. Read thyroid nodule- http://doctorrajput.Com . Thanks. ...Read more

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Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Check with Dr.: Your tpo antibody is high, and more than a third of the women who test positive for thyroid peroxidase (tpo) antibodies while pregnant go on to develop abnormal thyroid hormone levels within two years, more followup needs to be done with these women. Your body maybe attacking your thyroid gland. This is not an emergency please do not panic and talk to your doctor. ...Read more

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How much strength training should be done to minamize catabolism w/ a 500 cal intake deficit? Would 4 days, 4 exercises, 3-4 sets 8-15 reps be enough?

How much strength training should be done to minamize catabolism w/ a 500 cal intake deficit? Would 4 days, 4 exercises, 3-4 sets 8-15 reps be enough?

If heavy training...: ...i usually have rec 3 sets of 15 each, done in a cycle of exercises, targeting different muscle groups, a cycle of 4 then repeat. Day of rest after hard workout. Do cardio. Also get Ur calories from protein, in the form of whey supplement. Ave body needs 50gms/day. Use sup a little during training, majority after. Cals from fat & carbs also. Remember there's protein in veg, meat, dair, eggs, 2. ...Read more

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CBC test, MVC value is normal but MCH & MCHC below 2values than normal range,PCV 2% more than normal.hb&wbc normal.am feeling tied at evening time.

CBC test, MVC value is normal but MCH & MCHC below 2values than normal range,PCV 2% more than normal.hb&wbc normal.am feeling tied at evening time.

Lab values: There is nothing about these values that is either concerning or diagnostic. Lab data cannot be easily interpreted outside of the clinical context in which it is occurring and knowing why it was ordered. Fatigue can be due to many different causes and needs detailed professional evaluation if truly troublesome. ...Read more

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Total thyroidectomy in april for papillary cancer. Current Synthroid (thyroxine) dose is 100mcg. Tsh is 0.12. Doctor ordered FSH day 3, will i ovulate?

Total thyroidectomy in april for papillary cancer. Current Synthroid (thyroxine) dose is 100mcg. Tsh is 0.12. Doctor ordered FSH day 3, will i ovulate?

Possibly: Usually a TSH of 0.12 will not inhibit your ovulation. Although its low and your endocrinologist might decide to adjust you medications this level should not affect ovulation. ...Read more

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Female 35 fasting: TSH 1.88 and T4 free 1.2 Nonfasting results 6 months ago: TSH 1.16 and T4 free 1.4 Did fasting raise my TSH? Do I have an issue?

Thyroid is normal: Both levels are normal. the difference in the numbers is not significant. Fasting will not effect your TSH level. You do not have any issue with your thyroid. ...Read more

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Does an AMH of 1.56 pmol mean pre menopause? FSH is 8.7 and progesterone of 22.7

Does an AMH of 1.56 pmol mean pre menopause?
FSH is 8.7 and progesterone of 22.7

Complicated topic: The issue is too complicated and you should consult a fertility expert. See this site for information. http://www.advancedfertility.com/amh-fertility-test.htm ...Read more

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

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4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?

4-21-14 Thyroidectomy r/t thyroiditis, goiter.  On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months.  Would adding Cytomel help?

Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read more

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Im short-sighted with 500 degrees. Is wearing glasses 100 or 50 degrees lower than my safe?

Im short-sighted with 500 degrees. Is wearing glasses 100 or 50 degrees lower than my safe?

Wearing glasses: That are 0.50 or 1.00 less than the measured prescription will not hurt your eyes. You will just not be able to see as clearly as you could with the full prescription. ...Read more

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37 year old woman 29 week of pregnant ,high grade fever last 1 week,plecenta slightly displace abnormal fetal movement hemoglobin level low lDh level?

37 year old woman 29 week of pregnant ,high grade fever last 1 week,plecenta slightly displace abnormal fetal movement hemoglobin level low lDh level?

High fever, pregnant: This could be very serious. You require immediate medical attention with high fever for over a week and pregnant. Can you see a doctor, or go to a hospital or clinic as soon as possible. ...Read more

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42 days without a period, higher than normal basal body temps, other pregnancy like symptoms, but 4 negative tests. Could i still be pregnant?

42 days without a period, higher than normal basal body temps, other pregnancy like symptoms, but 4 negative tests. Could i still be pregnant?

Very unlikely: Home pregnancy tests are very accurate, so with 4 negative tests, it is hard to imagine that you are pregnant. If skip more than this cycle, you should see an obgyn for an evaluation to make sure their isn't another cause of your sudden change in cycle pattern. ...Read more

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I'd elevated TSH;around 18, taking eltroxin 100 mcg daily, it's under control now but I look bloated, height 5.7", 145 lbs, age 29. What is wrong here?

I'd elevated TSH;around 18, taking eltroxin 100 mcg daily, it's under control now but I look bloated, height 5.7", 145 lbs, age 29. What is wrong here?

Hypothyroidism: Eltroxin (levothyroxine) is used for hypothyroidism. If your TSH is 18, then you probably need an increase in dose of your eltroxin, although 100 mcg is probably enough to make you feel better, but a dose that normalizes your TSH will make you feel normal. Make sure you take it on an empty stomach and without hot liquids. See your doctor. ...Read more

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My ferritin level (15) dropped low (from 152) and tibc (471) is high, but iron is normal (71) and hgb remains slightly high (17.5). Iron deficiency?

My ferritin level (15) dropped low (from 152) and tibc (471) is high, but iron is normal (71) and hgb remains slightly high (17.5). Iron deficiency?

No: Your hemoglobin is high not low that is the most probalbe reason your ferritin is low i simply would check my hemoglobin and the other tests in 6 12 monthst. ...Read more