Which Specialist Should I Consult To Analyse The TSH ,T3 And T4 Report?

Brief Answer:
Subclinical (mild) hypothyroidism

Detailed Answer:
Hello and welcome,

I took a look at your thyroid blood panel. From this I see that your TSH is elevated but your T3 and T4 are normal. Your T3 is at the lower end of normal though.

These labs give a picture of mild hypothyroidism, sometimes called subclinical hypothyroidism because the thyroxine level is till in the normal range.

I assume this panel was done because you are having symptoms consistent with thyroid problems, such as unexplained weight change or fatigue?

So in subclinical hypothyroidism, the question becomes whether or not to treat with replacement levothyroxine. Most experts recommend that treatment should be started to prevent progression to overt hypothyroidism if TSH is ≥10 mU/L.

If you have or are developing a goiter, treatment with levothyroxine can help prevent it's further development.

Common next steps are to check
antithyroid peroxidase and antithroglobulin
- these are antibodies that may cause hypothyroidism
I'd also check a CBC (complete blood count) and metabolic panel
- because there can be abnormalities in these related to hypothyroidism and if so, they should be monitored and corrected

The doctor to see in the US would be a primary care physician, either family medicine or internal medicine, and they can provide treatment.

In XXXXXXX I understand that general practitioners have less required training than family medicine doctors have in the US, so the person to see would be an endocrinologist, who has special training in problem of the glands such as the thyroid.

I hope this information gives you a place to start. If you would like further information or clarification, please let me know.

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