My doctor was reluctant to treat when I was at 6. She said below 10 is sub clinical. I fought her with my list of symptoms and she relented but even outside the range she wouldn’t just give the medication. I feel so much better on Levothyroxine.

many doctors have ignored TSH under 5. It turns out that miscarriages are more likely if TSH is over 2, which is how I was able to get my hypothyroidism actually addressed.

75mcg of levothyroxine daily keeps my TSH around 1.5, which is where I generally feel ok. Some integrative medicine docs are also willing to do T3 supplementation, as not everyone can efficiently convert T4 to T3, but traditional endocrinologists are less likely to do that.

The upper limit of normal is 5 (or 4.9), so you’re well within range. You can see if your doctor wants to treat you based on symptoms, but they may (and probably should) look into other causes.

The high eosinophils may just be from some kind of inflammation, or could be indicative of a parasite. That’s not really super high though.

Anonymous wrote:

Anonymous wrote:I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

That's crazy. TSH of 1-2 I feel hyper with lots of heart palpitations, insomnia and anxiety. TSH of 3-5 I feel ok. TSH of 7+ I'm tired have no energy. 3.91 is not bad OP.

Well everyone is different. Most people feel better with TSH between 1-2. At least, those that have hypothyroidism and are treated with medication.

Anonymous wrote:

Anonymous wrote:I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

That's crazy. TSH of 1-2 I feel hyper with lots of heart palpitations, insomnia and anxiety. TSH of 3-5 I feel ok. TSH of 7+ I'm tired have no energy. 3.91 is not bad OP.

This is why symptoms are important and to be frank lab averages are based off of population-level but a lot of disease and disorders are individual-level meaning that just because you feel good at 3-5, some of us will feel how you feel at 7+.
they should also be running a full panel including antibodies.

I think there is a lot that we dont understand about the HPT axis.

Anonymous wrote:

Anonymous wrote:I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

That's crazy. TSH of 1-2 I feel hyper with lots of heart palpitations, insomnia and anxiety. TSH of 3-5 I feel ok. TSH of 7+ I'm tired have no energy. 3.91 is not bad OP.

But do you have a diagnosis for your thyroid and are you currently taking medication for it?

Presumably you are since you have such a strong handle on your levels and how you feel at certain levels.

Anonymous wrote:I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

That's crazy. TSH of 1-2 I feel hyper with lots of heart palpitations, insomnia and anxiety. TSH of 3-5 I feel ok. TSH of 7+ I'm tired have no energy. 3.91 is not bad OP.

No.

Anonymous wrote:I have Hashimoto’s and anything above 2 1/2 or three I feel terrible! Mine is down around one something now on medication and I can’t believe how young I feel again! I was tired, but having insomnia, dry brittle hair, sluggish weight gain, when I’ve never had weight fluctuation in my life.

Thank you for responding!

Yes, I've gained 20 pounds in the last 2+ years, and I largely attributed that to my hysterectomy (still have my ovaries and I'm not officially menopausal yet).

My hair seemingly became dry and brittle overnight a year or so ago, and I've been experimenting with hair products without much luck.

I'll see what my doctor says. If he's reluctant to treat it, then I'll follow up with an Endo.

Can anyone recommend a good endocrinologist in MoCo?

I guess it makes sense why I enjoy crawling into bed at 8:30.

I have Hashimoto’s and anything above 2 1/2 or three I feel terrible! Mine is down around one something now on medication and I can’t believe how young I feel again! I was tired, but having insomnia, dry brittle hair, sluggish weight gain, when I’ve never had weight fluctuation in my life.

4.5 is an old timey upper limit.

I feel good at 1-2.

Your doctor should treat based on symptoms at that level.

Subclinical hashimoto's here. They never wanted to treat. I was losing it finally at 53. I always felt good when I was 1.5-2--but after 50 it was always hovering where your is.

I found a endo willing to treat for symptoms, not numbers. I went on levothyroxine. I wish I went on it 10 years ago (back when outer eyebrows were thinning, and losing hair, anxious, etc). All of that reversed since I've been taking the meds. I don't have that unbearable tiredness either.

Anonymous wrote:I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

Interesting.

The reference range on the lab results is 0.45 to 4.5 and I land at 3.91.

So you think that's high and I should be tired? I mean, I am usually pretty tired and I've increased my B12 which I thought was helping.

I'm noticing that my bun and creatinine ratio while not flagged are a bit skewed to one side, and google tells me that can be for a number of reasons--including hypothyroidism.

I have had hypothyroidism (Hashimoto's) for 20 year and I would not be able to get out of bed if that was my TSH. Mine is 0.1!

I can see my lab results in the portal but haven't heard from the doctor yet.

Is 3.91 TSH hypothyroidism? Google says yes...or "almost."

Anyone been there done that?

FWIW, I'm a 50 year old woman whose mother's thyroid went wacky around this age.

I'll obviously speak with my doctor, but he tends to be the sort that relies on the ranges in the lab report. I googled because the reading is on the high end but not flagged.

Switching gears: I continue to have a high reading for Eos (Absolute) = 0.5. It is flagged on the blood work, as usual. Nobody seems concerned except me. Google says it could be nothing or something...including a marker for cancer.