What Does This Thyroid Test Report Indicate?

Posted on Sat, 26 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 26 Aug 2017 Answered on

Fri, 15 Sep 2017 Last reviewed on

Question : Thyroid Question for an Endo.

I had the following labs done for TSH.

Lab Range is 0.32-4.00

High 6.37 - January 2017 followed by a Thyroid function:

TSH came in again at 5.32 (Upper limit is 4.00)
Thyroxine Free T4 came in at 14 (Lab range is 9-19) within range
Triiodothyronine T3 came in at 3.7 Lab range is 3.1-6.2)

High 4.84 - March 2017

Most recent test TSH at 4.62

Am I sub clinical hypo ? even as my T3 and T4 within range?

Answered by Dr. Mirjeta Guni (6 hours later)

Brief Answer:
It is subclinical hypothyroidism:

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
Yes, you have subclinical hypothyroidism.
Subclinical hypothyroidism is diagnosed when TSH is from 4-10 mui/ml and ft4 , ft3 are within the normal ranges.
So, your hormonal result suggests for it.
Rather it needs treatment or not, depends on the age, the presence of clinical symptoms of hypothyroidism, if you have high lipid profile and increased cardiovascular risk.
Hope i have answered your query.
Kind regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Mirjeta Guni (7 hours later)

Cholesterol is within limits I am 37.

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
About hypothyroidism treatment;

Detailed Answer:
Hi again,
There is no need to start levothyroxine if you do not have symptoms of hypothyroidism; weight gain, feeling sleepy, constipation, hair loss, impotence ect.
Check TSH every 6 months.
Kind regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Nagamani Ng