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Are T4 Level Of 1.05 And T3 Level Of 87 A Concern?

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Posted on Mon, 22 Aug 2016
Question: My TSH level is 8.55 recently from 9 two years ago. T4free is 1.05 & T 3 is 87. Would I need a thyroid pill for this? My Vit D level is 19 2 years ago, but now up to 32 after Vit D supplement daily. Could that have an effect on TSH level?
doctor
Answered by Dr. Shehzad Topiwala (26 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
Your vitamin D level is unlikely to affect the thyroid condition. Although there are recent studies to show that TSH in this range is normal for older individuals I would still suggest you consult an endocrinologist in-person. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)                                                                        Thyroid  autoantibodies :  Anti Thyroid Peroxidase (TPO) antibodies  and   Anti Thyroglobulin antibodies                                                                                                      

None of these tests require any fasting and can be done at any time of the day

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (20 minutes later)
I have had those tests and elevated level of 206 for cholesterol, glucose 109, and glycoHbg of 5.9. I will ask my doctorfor those thyroid antibodies. Would elevation of those denote I need thyroid pill?
doctor
Answered by Dr. Shehzad Topiwala (11 minutes later)
Brief Answer:
Follow up

Detailed Answer:
You have Pre diabetes.

Positive thyroid antibodies are one of the important factors suggesting the need for thyroid medication.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Are T4 Level Of 1.05 And T3 Level Of 87 A Concern?

Brief Answer: Thyroid Detailed Answer: Your vitamin D level is unlikely to affect the thyroid condition. Although there are recent studies to show that TSH in this range is normal for older individuals I would still suggest you consult an endocrinologist in-person. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine)                                                                        Thyroid  autoantibodies :  Anti Thyroid Peroxidase (TPO) antibodies  and   Anti Thyroglobulin antibodies                                                                                                       
None of these tests require any fasting and can be done at any time of the day