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SPE

New Member
Had my latest round of labs done(previous was 2 years ago) with a new doctor. Anyway, I'm 25 years old and haven't touched any kind of hormone in about 5 years. He didn't test LH or FSH due to the fact that I had them done 2 years back and both came back VERY low. His thinking was that if T is still low, so are the LH and FSH. Here are the results:

Total T: 302 (range is 241-827)
Free T: 12.3 (range is 9.3-26.5)
TSH: 2.2 (range is .35-5.5)
Free T3: 3.1 (range is 2.3-4.2)
T4: 6.3 (range is 4.5-12)
DHEA: 262 (range is 280-640)
Estradiol: 31 (range is <52)

So, obviously my total t, free t, and dhea are all low. I have symptoms of hypothyroidism, do these labs suggest this? I have my next appointment on Friday to discuss treatments and here is what I would like to do:

Androgel 5gm/day
HCG 250iu e3d
DHEA 25mg/day

What do yall think? Any input/suggestions is very much appreciated.
 
pmgamer18 said:
Your TSH needs to come down and the treatment you what to do looks good to me.
Phi
Click to expand...
Phil, can you explain why his TSH needs to come down? Its right in the middle of the range, plus his T3 and T4 are within range too.. or are they too low?
 
I believe many consider a TSH value above 2= hypothyroidism.

To lower TSH one may supplement with thyroid medication (Armour) as this will raise T3 and T4 values.
 
Tsh

The ref ranges for TSH have been the .4-5.5 range for years. But many cutting edge (maybe not "cutting edge"-but rather just proper medicine?!!) thyroid experts are beginning to see that many people have symptoms of Hypo-thyroidism while falling into this "normal" range. I have hypo-thyroidism and have done lots of homework on this. The standard drug of choice by the medical community has been Synthroid which is a synthetic form of T4. The Synthroid (T4) gets convertd in the body into T3 which is the more important hormone that does all the regulating (metabolism, etc.). Again, many "open minded" doctors are noticing the benefits of Armour Thyroid (which comes from natural dessicated pigs thyroid I think), in that it has T4 and T3 in it in a more proper ratio (80%-T4 to 20%-T3) resembling more closely the human thyroid hormones. Some people have problems converting Synthroid (T4) into T3, so Armour is a better choice, and many patients say they feel better on it than Synthroid.

I recently obtained a plastic card describing in detail the new "desired" ref ranges for TSH -- .4 - 2.0 ...from a pharmaceutical rep for Synthroid. The card was from the manufacturer of Synthroid itself!! Now I have something to prove to my PCP that these ranges he described as normal (.4- 5.5) is out of date! When I told him I've been reading about the ref ranges being out of date, he told me "you need to stop reading so much..."....Booya!! Now, he can't argue with the manufacturer's medical literature of the medicine he put me on! I still like him none the less, and more open than any PCP I've ever met :)

BTW there are some great books out there on Hypo Thyroidism. One I just got is called "What your doctor may not tell you about Hypo-thyroidism" by Ken Blanchard M.D. Ph.D ...very good book. He is quoted in alot of other books on Hypo-thyroidism I have read. He compares "Old" school thought to "New" school thought on Hypo-Thyroidism, including all the benefits of Armour Thyroid over Synthroid. However, there are other Hypo books I have read that disagree with the "2% solution" (98% T4 to 2% T3 ratio) that Dr Blanchard promotes.

Good Luck
 
Last edited:
My TSH was 2.2 as well... I thought it was normal being right in the middle.

I don't even know what hypothyroidism is!!!!
 
Hey Stez. I don't think I would have thought twice about my number except for the fact that I show pretty much every single symptom of being hypo(except weight gain :) ) That's why I was tested. These include:

1) Cold intolerance(this really sucks)
2) Soft finger nails(didn't even know 'till the doc pointed it out)
3) Dry skin and dry/brittle hair
4) Low running body temp. Mine runs high 96-low 97.

Think that's about it. Don't know if you have any symptoms, but I believe Swale prefers to have people around 1 for TSH. Hope that helps.
 
My results:

TSH 2.74 (.40-5.5)

T4, Total 8.8 (4.5-12.8)

T3, Uptake 28.2 (27.8 - 48.7) percent

T4 Calculated 2.48 (1.53-3.85)

LDL Chelesterol Direct 94 (<130)
 
A cut & paste.
Phil
What is a Normal TSH Level?

In the United States, most laboratories have as the normal TSH reference range from approximately 0.5 to 5.5. Yet, in early 2001, the American Association of Clinical Endocrinologists (AACE) made what constituted a fairly dramatic reversal of its previous doctrine, stating that a "Even though a TSH level between 3.0 and 5.0 uU/ml is in the normal range, it should be considered suspect since it may signal a case of evolving thyroid underactivity."

A groundbreaking study published in the February 2002 issue of the Journal of Clinical Endocrinology and Metabolism examined levels of undiagnosed thyroid disease in different U.S. populations between 1988 and 1994. In addition to discovering that nearly five percent of Americans suffer from often undiagnosed thyroid disease, the Centers for Disease Control and Prevention (CDC) report on the National Health and Nutritional Survey (NHANES) found that among the disease-free population (those who did not have any presence of thyroid antibodies, or diagnosed thyroid disease), the mean TSH level was 1.5. This finding could bolster the assertions of some practitioners and many patients that the optimal TSH levels are between 1 and 2, and that levels above that may in fact represent an abnormality. It certainly points up the need to reconsider the basis for most U.S. labs measuring hypothyroidism as only at levels of approximately 5.0 and above.
 
pmgamer18 said:
A cut & paste.
Phil
What is a Normal TSH Level?

In the United States, most laboratories have as the normal TSH reference range from approximately 0.5 to 5.5. Yet, in early 2001, the American Association of Clinical Endocrinologists (AACE) made what constituted a fairly dramatic reversal of its previous doctrine, stating that a "Even though a TSH level between 3.0 and 5.0 uU/ml is in the normal range, it should be considered suspect since it may signal a case of evolving thyroid underactivity."

A groundbreaking study published in the February 2002 issue of the Journal of Clinical Endocrinology and Metabolism examined levels of undiagnosed thyroid disease in different U.S. populations between 1988 and 1994. In addition to discovering that nearly five percent of Americans suffer from often undiagnosed thyroid disease, the Centers for Disease Control and Prevention (CDC) report on the National Health and Nutritional Survey (NHANES) found that among the disease-free population (those who did not have any presence of thyroid antibodies, or diagnosed thyroid disease), the mean TSH level was 1.5. This finding could bolster the assertions of some practitioners and many patients that the optimal TSH levels are between 1 and 2, and that levels above that may in fact represent an abnormality. It certainly points up the need to reconsider the basis for most U.S. labs measuring hypothyroidism as only at levels of approximately 5.0 and above.
Click to expand...

I guess i'm borderline........2.74
 
SPE said:
Hey Stez. I don't think I would have thought twice about my number except for the fact that I show pretty much every single symptom of being hypo(except weight gain :) ) That's why I was tested. These include:

1) Cold intolerance(this really sucks)
2) Soft finger nails(didn't even know 'till the doc pointed it out)
3) Dry skin and dry/brittle hair
4) Low running body temp. Mine runs high 96-low 97.
Click to expand...
It is all about how you feel if you feel like above then you may need meds.
Phil
 
Well...

After my first day of HRT, I can say that I feel GREAT! My doc prescribed Androgel 5g, 1/2 grain of Armour, and 250 iu of HCG E3D. I took the armour and androgel today, not taking the HCG till Tuesday. The armour has really amazed me though. Took it sublingually and it woke me up just like coffee without the jitters. Hardly had any caffeine the whole day. I think that because my thyroid was low I was relying on caffeine for energy. Oh, and the androgel seems to have some nice effects as well :)
 
SPE said:
1) Cold intolerance(this really sucks)
2) Soft finger nails(didn't even know 'till the doc pointed it out)
3) Dry skin and dry/brittle hair
4) Low running body temp. Mine runs high 96-low 97.
Click to expand...

1) I think I do. I always seem to feel the cold more than others
2) No idea? They seem alright to me? How do u tell?
3) Hair is dry/brittle...but it is winter
4) No idea.

I've never had weight problems - always been underweight if anything. Can eat pretty much whatever I want and don't really get fat. Anyone got an opinion?

This is rediculous, I'm never gonna be able to find a doc who knows about all this stuff. My TSH is 2.2.
What meds are used to lower TSH?
 
Depends

Just because your number is 2.2 doesn't mean you need medication. Don't fix it if it ain't broke, right?
 
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