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What Does My Lab Test Report Indicate?

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Posted on Fri, 26 Feb 2016
Question: I have a high TSH level 8.7 but normal levels of t3 and t4 and free t4. I feel fine. I am a very high energy person. I stopped taking the levothyroxine a month ago. Should I re-start? I have attached my lab report. Could that be causing my kidney issues?

I have uploaded 3 lab reports (jan 2016, July 2015 and March 2015) and a ct scan. The only report that shows to my right is the march lab. Please let me know if the other ones did not make it your way.
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
I have been able to review all your attached reports. These include all 3 dates mentioned above.

The kidney issues are unrelated to the the thyroid condition. I see there is a small kidney stone. It is possible that is causing some blood and protein to appear in the urine. It is best you consult a Nephrologist (medical kidney specialist) to ascertain the precise reason for the protein in the urine.

Regarding the thyroid, it seems you will benefit by resuming the levo thyroxine.

Your low vitamin D must be treated too.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)

These first 2 tests help to determine if you truly have a permanently under-active thyroid gland, necessitating lifelong treatment with levo thyroxine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (1 hour later)
Thank you Dr. Topiwala.

I will follow up and request those exams. I had asked this same question previously. An endocrinologist Dr. replied to stop taking the med until I get retested in one month. Then I saw on the list that you actually specialize in thyroid so I went for your second opinion.


doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Welcome

Detailed Answer:
Best wishes for good health
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: Thyroid Detailed Answer: I have been able to review all your attached reports. These include all 3 dates mentioned above. The kidney issues are unrelated to the the thyroid condition. I see there is a small kidney stone. It is possible that is causing some blood and protein to appear in the urine. It is best you consult a Nephrologist (medical kidney specialist) to ascertain the precise reason for the protein in the urine. Regarding the thyroid, it seems you will benefit by resuming the levo thyroxine. Your low vitamin D must be treated too. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: Anti Thyroid Peroxidase (TPO) antibodies Anti Thyroglobulin antibodies HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) These first 2 tests help to determine if you truly have a permanently under-active thyroid gland, necessitating lifelong treatment with levo thyroxine.