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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 55777
Experience:  Medical Doctor Trained at a Top Academic Institution
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My thyroid tests always come out normal but I have a feeling

Customer Question

My thyroid tests always come out normal but I have a feeling it is a borderline normal and I have extremely dry skin and other symptoms of pain and fibromyalgia heart palpitations and nothing wrong with my heart. I had a dermatologist that suggested I have my thyroid checked because my skin is so extremely dry I have studied side effects of thyroid problem and that there are tests that can tell whether the thyroxine is getting to your cells or not but doctors do not perform those tests unless they are instructed to do so I have never been able to convince them to provide me with more than just the regular tests which is just always on the borderline of normal. Thyroid problems run in the females in my maternal family line what should I do?
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.


You have to check the exact TSH value

"normal" is considered to be up to 4.5 by most doctors.

HOwever, if you are over 2.5, according to new information, this can be hypothyroid.

So, if this is the case, take that value and see an up to date endocrinologist.

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Expert:  Dr. Phil, MD replied 1 year ago.

Generally we try to get the TSH around 1 these days.

If you are not close to this value, your medicine should be adjusted to try and reach that.

We would also need your T3 and T4 levels.

Let me know what they are