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What could this be?

By Anonymous October 24, 2012 - 8:09pm
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My tests are TSH 1.650 (0.340-4.820), Free T4 0.74 (0.59-1.40), T3 118.2 (80.0-204.0). Tested positive for Hashimotos but was not as elevated as I've heard with some. Cortisol UFC only 52.5 (norm up to 50). Creatinine also slightly high. My endo said my Thyroid levels are in range so she is not treating me. Recently told I had a Goiter. symptoms: tired, insomnia, weak, weight gain, puffy face, etc. Recently tested positive for Lymes and treated. Any input would be really appreciated. Low Vitamin D.

Other question:
should all Goiters be checked with an ultrasound?

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Hello Hickes,

Thank you for posting. Your lab results are best evaluated by your own MD since he knows your medical history and we do not diagnose conditions. 

As far as goiter tests, Diagnosing goiter may involve:

  • A hormone test.Blood tests can determine the amount of hormones produced by your thyroid and pituitary glands. If your thyroid is underactive, the level of thyroid hormone will be low. At the same time, the level of thyroid-stimulating hormone (TSH) will be elevated because your pituitary gland tries to stimulate your thyroid gland to produce more thyroid hormone. Goiter associated with an overactive thyroid usually involves a high level of thyroid hormone in the blood and a lower than normal TSH level.
  • An antibody test.Some causes of goiter involve production of abnormal antibodies. A blood test may confirm the presence of these antibodies.
  • Ultrasonography.A wand-like device (transducer) is held over your neck. Sound waves bounce through your neck and back, forming images on a computer screen. The images reveal the size of your thyroid gland and whether the gland contains nodules that your doctor may not have been able to feel.
  • A thyroid scan.During a thyroid scan, you'll have a radioactive isotope injected into the vein on the inside of your elbow. You then lie on a table with your head stretched backward while a special camera produces an image of your thyroid on a computer screen. The time needed for the procedure may vary, depending on how long it takes the isotope to reach your thyroid gland. Thyroid scans provide information about the nature and size of your thyroid, but they're more invasive, time-consuming and expensive than are ultrasound tests.
  • A biopsy.During a fine-needle aspiration biopsy, ultrasound is used to guide a needle into your thyroid to obtain a tissue or fluid sample for testing.

Hope this helps,


October 25, 2012 - 7:31am
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