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What Does This Thyroid Test Report Indicate?
Question: Hi,
I got my blood tests done and had the following parameters off the normal range.
IRON PHOTOMETRY 47 μg/dl
Reference Range :
Male : 70 - 180
Female : 60 - 180
Method : FERROZINE METHOD WITHOUT DEPROTEINIZATION
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 112 ng/dl Reference Range : 60 - 200
TOTAL THYROXINE (T4) C.L.I.A 9.4 μg/dl Reference Range : 4.5 - 12.0
THYROID STIMULATING HORMONE (TSH) C.L.I.A 6.26 μIU/ml Reference Range : 0.30 - 5.5
Please advise the course of action to be taken. I am mostly worried about the TSH. Please advise if it is hyperthro or hypothyro and if there any way I can do without getting into the medicine for it for long term.
I got my blood tests done and had the following parameters off the normal range.
IRON PHOTOMETRY 47 μg/dl
Reference Range :
Male : 70 - 180
Female : 60 - 180
Method : FERROZINE METHOD WITHOUT DEPROTEINIZATION
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 112 ng/dl Reference Range : 60 - 200
TOTAL THYROXINE (T4) C.L.I.A 9.4 μg/dl Reference Range : 4.5 - 12.0
THYROID STIMULATING HORMONE (TSH) C.L.I.A 6.26 μIU/ml Reference Range : 0.30 - 5.5
Please advise the course of action to be taken. I am mostly worried about the TSH. Please advise if it is hyperthro or hypothyro and if there any way I can do without getting into the medicine for it for long term.
Brief Answer:
Thyroid
Detailed Answer:
Your iron stores are low despite taking haemup. Ask your doctor if you need a referral to a hematologist.
The elevated TSH is indicative of the possibility of Hypothyroidism ie an under-active thyroid.
I suggest you discuss with your doctor if you truly have permanent irreversible thyroid condition called Primary Acquired Hypothyroidism due to Chronic Lymphocytic (Hashimoto's) autoimmune thyroiditis.
What this essentially means is whether your thyroid has stopped making adequate amounts of hormone, or not.
If so, you will need lifelong replacement with levo thyroxine.
But first make this determination as to whether you have the permanent condition or not. In order to make this diagnosis correctly, a physical examination is required in addition to blood tests.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
If your thyroid auto antibodies are positive then thyroid medication called levo thyroxine can be considered by you and your doctor.
Thyroid
Detailed Answer:
Your iron stores are low despite taking haemup. Ask your doctor if you need a referral to a hematologist.
The elevated TSH is indicative of the possibility of Hypothyroidism ie an under-active thyroid.
I suggest you discuss with your doctor if you truly have permanent irreversible thyroid condition called Primary Acquired Hypothyroidism due to Chronic Lymphocytic (Hashimoto's) autoimmune thyroiditis.
What this essentially means is whether your thyroid has stopped making adequate amounts of hormone, or not.
If so, you will need lifelong replacement with levo thyroxine.
But first make this determination as to whether you have the permanent condition or not. In order to make this diagnosis correctly, a physical examination is required in addition to blood tests.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
If your thyroid auto antibodies are positive then thyroid medication called levo thyroxine can be considered by you and your doctor.
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
Answered by
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