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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Different TSH Levels Between April And June. Why Are Reports Fluctuating?

Hi... I have question about my TSH different level. I has TSH done at Gyn in april 2013 was 1.38. then i had my annul labs done in june 2013 which had TSH 0.221 & T4 7.090. Dr. repeat to confirm TSH after 7 days 0.097 FT4 0.980 & FT3 3.250. I am so confused, this will be my 1st abnormal TSH. why would this labs fluctuate so much like that?
Sat, 29 Jun 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.

4/2013 TSH----1.38
6/2013 TSH---0.221
after 7 days TSH---0.097

Normal range of T S H is 0.5-4.7 mU/L

No fluctuation in lab reports as T S H diminishes progressively. At present low in level.

T 4 was 7.090 ( normal 58-140 n mol/L) again low.

fT4 0.980 (normal 10.3-35pmol/L ) again low.
fT3 3.250 ( normal0.22-6.78pmol/L) Normal.
Every report is genuine and consult your doctor and deal accordingly.
Good luck.
Dr. HET
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General & Family Physician Dr. Chobufo Ditah's  Response
Hi and thank you so much for this query.
I am so sorry to hear about these fluctuations in the values of your hoemones and all the associated thoughts.

The changes in such a little tie are so so alarming. Yes, we can observe changes when we repeat test but not to this extend. I don't really have any other possible reason but for the fact that one of these readings is faulty in such a very little time. My honest advice would be to get the test controlled to be sure of what is going on before we can start to talk on what are the possible implications of these findings. Besides, are you having symptoms for any thyroid problems?

I hope this this addresses your query and provides guidance on the way forward.
I wish you good health.
Dr. DItah, MD.
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Have Different TSH Levels Between April And June. Why Are Reports Fluctuating?

Hello, Thanks for the query to H.C.M. Forum. 4/2013 TSH----1.38 6/2013 TSH---0.221 after 7 days TSH---0.097 Normal range of T S H is 0.5-4.7 mU/L No fluctuation in lab reports as T S H diminishes progressively. At present low in level. T 4 was 7.090 ( normal 58-140 n mol/L) again low. fT4 0.980 (normal 10.3-35pmol/L ) again low. fT3 3.250 ( normal0.22-6.78pmol/L) Normal. Every report is genuine and consult your doctor and deal accordingly. Good luck. Dr. HET