Graves' Disease Support Group
Graves-Basedow disease is a medical disorder that may manifest several different conditions including hyperthyroidism (over activity of thyroid hormone production), infiltrative exophthalmos (protruberance of one or both eyes and associated problems) and infiltrative dermopathy (a skin condition usually of the lower extremities). This disorder is the most common cause of...
Hello all! Well, I am even more confused about my labs now more than ever. I had my labs done on March 24, 2010 and here are the Labs:
Free T3 424 (range 230-420)
Free T4 1 .1(range 0.8-1.8)
Took 37.5 mg of PTU divided daily and 6.75 mg of atenolol once daily.
Well, last night, I was woken out of my sleep with the same feeling/symptoms I had when I had the thyroid storm back in August except NOT nearly as severe. My heart was racing! So, I went to ER and they admitted me. I was just discharged today.
I am WAY confused. Their ranges are a bit different than the normal lab I use but it showed my Free T4 slightly hypo??? My Free T3 hasn't come back yet. I see my Endo Tuesday but I just need some or any clarification if anyone can help me.
Here are my labs from the ER:
Free T4 0.76 (range 0.77-1.61)
Free T3 (still pending at discharge)
I take 37.5 mg of PTU divided into 3 doses daily and the hospital took me off the atenolol and I am now taking Propranolol 10 mg twice daily.
The ER and admitting physician were stumped??? They said my levels look as if I'm going hypo based off of Free T4. However, I explained about my T3 being elevated at my last lab (March 24). So, between March 24 and yesterday (April 1), my Free T4 dropped that much??? Is that possible or did they mess up with my labs, do you think?
Also, the ran a CBC and this is what came back (only posting the abnormal levels):
APTT 42.0 (range 23.5-36.6)
Lymphocytes 61.8 (range 20-40)
Neutrophils Segmented 34.5 (range 50-76)
WBC were in normal range 6.3 (range 4.8-10.67)
MCV 75.7 (range 81.9-95.8)
MCH 26.4 (range 27.33-34.7)
RDW CV 12.80 (range 13.6-16.1)
MPV 10.0 (range 10.3-13.3)
Also, my potassium and calcium were within in range but right at the cut off on the low end so I was put on potassium in the hospital via IV.
Does anyone know if this is related to my thyroid at all?
Thanks so much!
Free T3 424 (range 230-420)
Free T4 1 .1(range 0.8-1.8)
Took 37.5 mg of PTU divided daily and 6.75 mg of atenolol once daily.
Well, last night, I was woken out of my sleep with the same feeling/symptoms I had when I had the thyroid storm back in August except NOT nearly as severe. My heart was racing! So, I went to ER and they admitted me. I was just discharged today.
I am WAY confused. Their ranges are a bit different than the normal lab I use but it showed my Free T4 slightly hypo??? My Free T3 hasn't come back yet. I see my Endo Tuesday but I just need some or any clarification if anyone can help me.
Here are my labs from the ER:
Free T4 0.76 (range 0.77-1.61)
Free T3 (still pending at discharge)
I take 37.5 mg of PTU divided into 3 doses daily and the hospital took me off the atenolol and I am now taking Propranolol 10 mg twice daily.
The ER and admitting physician were stumped??? They said my levels look as if I'm going hypo based off of Free T4. However, I explained about my T3 being elevated at my last lab (March 24). So, between March 24 and yesterday (April 1), my Free T4 dropped that much??? Is that possible or did they mess up with my labs, do you think?
Also, the ran a CBC and this is what came back (only posting the abnormal levels):
APTT 42.0 (range 23.5-36.6)
Lymphocytes 61.8 (range 20-40)
Neutrophils Segmented 34.5 (range 50-76)
WBC were in normal range 6.3 (range 4.8-10.67)
MCV 75.7 (range 81.9-95.8)
MCH 26.4 (range 27.33-34.7)
RDW CV 12.80 (range 13.6-16.1)
MPV 10.0 (range 10.3-13.3)
Also, my potassium and calcium were within in range but right at the cut off on the low end so I was put on potassium in the hospital via IV.
Does anyone know if this is related to my thyroid at all?
Thanks so much!
So many hypO/hypER symptoms cross over with each other. We have to find out which ones are which for us.
If it were me, I'd want to get my Free Ts back to mid ranges ASAP.
Why did the hospital take you off of the Atenolol and put you back on the Propranolol?
What did the hospital say about the Lymphocytes? Are you fighting an infection somewhere?
{{{hugs}}} and hope you feel better soon.
But ultimately, can I really have gone that low in my levels in a week and a half?
I try to correct this with the Iron tablets with vitamin C in it and eating iron fortified foods.
If your kids have colds and you are 'stuffy' like this, then it could very well explain the Lymphocytes numbers.
Yes, you could drop down low that quickly. Don't forget that there two different ranges.
{{{hugs}}}
As you may recall, I expressed my concern to you that you'd go further hyPO - once we start heading in that direction, it seems all too easy to go way too far down.
The heart issues you've had could very well be due to your hyPO FT4.
I still think that Block and Replace is the best way for you to go - it would eliminate the problems you'd had with beta-blockers and keep both your FT4 and FT3 at stable, 'comfortable" levels.
Hashi's can be confirmed with the TPOab test (thyroid perioxidase antibody) or the anti-TPOab (anti-thyroid perioxidase antibody) - the levels would have to be extremely elevated to confirm Hashi's.
Here were my labs April 5:
Free T4: 1.1 (range 0.8-1.8)
Free T3: 390 (range 230-420)
TSH: same as always- suppressed
So, my questions are.... did the ER screw up my labs? Or did my levels come back into place over the weekend? Looks like my T3 finally fell into range although still high but not sure what put me in the hospital with the fast heartrate. The endo suspected that I ate something to trigger the fast heart rate and that mixed with anxiety was what put me in the ER. I have been taking 37.5 mg of PTU daily (divided) and am now taking propranolol 10 mg twice daily faithfully :) although as of today, the chest pains started.... this is a side effect i have gotten in the past with propranolol. My question is how long does one have to stay on the beta blocker? I see my endo again in 2 weeks so was ask to lower the beta blocker. I don't want to get off of it just yet.... I think it is doing me good.
But just wanted to share the labs and ask if it was possible my levels came up over the weekend from where they were when i was admitted in the ER a few days before???
Thanks so much!
I am also experiencing fast heart rate with a relative low FT4 but normal T3 and a TSH of 1.4. Doctor says that the values are just perfect and are not the cause of the increase in heart rate.
He tells me it's stress and should go check with a psy :(
The only stress I have is that the idiot doesn't know how to medicate me. Anyway, these palps are really scary, sometimes they wake me up in the middle of the night. My theory is that FT4 is not enough for my body's needs and the heart has trouble pumping, hence the feeling it's working fast and beats strongly.
I decided to lower the dose to see what happens and in the mean time take half a metropolol succinate daily to ease up the simptoms. I too hate betabl., they give me horrible nightmares.
Since most of us did not know our "best-place-for-the-individual" thyroid hormone level before we got sick, it makes sense to "try on" the most "commonly comfortable" level....the level at which most peeps feel best.....that level is mid-range FT4.
Once we dose to achieve mid-range FT4 (at least), we try to stay there for awhile for a few months....then we adjust our dose if we still have symptoms.
Some peeps, like mm, have to always take a beta-blocker because they are inclined towards T3 Toxicosis (an elevation of the FT3).
For peeps with this issue who also have trouble taking beta-blockers for any reason, block and replace therapy makes a lot of sense.
Stress can cause an increase in thyroid hormone levels.
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