Hypo symptoms 2.5yrs, 'normal' labs, common?

Hormones
1

I'm hoping someone w/knowledge in Hypo/hashi can take a look at my lab results? I'll post below. Can anyone suggest some additional testing I should ask my Doctor for? If so, the names of those labs would be very much appreciated!

Additional info:

I've had Hypo (& possibly adrenal issues?) for 2.5yrs now. I'm literally getting worse as time passes, but my labs always come back in range. I've changed my Primary & Endo several times. My current Endo specializes in thyroid/hormone disorders. My Doc does believe I more than likely have Hypo or maybe Hashi, but says I have to wait until blood test confirms it before I can get treatment. I had a goiter that was large enough to cause choking, but it went down a little in size in January. Then in May it has started swelling(?) again. It burns & feels like a thumb being pushed into my throat. My goiter w/two nodules was confirmed by two different ultrasounds.

I also have a vitamin D deficiency, hasn't responded to prescription vit D that my doc has given me for 1yr now. B12 injections haven't helped, no dairy/gluten didn't help. I have Pcos too (no IR no type 2). Can't get in to a Homeopathic MD until October, don't know what else to do. -Any opinions, tips would be great, thank you.

Labs (I did have other hormone testing too, if those results are needed?)

Tested at 7:54am

ACTH, plasma-6 pg/mL

Range: 6-50 pg/mL

Cortisol, A.M.- 0.5L

Range: 8am (7am-9am)

Specimen: 4.0-22.0

Dexamethasone- 356 ng/dL

Reference ranges:

Baseline: Less than 20ng/dL

1mg Dexmethasone overnight:

180-550ng/dL (8-10am)

--—-------------------------

TSH: 2.08

Range 0.40-4.50

T4Free: 1.1

Range: 0.8-1.8

T3Free: 3.3

Range: 2.3-4.2

Thyroid Peroxidase & Thyroglobulin Antibodies: 1

Range: < or = 1

2

Hum..your thyroid labs actually look great and you do not have any thyroid antibodies, so I would assume that rules out Hashimoto's.  Not sure what else would cause a goiter?  I'm very interested to see what others have to say.  Sorry I couldn't be of much help.  Best wishes..

3

Very odd, isn't it? I've had these labs done every 3-4months since 2015. They always come back as ideal or as my docs say 'perfect'. I've read some stuff on adrenal issues possibly causing thyroid issues, but heck who knows!? Plus, literally no one on either side of my family that's dead/alive has ever had any thyroid issues. I'm also the only one w/Pcos. I've read pcos & Hypo/Hashi are very common. My Doc said I was negative for Cushings (thankfully) but I was kinda scared about Addisons... All very confusing! Thank you for your kind wishes & reply! smile

4

There are a number of dexamethasone tests. The overnight ones then you have the low dose then high dose. If you are being test for adrenal issues they do the overnight, then low dose then high dose if levels are not suppressed they move on to the higher dose test.

Other tests to try; calcium, magnesium, iron, antibodies (which will reflect hashimotos), selenium, vit D, vit b

Hashimotos is one possible causes of underactive thyroid but if you don't have it, then it may be unexplained or tbyroidisitis (like me). In which case your t4, Tsh and t3 may be out of range to reflect this.

Your t4 is incredibly low and your T3 isn't great either, which tells me underactive thyroid

5

Palm Breeze, vitamin D deficiency can cause similar symptoms to Hypo, so try to get that fixed.  Also has your ferritin been tested?