TSH showed 0.015
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Got recent bloods done and my TSH showed 0.015 so my doctor thinks I’m hyperthyroid but I have no symptoms of hyperthyroidism. If I recall Peat said it’s best to have TSH close to 0. Is this correct?
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I think Ray said somewhere around 0.4. But he also said TSH isn't a reliable metric to gauge thyroid or metabolism. At least not by itself. Ray's point was pituitary hormones (like TSH) are usually signs of stress and inflammation. In terms of hypo or hyper thyroidisms there's no right answer here. A multitude of variables is important to consider. What's your cholesterol? What's your bowel movements like? temps and pulse? estrogen and prolactin? Vitamin D and PTH? Even finely tuned parameters (Taurine/Glycine, DHEA/cortisol, NAD/NADH) like what Georgi discussed here would give you a more detailed analysis. Metabolism is more like painting a picture than checking off bulletpoints.
Someone who's hypERrthyroid will probably have low cholesterol, elevated estrogen, elevated testosterone, elevated prolactin, high DHEA/cortisol ratio, elevated pulse and temps, frequent bowel movements, etc.
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@Mulloch94 what all markers would you recommend getting checked if I want to get a better picture?
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https://bioenergetic.forum/post/24029
Worth a read and a read around Lothric.
@Lothric said in TSH showed 0.015:
my doctor thinks I’m hyperthyroid but I have no symptoms of hyperthyroidism.
If you feel alright throughout most days, and therefore have a good pattern. I think that's what matters. But some may think this is reckless and I may come to regret it.
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@Lothric Cholesterol, vitamin D, PTH, prolactin would be good. Pair those results with your TSH, temps, pulse, and bowel frequency to reach a more accurate determination.
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Hey, I wanted to revisit this and ask you something because I started to think about it after I logged off and it kinda troubled me a little.
Did your doctor ONLY measure your TSH before coming to their conclusion of "hyperthyroidism?" Or did they also measure T4 and T3?
That doctor could possibly profoundly screw up their diagnosis if they didn't measure other serum thyroid markers. Because the TSH can also be low from the thyroid not responding correctly to hypothalamic signals.
It's a really dumb thing to do to be honest. But it's worth asking because I've had doctors measure literally only the TSH before as well. I think a lot of that has to do with the papers you fill out. I recommend people put they have family history of thyroid disorders or something, just so they watch it more closely. I guess if you don't mind spending the money, just get the tests done yourself.
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I think one has to careful to make a distinction between testing for hypothyroidism and hyperthyroidism.
Testing for hyperthyroidism, if the temps are much higher than 37C consistently, the higher above the stronger the case for hyperthyroidism.
And if the heart rate is very high, relative to a person's known historical range (say mine is 68), I would see an additional red flag (say if I am getting 90).
And this may be corroborated by losing appetite and losing weight, which happens with hypothyroid people.
Further corroboration (though this may be a later stage) can be seen in the presence of two lumps in the neck, the lumps being from inflamed thyroid glands.
And I agree, why isn't T4 and T3 not tested and only TSH? I think if both T3 and T4 are high and above range, a too case may be made for hyperthyroid.
And if there's no complete thyroid panel, one can get an ECG and have the QTc computed and verified by an interpreter, usually a doctor. If the QTc is less then 380 msec, the stronger the case for hyperthyroid.
QTc is a measure for the relaxation rate of the heart innits contraction and relaxation cycle. I'm told only cardiologists are permitted to do ECGs in the US, but I have a personal ECG machine that calculates the QTc for me, though its algorithm is faulty and I have to manually calculate the QTc.
Note that doctors can make a false positive with hyperthyroidism and have their clients operated on to remove part or all of their thyroid gland, and then have the patient taking thyroid for their remaining lifetime. It's crazy so watch out.
Temporal thinking is the faculty that’s
engaged by an enriched environment, but it’s
wrong to call it “thinking,” because it’s simply
the way organisms exist... - Ray Peat Nov 2017 Newsletter -
@Mulloch94 no he tested my T3 and T4 as well. I went in because I’m having inflammation in my thyroid and I’m getting tests run because I believe and he believes that I have post infection thyroiditis but he said how low my TSH was indicates that I might be subclinical hyper. My T3 (3.99) and T4 (1.29) were in range. The thyroiditis could maybe be the cause. I go in next week for antibody testing and an ultrasound of my thyroid.
I don’t think I’m hyper because my pulse is still fairly low and my body temp isn’t very high.
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@yerrag I went in originally for an inflamed thyroid. He tested T3 and T4 as well. Both in range.
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@Lothric said in TSH showed 0.015:
I went in originally for an inflamed thyroid.
@Lothric said in Cardenosine:
I have noticed an increase in energy during the day but I have also noticed a side effect of a dull pain in my chest around my heart almost like a dull stab periodically when I take it at full dose. It subsides the next day if I don’t take any.
Any chance you could share a bit more history about yourself Lothric? I don't know what in particular. Preferably just spill it.
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@ThinPicking sure when I get a moment I’ll give you the tldr of my Peat journey and life.
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It doesn't hurt to get 200mcg of selenium as it keeps the thyroid from producing too much hydrogen peroxide from glutsthione peroxidase being out of control.
My cats had inflammation of thyroid and when I gave them selenium the next day the lumps in their throat went away. So did their hyperthyroid condition as they got their appetite and weight back.
Temporal thinking is the faculty that’s
engaged by an enriched environment, but it’s
wrong to call it “thinking,” because it’s simply
the way organisms exist... - Ray Peat Nov 2017 Newsletter -
@yerrag it’s interesting you say this because when I eat oysters the inflammation seems to go down.
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That's a great observation. We can connect the dots and it makes all the more sense.
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@ThinPicking so the reason for the blood work was because I was having a tender/sore feeling in my throat right above my collar bones. I thought it was from coughing due to a cold/respiratory illness i had for awhile. Doctor made the point that the tenderness was right where my thyroid is and suggested some tests to see if I have post infection thyroditis.
The year prior to this I took thyroid hormone, followed a very strict diet, temp and pulse were good, good energy, mood, slept good.
Around December I started to slack on this. Job and home life became stressful. Workload increased. Reverted back to not really watching my diet. My thyroid dosing became inconsistent until I got off of it. Regardless of this I never really felt terrible or anything. I got a respiratory infection or some kinda illness in spring and I was coughing for months. Once it subsided I was left with a tender feeling in my throat which I thought was muscle strain from the cough until I eventually went to the doctor a few weeks ago after the tenderness would come and go and started this journey of finding out it might by thyroiditis.
Currently the only supplement I take are D, E, K and aspirin. Other than the inflammation around my thyroid I have no other symptoms and function normally.
But stress and these health concerns have made me refocus on my health now that I’m getting bloods done I’m trying to regain what I lost and heal
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Thank you. I'll be back. Still look around, don't stop.
