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EndocrineWeb Community Advice

Normal TSH, but...

From: TSH.questions - 8 years 24 weeks ago

This all started with a visit to my eye Dr; I was having trouble seeing and thought I needed a new Rx for my glasses. Due to the condition of my eyes (irritated, red, swollen with double vision) he suggested I get my thyroid tested. So I did, and my TSH was normal... but after thinking about minor symtoms that I haven't been paying much attention and listing them out, it seems I may still have a thyroid problem. One site I visited recommended the following additional tests:

Free T3
Free T4
Reverse T3
Thyroid peroxidase antibody(TPO)
Antithyroglobulin antibody
Sex hormone-binding globulin(SHBG)

First is this the right set of tests, and how do I gently suggest I want additonal tests to my Dr without offending him?

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2 Responses

Is this good advice?

What was your TSH? It may be within the lab's normal range which is based on the avg of people tested but the functional range is 1.8-3. The TPO antibodies will indicate if you have Hashimoto's. It's an autoimmune disorder that causes more than half of cases of hypothyroidism in the US. I recently was diagnosed with the Hashimoto's and have been reading a book by Dr. Kharrazian ( It even mentions a case about a pt with Hashimoto's complaining of double vision. I highly recommend looking at the website and reading the book. Most Drs will try to treat Hashimoto's with the hormone replacement but that's not addressing the immune system that continues to attack the thyroid and cause/make symptoms worse.

Is this good advice?

Are you going to an endo or a regular gp? If it's an endo, he/she should have no problems ordering extra tests for you...

If you don't have an endo, you probably should make sure to see one soon.