Subclincal Hypo with LARGE Goiter and High Antibody

Hi, My bloodwok is as follows, I have a large goiter, it seems that it is subclincal hypo, should I take med?

TSH 5.4 ( 0.4-4.5)
FT4 20.5 (12.0-28.7)
FT3 3 (2.7-7.7)
TPO AB 3000

Hi, Hashi,

Thanks for your reply.

Regarding the goiter, don't you think it's part of a reason to take hormones, but a reason to check the nodules?

And sadly it's the lab results of years ago, the doc prescribed me on 20 mg of nature thyroid, which made me not well, then I took it off. Until the next check of thyroid, the TSH was as high as 30+.

Now my TSH is Nearly 4.0-4.3 for the past 3 years, does it mean that I am under-treated? But I found that the FT4 and FT3 both are as low as 1/3, the same level when my TSH was 1.7 or 3.0.

Do you think TSH really reflects the FT4 level?

Post Edited (Oldbuddy) : 2/20/2017 1:24:43 PM (GMT-7)

You need to go by the TSH, for the vast majority it remains the golden standard by which to treat hypothyroid patients!

I think you need to follow up with your Endo and to ask him to adjust your dose of Levo, with a TSH of 4 you might need a slight increase in the dose of Levo.

BTW, you should not be doing blood tests in intervals less than 6 weeks !

Best,

Symptoms of iodine deficiency is a goiter. Iodine deficiency is common today. Make sure you are getting enough iodine.

http://www.lifeextension.com/magazine/2011/10/the-silent-epidemic-of-iodine-deficiency/page-01