Why Do I Still Have Hypothyroid Symptoms With Normal Labs?

normal thyroid levels but still have hypothyroid symptoms

Because the majority of patients with hypothyroidism do well on levothyroxine monotherapy, which is considered a safe medication, the medical community has considered the treatment approach a success. However, in recent years, patient advocacy groups have helped draw attention to the plight of hypothyroid patients who feel sick despite taking levothyroxine and having normal TSH levels. The individuals taking thyroid medication were also less physically active, suggesting lower energy levels. They weighed about 10 pounds more than peers of the same height even though they consumed fewer calories, after adjustments for body weight. Plus, they were more likely to be using beta blockers, a drug frequently prescribed to lower blood pressure, and statins that reduce cholesterol levels.

Until that day, he urges physicians to change how they talk about hypothyroidism treatment with patients. It is also very possible (and, again, well-documented) that patients with Hashimoto’s thyroiditis experience hypothyroid symptoms with normal thyroid lab tests. Due to conflicting studies, there’s still a lot of debate about if subclinical hypothyroidism should be treated. Each case and person is unique, so the you could try this out best strategy is to talk to your healthcare provider about your concerns and options. Otherwise, medication can treat subclinical hypothyroidism, but healthcare providers don’t always recommend treatment. However, the reason for not treating subclinical hypothyroidism is that treatment could potentially cause thyrotoxicosis (too much thyroid hormone in your body), especially in people aged 65 years or older.

One of the thyroid’s primary jobs is to regulate metabolism, which affects almost every organ and function in the body. For example, when thyroid hormones are low, as in hypothyroidism, the heart rate slows and the intestines process have a peek here food at a reduced speed, causing constipation. “Patients are tired, sleepy and might experience feelings of depression. If not treated, might slow down dramatically and slowly go into a sleep state, and eventually into coma.”

They matter to ALL thyroid patients (just some more than others depending on your situation). These are relevant to you whether you take thyroid medication, whether advice you have a thyroid or not, whether you have Hashimoto’s or not, and so on. An overactive thyroid can cause high T4 levels, but usually results in low TSH.

normal thyroid levels but still have hypothyroid symptoms

After summarizing the data regarding patient-reported dissatisfaction, this review describes the evidence suggesting that LT4 therapy may not replicate normal physiology. The significance of circulating total and free triiodothyronine (T3 and FT3) has been a source of contention, and this issue is discussed. This review also outlines the results of combination therapy trials that have been conducted thus far. Most health care providers recommend taking the medicine levothyroxine to treat hypothyroidism. But an extract containing thyroid hormone derived from the thyroid glands of pigs is available. However, this treatment is not recommended because the amount of T-4 and T-3 in it may not be consistent from batch to batch.

Levothyroxine is easy to administer and monitor, and results in excellent quality of life for most patients. Thus, clinicians have the opportunity to prescribe an excellent therapy that rapidly and effectively reverses the stigmata of hypothyroidism. This is indeed a significant advance since hypothyroidism was treated by grafting half a sheep’s thyroid gland into a myxedematous patient.

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