What Does This Thyroid Test Result Indicate?

Posted on Tue, 27 Jan 2015

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

Tue, 27 Jan 2015 Answered on

Thu, 12 Feb 2015 Last reviewed on

Question : Hi I did a Health checkup in my org and few results of Thyroid were upsetting.
Can you please help in explaining them
T3, TOTAL (TRIIODOTHYRONINE) 68 L 97 - 219 ng/dL
T4, TOTAL (THYROXINE) 3.2 L 4.8 - 10.4 mcg/dL
TSH 12.14 H 0.40 - 5.50 uIU/mL

Answered by Dr. Ajish TP (13 minutes later)

Brief Answer:
You are having hypothyroidism

Detailed Answer:
Hi XXXXXXX

Welcome to HCM. I had gone through your blood reports.

You are having two abnormalities in blood tests.

1. Hypothyroidism
2. Elevated cholesterol

1. Hypothyroidism

Your thyroid hormones (T3 and T4) are low and TSH (Thyroid stimulating hormone) is high. This is due to decreased functioning of thyroid gland - hypothyroidism. Additional tests that may be needed are ultrasound neck and anti thyroid antibodies to see the cause of hypothyroidism.

You need to be on thyroid hormone replacement

2. Elevated Cholesterol

Your bad cholesterol (LDL) is high and good cholesterol (HDL) is low. This could be due to hypothyroidism. We can start on thyroid hormone replacement and repeat lipid profile after 2 months.

Hope I have answered your question. If you have any further questions I will be happy to help.

Regards
Dr Ajish TP
Consultant Endocrinologist

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

Follow up: Dr. Ajish TP (26 minutes later)

Hi Dr Ajish
Thanks for your quick response.
I have a good iodine diet which include 2 glass of milk, 2 eggs daily and also good seafood.
Did i missed Anything with diet.

Answered by Dr. Ajish TP (25 minutes later)

Brief Answer:
It could be due to Hashimoto's hypothyroidism

Detailed Answer:
Hi XXXXXXX

Your diet is rich in iodine. We can only prevent iodine deficiency hypothyroidism with diet. The common cause of hypothyroidism is auto immune hypothyroidism ( Hashimoto's). Here thyroid is destroyed by anti thyroid antibodies. Diet/ iodine has no role in the treatment of this condition.

You can do anti thyroid antibodies ( anti thyroid peroxidase and anti thyroglobulin antibodies) in blood. If the levels are high you are having Hashimoto's hypothyroidism.

Hope I have answered your question

Regards

Dr Ajish TP

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