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Dr Basu
Dr Basu, Experienced Specialist
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Hyperthyroidism without low sTSH levels. I recently went to

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Hyperthyroidism without low sTSH levels.
I recently went to the doctor because I have been having problems with inability to sleep, exhaustion, unwanted weight loss (over 20 lbs), tremors, panic attacks, palpitations, frequent bowel movements, waking up feeling like I am suffocating, and generally feeling weak and sickly. My doctor ordered a Thyroid Stimulating Hormone Sensitive test and the result was 0.42 from a reference range of 0.33 - 5.73. I have had this test once before a couple years ago and the results then were 1.06.
My doctor said I don't have hyperthyroidism because the blood sTSH test was within in the normal ranges. Is there any other test I should ask for? Or is there anything else that I should be looking into?
It is getting to the point that I no longer feel like doing anything because I am so exhausted.
Thanks for your help.
mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

mysticdoc :

Your TSH level is on the lower end of normal range.

mysticdoc :

This also may suggest hyperthyroidism.

mysticdoc :

Free T4 and T3 levels should be checked.

mysticdoc :

These are thyroid hormone levels by themselves.

mysticdoc :

They will likely be elevated in case of hyperthyroidism.

mysticdoc :

Also a radio iodin uptake study of the thyroid gland will show any hyperactive thyroid gland.

Customer:

Ok, I was thinking the same thing because I don't really know what else could cause the symptoms.

mysticdoc :

your symptoms are very suggestive of hyperthyroidism.

mysticdoc :

You should better see an endocrinologist.

Customer:

I was actually disappointed when he said it wouldn't because I was hoping that I found something to explain everything and could finally start working towards feeling better.

Customer:

Dealing with doctors in the military can be... difficult to say the least.

mysticdoc :

I understand your disappointment .

mysticdoc :

But the above tests will confirm

Customer:

Ok... now all I have to do is convince the doctor to order the tests.

Customer:

Thank you for your assistance.

mysticdoc :

very welcome

mysticdoc :

Best wishes,


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