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High T4 Normal Tsh? Also High Mch.


nu-to-no-glu

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nu-to-no-glu Apprentice

Hi, all! After google-ing for an hour, I thought I'd just come ask the experts over here. I received copies of my blood work today and the only significant things were a very high T4 reading, but my TSH was in the normal range (closer to the low side, but still within range). I really don't know much about this, so I thought some of you could enlighten me as to whether I need to worry, experiences, etc. I am seeing a new dr next Thursday and want to have all of my ?s ready since my last doc blew me off and told me I had IBS and needed to just deal. Also, my MCH level was high, which I have no idea what the heck that means. Everything else seemed within normal range, as far as I can tell. Maybe borderline numbers can be precursers or warnings? I don't know. Any conversation regarding this is much appreciated, since I am so in the dark with this stuff!


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maile Newbie
Hi, all! After google-ing for an hour, I thought I'd just come ask the experts over here. I received copies of my blood work today and the only significant things were a very high T4 reading, but my TSH was in the normal range (closer to the low side, but still within range). I really don't know much about this, so I thought some of you could enlighten me as to whether I need to worry, experiences, etc. I am seeing a new dr next Thursday and want to have all of my ?s ready since my last doc blew me off and told me I had IBS and needed to just deal. Also, my MCH level was high, which I have no idea what the heck that means. Everything else seemed within normal range, as far as I can tell. Maybe borderline numbers can be precursers or warnings? I don't know. Any conversation regarding this is much appreciated, since I am so in the dark with this stuff!

have you checked out this site? http://www.drrind.com/therapies/thyroid-scale

not affiliated with the site but have found it useful for trying to understand results of thyroid tests!

nu-to-no-glu Apprentice
have you checked out this site? http://www.drrind.com/therapies/thyroid-scale

not affiliated with the site but have found it useful for trying to understand results of thyroid tests!

Thanks for the link, for some reason it won't work on my blackberry or computer? Could you post it again? Thanks!

maile Newbie

try this link Open Original Shared Link

and click on "interpreting results"

nora-n Rookie

Was it total T4, or free t4?

Total T4 is dependent on the TBG, thyroid-binding globulins and in females it is often high due to estrogen infuence, and that is normal.

The only good t4 tests are free t4 tests (and the only good ones are dialysis free t4 tests but normally the ordinary antibody based ft4 tests are okay)

Another thing is, if one has had a cold or any illness, the ft4, ft3 and TSH go down, a phenomenon called NTI, Non-thyroid illness. Afterwards, all those numbers bounce back up, and the t4 can temporarily go high. after about six weeks the numbers should have stabilized.

The MCH I think is part of a series of tests that test for the size, colour and volume of red blood cells. for example, large pale blood cells may mean low b-12, and small pale red blood cells mean you have lost blood. Search the web for MCH MCV (if it is what I think)

nora

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    • trents
      I would say two things and then I'm done. Many celiacs have been misdiagnosed for years with IBS. Testing for celiac disease requires regular and significant consumption of gluten for weeks/months in order to be valid.
    • RMJ
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    • The Logician
      Thanks for the advice, if my sensitivity comes back i’ll do that but I am 74, in good health for my age and probably have been sensitive to gluten for over 30 years the beginning of which I didn’t even know or suspect It was gluten. I’m seen by my doctor every three months with fasting labs, he knows I avoid gluten and has never suggested I should be concerned. It is quite possible a doctor did those tests on me 30 years ago, I just don’t remember, if they did and they were negative that’s why I wouldn’t remember. If you are interested I’ll keep you posted, but from what i’ve read there is no cure for genetic celiac disease and right now I’ve never felt worse than diarrhea eating wheat or better than I do now eating wheat. If there is no cure I doubt my episode with an antibiotic is the cure which means I don’t have celiac. This antibiotic may be a cure for sensitivity however….i hope.
    • trents
      Diarrhea is a classic symptom of celiac disease and may be the only symptom many people experience until damage to the small bowel lining becomes severe enough to spinoff other health issues. There are many with what we call "silent" celiac disease whose symptoms are so minor or occasional like yours that they blow them off. The only way to distinguish between celiac disease and NCGS (Non Celiac Gluten Sensitivity) is to get tested. I strongly recommend that you request your doctor to run these two blood antibody tests: total IGA and tTG-IGA. The antibiotic seems to have put you into some kind of remission at the present time but that may not last.
    • The Logician
      Not that I can remember but my reaction has never been more than diarrhea and I probably ate a lot of wheat products for years not knowing I was sensitive to it. Dr. never tested me because he attributed it to IBS. 
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