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Thyroid confusion
Whenever I do my thyroid tests, I get very ambiguous results. Most of the time, my reports show low T3 and T4 levels, but my TSH remains within the normal range. Why does this happen??? I'm confused about whether I actually have a thyroid problem or not. After doing some research, I learned that a TPO test might help determine whether I have a thyroid disorder. Is that true? Also this similar thing happens to my younger sibling. This is my sibling report which is similar to mine
TOTAL TRIIODOTHYRONINE (T3)
6-12.8μg/dL2.1C.L.I.ATOTAL THYROXINE (T4)
0.79-6.0μIU/mL2.446C.M.I.ATSH - ULTRASENSITIVE
Answers (17)
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Consult to know why ? It has a reason
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Measuring gree T3,T4 is more informative in comparison with total T3 and T4
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Get free t3, t4 done, consult an endocrinologist offline.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Consult superspecialist like endocrinologist
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Endocrinologist concern required.
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the report shown in the screenshot appears to mention Total T3 and Total T4, not free hormone levels. Normal variations in thyroid-binding proteins can make total T3/T4 appear low while thyroid function remains normal, so Free T4 and Free T3 would be more informative.
Next Steps
Consult me for further investigations and management
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Low T3 and T4 with a normal TSH can be seen in central hypothyroidism or non-thyroidal illness syndrome (euthyroid sick syndrome).
If you are experiencing symptoms such as fatigue, weight gain, cold intolerance, constipation, hair loss, or menstrual irregularities, repeating TSH, free T4, and free T3 is reasonable. If free T4 remains low with an inappropriately normal or low TSH, further evaluation with tests such as morning cortisol, prolactin, LH, FSH, and other pituitary hormones may be indicated, and pituitary imaging may be considered.
Anti-TPO antibodies are not the first priority in this situation, because this pattern is not typical of hashimotos thyroiditis
Next Steps
To do morning cortisol,prolactin
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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A TPO antibody test can help identify autoimmune thyroid disease (e.g.Hashimoto’s thyroiditis), but it is not sufficient by itself to explain low T3/T4 with normal TSH. A normal TPO does not completely exclude thyroid dysfunction.
Next Steps
Advice:
1. Repeat thyroid profile with:
-TSH
-Free T4 (FT4)
-Free T3 (FT3)
2. Check Anti-TPO antibodies and Anti-thyroglobulin antibodies.
3. Consider thyroid ultrasound if antibodies are positive or thyroid enlargement is present.
4. Review medications, nutritional status, and any chronic illness.
5. If FT4 remains low with normal TSH, evaluate pituitary function (morning cortisol, prolactin, LH/FSH, testosterone) and consult an endocrinologist or take consultation with me for proper medication and follow up with me after these investigations.
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There can be various reasons for it . For that you have to connect and consult first .
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check ft3, ft4
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