Understand what your thyroid lab tests are telling you: 1. High TSH, normal T4, normal T3 = This is the pattern we've been discussing in this video and will usually present with hypothyroid symptoms. 2. High TSH, normal T4, low T3 = This pattern may be an indication that you are having issues with thyroid conversion and most often presents with hypothyroid symptoms. 3. Normal TSH, low T4, low T3 = This pattern is usually what is seen in those with chronic illness and in those who are taking mult

The "Subclinical" Thyroid Dilemma! We often see this report: High TSH, but Normal T3 & T4. Diagnosis: Subclinical Hypothyroidism. The big question from the patient (or relative) is always: "Doctor, do I need medicine?" Here is the Evidence-Based Rule: Generally, treatment with Levothyroxine is initiated ONLY if TSH > 10 mIU/L. For TSH between 4.5 - 10, we usually monitor, unless the patient is: Pregnant or planning pregnancy 🤰 Symptomatic (fatigue, goiter) TPO Antibody positive Interpreting lab