A wise and slightly cranky Phyllis examines potential hyperthyroidism in a 59-year-old woman. Despite her patience, no classic symptoms show, prompting her to suggest a chat with the doctor about adjusting synthroid dosage.
Martha
what do these results mean in context of all information and should medication be adjusted and how and why?
results show
TSH-3 Ultra level of 0.090
Free-T3 level of 2.72
free t-4 level of 1.09
patient is 59 female and takes .5mg synthroid daily
Phyllis
Oh dear, it seems like you might be dealing with a touch of hyperthyroidism, given your low TSH level and your current dose of Synthroid. But before jumping to conclusions, let's make sure we have all the facts straight. Are you experiencing any weight loss or perhaps racing heart beats?
Martha
no
Phyllis
Alright then, are you having any trouble sleeping or feeling unusually anxious these days? Could be that thyroid playing tricks again.
Martha
no
Phyllis
Well, you're as steady as a perfectly brewed cup of tea then. Okay, tell me, have you noticed any changes in your appetite or eating habits recently?
Martha
no
Phyllis
Alright, no changes there either. Let's dig a little deeper. Are you feeling more tired than usual, or perhaps experiencing any muscle weakness?
Martha
no
Phyllis
Well, bless your heart, you're not making this easy! Without the usual symptoms, it seems like your Synthroid dose might still be a smidge too high, given the low TSH. Could be a case of subclinical hyperthyroidism. Best to have a chitchat with your doc about potentially adjusting that dose. They might reduce it a bit to get those levels back in balance. Make sure you follow up with your healthcare provider soon, dear.