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What Does My Thyroid Test Report Indicate?
Question: My TSH is 0.040 my Free T4 is 1.3. My doctor has ordered an ultrasound of my thyroid. What does all this mean?
Brief Answer:
Thyroid
Detailed Answer:
I am sorry to note your symptoms and challenges getting the dose of levo thyroxine right.
Your TSH is on the lower side ie below normal. This typically occurs when the body has received higher than necessary doses for some time. It is generally reversible. It almost always reverts to normal after lowering the dose of levo thyroxine.
However, it can be a little complex to handle this. So it is best you consult an endocrinologist in person to manage this well.
I see you are scheduled to see one in a month.
The idea is that the Free T4 levels in the blood test report are also helpful in making decisions regarding dose adjustment.
Your levels seem fine although it would help to know the exact range for normal in your laboratory. This is because different labs use different methods at times and the reference ranges vary form lab to lab.
So if the Free T4 is within target range, and despite that if the TSH is suppressed as seems to be the case with you then I consider waiting for 6 to 8 weeks especially when you say that you had lowered your dose for couple weeks.
But again, I need to examine the individual in person before I make specific treatment and dose adjustment related recommendations with close follow up to ensure we get the dose right
Thyroid
Detailed Answer:
I am sorry to note your symptoms and challenges getting the dose of levo thyroxine right.
Your TSH is on the lower side ie below normal. This typically occurs when the body has received higher than necessary doses for some time. It is generally reversible. It almost always reverts to normal after lowering the dose of levo thyroxine.
However, it can be a little complex to handle this. So it is best you consult an endocrinologist in person to manage this well.
I see you are scheduled to see one in a month.
The idea is that the Free T4 levels in the blood test report are also helpful in making decisions regarding dose adjustment.
Your levels seem fine although it would help to know the exact range for normal in your laboratory. This is because different labs use different methods at times and the reference ranges vary form lab to lab.
So if the Free T4 is within target range, and despite that if the TSH is suppressed as seems to be the case with you then I consider waiting for 6 to 8 weeks especially when you say that you had lowered your dose for couple weeks.
But again, I need to examine the individual in person before I make specific treatment and dose adjustment related recommendations with close follow up to ensure we get the dose right
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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