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26 years
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I did the TSH, free T3 and free T4 tests and their levels are all in the normal range but I feel the same symptoms as those of hypothyroidism, what can it be ?
Aug 6, 2014
2nd opinion

Dr. Rania Mousa General Medicine
Because the most frequent presenting symptoms of hypothyroidism are nonspecific, the list of differential diagnoses is long like
weight gain or difficulty losing weight, depression, brain fog or difficulty concentrating, hair loss, hand/feet/facial swelling, intolerance to heat and cold, muscle aches and joint pains, constipation, carpal tunnel or tendonitis, high cholesterol levels, low sex drive, and difficulty getting pregnancy, among others.SO what are the symptoms you felt to assume being hypothyroid if the levels are strickly normal.

other thing , how much is your levels being normal ,some patients have normal stated lab levels but are for their bodies considered abnormal if the level on the upper or lower limit with symptoms you might have a hypothyroid problem ,If you're on the higher end of the normal range, you could very well be borderline hypothyroid for YOU, but still in the "normal" range. So, you need to know what TSH level your doctor is targeting for you. This is a very loaded, but VERY important question. Your doctor's answer will tell you her or his philosophy about "normal" TSH. Some doctors believe that being in, or getting you into the very top of the normal range is their sole objective, and then the job is done. So, for example, using the 5.5 outer edge of the TSH level from my lab, that sort of doctor believes that getting me to somewhere around there constitutes full treatment.e the hypothyroid disease .
if you have old blood tests for thyroid gland before symptoms appear we can compare both and check .

however if the symptoms of thyroid are being felt with good throid level tests and not on borderlines you can do further tests as blood tests ,urine test ,..
there might be other systemic cause like but not limited to
Anemia
Addison Disease
Anovulation
Cardiac Tamponade
Chronic Fatigue Syndrome
Constipation
Depression
Fibromyalgia
Hypercholesterolemia,
Hypoalbuminemia
Hypochondriasis
Hypopituitarism
Hypothermia
Ileus
Infectious Mononucleosis
Infertility
Iodine Deficiency
Obesity
Ovarian Insufficiency
Sleep Disorder
Thyroid Lymphoma
 • 
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