Need help understanding results
Posted , 5 users are following.
As a preface, I'm stuck with the same doctor because my insurance won't let me switch. I scheduled a visit to get testing done to determine why I've suddenly started experiencing horrible panic attacks at the smallest of things and thoughts of self-harm. I can't enjoy movies anymore because loud noises and yelling set me off shaking and almost to tears. I have problems with short term memory that are impacting my job. And weight loss. I'm a 6-foot tall 32-year old male who weighs about 160lbs normally, but in the last 3 months, I've lost 20lbs with no change to diet or routine. I've always been thin, but now I just look sickly.
The doctor didn't advise anything for handling the anxiety or memory issues. All he ordered was a blood test and called me the next day to say that I had hypothyroidism and he already sent a prescription to the pharmacy. He also ordered an antibody test after the first results came back.
The results were:
TSH - 28.1 uIU/mL
Free T4 - 1.3 NG/DL
Thyroid peroxidase Ab - 130 IU/mL
As of right now, the doctor has flat out refused to do a T3 test or any other additional testing and has said that I'm absolutely hypothyroid and that he will not accept me in for another visit until I start taking the medication.
I just weighed myself and found that despite stress eating for the last week that I've dropped another 2lbs. Am I right to be concerned that this might be something different than standard hypothyroidism? Any suggestions on what I should do or what could cause these values and extreme weight loss with fatigue, memory loss, anxiety, panic attacks, and thoughts of self-harm?
Adding: I haven't hurt myself, but the thoughts creep on me and it's a horrible feeling.
0 likes, 14 replies
Gillian433545 Robert1246
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Gillian433545 Robert1246
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shele3419 Robert1246
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Gillian433545 shele3419
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Hope Robert can get the help he needs. Godbless you for your help.
lisa326 Robert1246
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chris1303 Robert1246
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Today I'm barely able to function because of brain fog and dizziness.
Seriously considering buying it online.
Gillian433545 chris1303
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shellyC19 Robert1246
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My name is Shelly and I am a nurse in the USA. I have Hashimoto's thyroid disease since 1987. Hashimoto's is an autoimmue disease can can run in families and also come from Epstein-Barr virus also called MONO.
Thyroid disease hits ages 20 -45 and can be a family trait and tends to hit women more then men. The way it is diagnosed is the TPOA & Tgab antibodies test which picks up a level for it.
You have high antibodies anything over 10 is indicating autoimmune disease like Hashiimoto's, Hashi's can cause wild swings, you can be Hyper and then Hypo. Your TSH indictaes HYPO normal is 0.45 to 4.50. 28 is way over the scale. The high end means HYPO and the low end means Hyper. T4 free 0.82-1.77 is normal. Please give us the scale or reference range your lab used so we can be sure.
So please take the thyroid med your doctor gave you and it takes 6 to 12 weeks to build a good level. In time you will feel better and the bad symptoms will fade.
Hashi's can do the swings and the hyper side is all the anxious feelings & panic attacks so get your prescription and start on that. you may need Xanax for anxiety attacks if they get worse. No shame, that is used for some people who get bad anxiety attacks.
You must take all thyroid meds on an empty stomach and wait 1 hour before food. Please take a multi-viatmin with Iron as we need ferritin a component of iron to make the medication work. It takes 6 to 12 weeks to build a proper thyroid blood level.
You will have blood drawn again in about 2 to 3 months agian and hopefully you will be feeling better,
Any questions just ask,
Shelly
Robert1246 shellyC19
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Robert1246 shellyC19
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shellyC19 Robert1246
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If you are in the UK they will not do FT3 via NHS. I am in the USA and it is covered by diagnosis code and insurance on most plans. Some old timey doctors will not do FT3 as they feel TSH and T4 are more important. This is bad thinking. However you can ask again for that test or call your plan and ask if that test is covered.
Hashimoto's can cause swings in the hormone level. You can be HYPER for a while and then HYPO. I did that in my younger days.
There are different forms of Hypothyroidism, and you may need the medication to help stabilize you.
So yes, some people can have swings and lose weight at first and if the thyroid gets worse they will gain back the weight. In my younger days I was really thin and looked Hyper and then I gained it sadly, back.
There are different thyroid meds, Synthroid and Levo are the same. Thryrolar (liotrix) T4/T3 combo, Armour thyroid from a pig's gland Thyroid S also a natural, Thyroid W is another natural. They are made from a pig's thyroid which is close to a humans one.
Keep me posted on how you do,
Shelly
shellyC19 Robert1246
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1.3 is within the range you have above. So that is good.
Shelly
Robert1246 shellyC19
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shellyC19 Robert1246
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Well I know you can maybe see if your insurance plan will let you find a better Internal Medicine (IM) Doctor. Some plans HMO's do not allow it. Most IM doctors refer you to an Endocrinologist since some have no understanding of the thyroid.
If you are on a PPO plan you can go to any doctor.
If you are on an HMO plan, what you can do is see if you can talk to your insurance plan customer service, call them and explain about this doctor and the need to see an Endocrinologist and see if there is any way to get a change in IM doctor for you. Sometimes they will allow a switch.
Good news is that once on the medication you will feel better and the TSH will come down. Give it about 6 to 12 weeks most people feel much better after 1 month.
Any questions, just ask.
Shelly