Help me interpret thyroid test results

[Mprtz]

This is a little off topic here, but I'm hoping someone will help me out and give me their take on these thyroid test results (they are not mine):


TSH 4.080 0.450-4.500 uIU/mL
Thyroxine (T4) 5.3 4.5-12.0 ug/dL
T3 Uptake 32 24-39 %
Free Thyroxine Index 1.7 1.2-4.9
Triiodothyronine (T3) 86 71-180 ng/dL


I'm thinking subclinical primary hypothryroidism, but I'm hoping someone more knowledgeable will chime in.
Is there any other info you would need to know?

 

[Hypnotix]

This is a little off topic here, but I'm hoping someone will help me out and give me their take on these thyroid test results (they are not mine):


TSH 4.080 0.450-4.500 uIU/mL
Thyroxine (T4) 5.3 4.5-12.0 ug/dL
T3 Uptake 32 24-39 %
Free Thyroxine Index 1.7 1.2-4.9
Triiodothyronine (T3) 86 71-180 ng/dL


I'm thinking subclinical primary hypothryroidism, but I'm hoping someone more knowledgeable will chime in.
Is there any other info you would need to know?

My doctor I believe just goes by the TSH. A high reading there is a big indicator of hypo. I've read there are other things that should be checked and this is an outdated method. I'd have to do some digging to find that thread again.

I do know he checked for Hashimotos as well, an issue that causes the thyroid to go up and down irregularly making it much more difficult to treat. Consider asking whoever this is to have that test ran as well.

If this person is going to be prescribed T4 to treat the hypo, and they use AAS, there are drug interactions that need to be closely watched for. Test amplifies T4, and will turn a neutral (properly medicated hypo patient) into a hyper patient.

All I personally know. I have Hypo and have researched some here and there. Primarily for drug interactions though.

 

[jozifp103]

Free T3 and T4 are the true indicators. Your bloodwork points to hypothroidism, but get your FREE T3 and FREE T4 checked.

 

[Mprtz]

Free T3 and T4 are the true indicators. Your bloodwork points to hypothroidism, but get your FREE T3 and FREE T4 checked.

Oh, I actually had those and forgot to include since they are in another section of the results:

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 0.95 0.82-1.77 ng/d

Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 2.7 2.0-4.4 pg/mL

 

[halfwit]

Oh, I actually had those and forgot to include since they are in another section of the results:

Thyroxine (T4) Free, Direct, S
T4,Free(Direct) 0.95 0.82-1.77 ng/d

Triiodothyronine,Free,Serum
Triiodothyronine,Free,Serum 2.7 2.0-4.4 pg/mL

Definitely hypo, and I bet they feel like shit! I admittedly know less about the thyroid, but I do believe that having both a low T3 and low T4 is not diet related (iodine insufficiency) and hopefully a GOOD doctor can try to determine the cause. I'd probably opt for an MRI in this case.

Your friend have any lumps on their neck?

 

[Mprtz]

Definitely hypo, and I bet they feel like shit! I admittedly know less about the thyroid, but I do believe that having both a low T3 and low T4 is not diet related (iodine insufficiency) and hopefully a GOOD doctor can try to determine the cause. I'd probably opt for an MRI in this case.

Your friend have any lumps on their neck?

No lumps, lol. Some mild symptoms consistent with low thyroid - difficulty losing weight, somewhat low energy, dry skin, brittle nails. No recent changes.

Note that all values are within lab range ... we're kind of conflicted on if to treat or not.