Thyroid blood test results (T4 free, TSH, T3)

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RickB

Active Member
TL/DR: Endo says these results are fine. She's not concerned about the T4 Free, even though it is barely normal. Is she right? Should she order more tests?

T4 Free, Direct: .84 ng/dL (.82 - 1.77)

TSH: 1.290 uIU/mL (.45 - 4.5)

T3: 86 ng/dL (71 - 180)


Recently visited an endo. I like her a lot, but I've been here long enough to know, that sometimes people here are better versed than the professionals. My main symptom which brought me to her was overeating. I am pretty sure it's psychological, but I wanted to visit an endo before maybe seeing an eating specialist.

From what she explained, we were looking for a potential overactive thyroid for overeating. The results ruled that out, but I immediately figured I might have the opposite - a sluggish thyroid. I feel like I've been gaining weight slowly compared to how much I've been eating, but the results made me start to wonder if it's the opposite.

However, my endo said that the lowish T4 Free is no concern because my TSH is normal. I read that low T4 and normal TSH could mean secondary hypothyroidism, but she said that is very rare and usually from brain trauma. So, long story short, she says my results are fine.
 
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