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What Does This Thyroid Test Result Indicate?
Question: I had a blood test to test my thyroid due to a number of reasons, including weight gain, fatigue, insomnia, heart palpitations etc. TSH level showed 0.094. T3 is 5.95. T4 is 15.29. (Also tested B12 (329) and vitamin D (13.1). Can you advise regarding the thyroid results? I took an appointment with an endocrinologist but have to wait 1 month, so am impatient to wait that long for answers. Also other symptoms include fluid retention
Thanks!
Thanks!
Brief Answer:
Suggests low TSH and Vitamin D deficiency
Detailed Answer:
Good day,
Noted your concern.
Thank you for sharing the blood results. The TSH is low, Vitamin D also is low.
However, I must say that it is extremely important to know the units of these tests ( example: mg/dl, pmol etc) . Could you attach the actual report or type in the units and reference ranges as well. This is extremely important for me to assess further. Awaiting your reply
Regards'
Binu
Suggests low TSH and Vitamin D deficiency
Detailed Answer:
Good day,
Noted your concern.
Thank you for sharing the blood results. The TSH is low, Vitamin D also is low.
However, I must say that it is extremely important to know the units of these tests ( example: mg/dl, pmol etc) . Could you attach the actual report or type in the units and reference ranges as well. This is extremely important for me to assess further. Awaiting your reply
Regards'
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
please see report attached
Brief Answer:
? Thyroiditis
Detailed Answer:
Thank you for the reply. Noted the report. Vitamin D is very low. You need Vitamin D replacement along with calcium. Besides, you need sun exposure for 15 to 20 minutes between 9 am to 3 pm daily.
Regarding Thyroid, you seems to have subclinical hyperthyroidism. ( low TSH and Normal Ft4 and Ft3). Do you have a thyroid swelling ??
This blood change is most likely to be due to inflammation of thyroiditis following a viral infection ( thyroiditis). We must also rule out a thyroid nodule. When you see your endocrinologist, he will surely recheck the thyroid blood works and if it is similar, he may order few more tests like CBC, ESR, Technitium -99 Thyroid scan ( nuclear scan). This is to see if you have thyroiditis or a nodule or Grave's disease ( which is true hyperthyroidism ).
If it is thyroiditis, we just need to wait and watch. You may need medicines like INDERAL to reduce palpitations. Thyroiditis usually improve over 3-4 months. But if there is a thyroid nodule or Grave's disease, you will need treatment with anti thyroid medications.
? Thyroiditis
Detailed Answer:
Thank you for the reply. Noted the report. Vitamin D is very low. You need Vitamin D replacement along with calcium. Besides, you need sun exposure for 15 to 20 minutes between 9 am to 3 pm daily.
Regarding Thyroid, you seems to have subclinical hyperthyroidism. ( low TSH and Normal Ft4 and Ft3). Do you have a thyroid swelling ??
This blood change is most likely to be due to inflammation of thyroiditis following a viral infection ( thyroiditis). We must also rule out a thyroid nodule. When you see your endocrinologist, he will surely recheck the thyroid blood works and if it is similar, he may order few more tests like CBC, ESR, Technitium -99 Thyroid scan ( nuclear scan). This is to see if you have thyroiditis or a nodule or Grave's disease ( which is true hyperthyroidism ).
If it is thyroiditis, we just need to wait and watch. You may need medicines like INDERAL to reduce palpitations. Thyroiditis usually improve over 3-4 months. But if there is a thyroid nodule or Grave's disease, you will need treatment with anti thyroid medications.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks you Dr for you reply. I went to ENT dr initially because for the last few weeks (3 or more) I have the feeling of a blockage in my throat when eating/swallowing especially. He noted a slight swelling of thyroid although really I could barely notice anything . But maybe this is the cause of the throat blockage??
Brief Answer:
Very likely Thyroiditis
Detailed Answer:
Okay. In that case, it is likely that you had a viral throat infection. When you have viral throat infection, you are likely to develop thyroid inflammation as well which is called thyroiditis. In your case, this is likely the cause. Usually this will settle over a period of 2-3 months
Very likely Thyroiditis
Detailed Answer:
Okay. In that case, it is likely that you had a viral throat infection. When you have viral throat infection, you are likely to develop thyroid inflammation as well which is called thyroiditis. In your case, this is likely the cause. Usually this will settle over a period of 2-3 months
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. I did have a cold a month and a half ago (then travelled) and viruses seem to around this time of year. Could that have triggered the throat infection? Im hoping thyroiditis is the cause as it seems less serious than actual underactive thyroid or other? thanks
Brief Answer:
Thyroiditis will resolve over time.
Detailed Answer:
Yes you are likely to be right. It sounds very much like a thyroiditis following a cold attack by virus. Not tonworry. The recovery will be fast. Please understand that Ft3 and Ft4 are likely to be high during initial stages of thyroiditis which quickly normalise. But TSH takes up to 3 months to normalise. So nothing to worry. Be patient. Recheck TFT after a month.
Regards
Binu
Thyroiditis will resolve over time.
Detailed Answer:
Yes you are likely to be right. It sounds very much like a thyroiditis following a cold attack by virus. Not tonworry. The recovery will be fast. Please understand that Ft3 and Ft4 are likely to be high during initial stages of thyroiditis which quickly normalise. But TSH takes up to 3 months to normalise. So nothing to worry. Be patient. Recheck TFT after a month.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you very much dr..that puts my mind at rest. hopefully by the time i go to my appointment it will be settled. regarding the vitD deficiency..will the endocrinologist also address this? i have been taking vitD supplements for 3 months (I just thought it would be a good idea as it is a common deficiency) but it seems from the blood test that the supplements didnt have much effect. maybe i need a stronger dose?
Brief Answer:
Endocrinology consult for Vit D
Detailed Answer:
Of course , endocrinologist is the best person to treat vitamin D deficiency.
Usually in deficiency states, you need to take loading dose first followed by maintanence dose. Ideally vitamin D 50000 to 60000 units weekly once for 8 weeks followed by 2000 units daily maintanence dose is mostly used. Eat oily fish. Exposure skin to sun.
Regards
Binu
Endocrinology consult for Vit D
Detailed Answer:
Of course , endocrinologist is the best person to treat vitamin D deficiency.
Usually in deficiency states, you need to take loading dose first followed by maintanence dose. Ideally vitamin D 50000 to 60000 units weekly once for 8 weeks followed by 2000 units daily maintanence dose is mostly used. Eat oily fish. Exposure skin to sun.
Regards
Binu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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