10 May 2018
Where has the time gone? Apologies for being a month late reporting my last set of blood test results. It’s been a busy spring with work ramping up for a major deployment and caring for mom and her own set of health issues as she gets older. To further complicate matters, there was also a problem with the sample taken as it had clotted and the lab was not able to perform the standard panel as before. In any case, the only values that they were able to determine were my TSH and Free T4. The TSH number got worse, dropping to 0.018, and my Free T4 moved up and just out of the ‘normal’ range at 1.83. All things being equal, I have to believe that stress is contributing to my continued hyperthyroidism, at least from a numbers game. Regardless, I remain mostly sympton free but I am keeping an eye on my weight due to a slight drop and I am experiencing the occassional feeling of being overly warm (2 of 3 factors that lead to my Graves’ diagnosis, the final one would be the return of muscle tremors). I’m hoping the feeling of warmth is nothing more than the fine Florida weather and that the weight loss is due to my attempt at getting outside more. Keeping my fingers crossed for my next blood test in July.
10 Jan 2018
Hit a bump in the road to remission as my TSH levels dropped to 0.067. T4 and T3 are still within their respective ‘normal’ range. I have a new endocrinologist now that I’ve relocated to Florida and once again got the advice to either go with RAI or surgery, to which I declined again. I’m still on 2.5 mg of methimazole per day and so far not showing any signs of toxicity (knock wood).
The blood test results I received under my new doctors were more detailed than what I was receiving when I was in GA so I have additional values that I’m keeping an eye on:
Thyroid Stimulating Immunoglobin: 497% (normal is 0-139)
Thyrotropin Receptor Ab: 6.53 IU/L (normal is 0.00-1.75)
Thyroid Peroxidase Ab: 92 IU//mL (normal is 0-34)
Thyrogolbulin Ab: <1.0 IU/mL (normal 0.0-0.9)
Even though my blood work is still showing signs for Graves’, I remain asymptomatic and am feeling good. I suspect the stress of moving may have caused some of my numbers to jump so we’ll see if it settles down again in another 3 months at my next lab visit.
10 Oct 2017
Just completed my latest check up yesterday and I’m happy to report that I’m still on the happy path towards remission. T3 is sitting at 114, T4 at 1.3, and TSH is now 3.23 – all within the ‘normal’ range. That makes 3 consecutive tests now and I finally got the go ahead to reduce my methimazole from 5 mg a day to 2.5 mg. Woo-hoo! Doc believes that I can probably remain on low dose indefinitely but I’m still pushing for zero.
Next challenge – finding an endocrinologist near my new home in FL with the same conservative mindset to treatment!
1 Aug 2017
Sorry for the late update but have been busy with life.
I had my follow-up blood test back on the 10th of July and received my results a few days later. They only measured my TSH levels and the results are good, assuming that my T3 and T4 are also continuing to be in the ‘normal’ range. My TSH numbers this time out was 2.6, smack in the middle of the 0.4 to 4.5 range. That’s an improvement from my April test where I had a reading of 0.7. I’m still on 5 mg of methimazole, which I hope I can get off in the near future. My next appointment with my endocrinologist will be in Oct. Fingers-crossed for reaching remission soon!
12 April 2017
My thyroid readings are finally all showing in the ‘normal’ range! For now, the doctor wants to keep me on the 5 mg of methimazole and repeat the blood test in another 3 months.
TSH 0.70 (0.40-4.50)
Free T4 1.3 (0.8-1.8)
Total T3 121 (76-181)
Smiling ear to ear!
6 March 2017
Where has the time gone? Long story short, making progress with 2 of 3 measures now testing within the normal range:
- T3 is at 139.1 ng/dL (range is 80-204)
- Free T4 is at 1.34 ng/dL(range is 0.8 – 1.8)
I’m still showing that I’m considerably hyperthyroidic from a numbers perspective with a TSH still measuring a very low 0.016 ulU/mL (range is 0.35 – 4.5). The big issue with this number is that we have no way of knowing what my reading was prior to being diagnosed as having Graves’ so all we are doing is managing around a low number in trying to get me to be in range without really knowing if my ‘normal’ range could already be a low number.
Overall, still doing well and we’ll see if numbers will further improve at my next check up in April.
08 October 2016
So I had another follow-up visit with my endocrinologist last month and things look to be settling down a bit on the reduced dose of methimazole (5 mg daily). Free T4 measured at the upper bound of ‘normal’ at 1.8 ng/dL, however, TSH is still way below at 0.01 mlU/L. That compares to 3.9 and 0.02, respectively, back in July.
Not sure how much these numbers truly mean to me as I’m feeling pretty normal despite all these swings. Metabolically, I can feel the effects of the methimazole as it was causing me to put on extra weight when I was at 10 mg a day. At the lower dose, I’ve been holding steady at my pre-Grave’s weight, although it would have been great if I could have kept half my losses at the peak of my episode. All in all, I suppose my body knows what my norm is and I’m fine with that.
Next appointment is at the beginning of the new year.
Ciao for now!