A T3 and T4 test isn't necessary... when you are completely free of symptoms.
But when your thyroid has been taken out, and you're symptomatic, you need TSH, free T3 and Free T4.
Particularly if you are on a T4 only thyroid hormone replacement.
Here's why. A healthy thyroid makes both T3 and T4.
The cells in your body pull T4 from the blood and use an enzyme to take off one of the iodine atoms from the T4 to make T3.
If you don't have selenium in your diet, or you're just not good at converting, or you're eating soy protein, or a lot of raw goitrogens, this can be a problem.
You may want to take one brazil nut a day(provided you don't have allergy), or nutritional yeast, garlic or even a supplement if selenium's not already in the multi vitamin you are taking. The RDA is 55 mcgs... its not a good idea to go past 200mcgs for longer than 2 weeks.
IN any case, it would be good to know if you have adequate T3 before you go monkeying around with supplements. That's why its good to test.
As for your fertility status...
A FSH (follicle stimulating hormone) and LH (lutienizing hormone) test can help determine your fertility... where you are in terms of menopause.
In a fertile woman, the low estrogen in the first part of her cycle, triggers a rise in these two pituitary hormones, which signals the ovaries to ripen an egg and release it. If the egg's not fertilized, the endometrium collapses and you get your cycle.
As the ovary ages, it puts out less estrogen, too.
This triggers FSH and LH release.
But at the same time, the ovary becomes less responsive to these prompts from the pituitary, doesn't release an egg, so FSH and LH levels stay high.
So... in late perimenopause and menopause, the FSH will be elevated. Usually over 25 in perimenopause and over 50 in full menopause.
51 is the average age of menopause. Menopause being defined as no cycle for a year and then for forever after.
That said, plenty of women have their cycles far past that date.
For example, my friends mom has hers until she was 62, and my last one was a month before my 57th birthday.
I am sorry to hear about the papillary thyroid cancer. PTC is the most common thyroid cancer, thankfully its got the highest rate of cure. I would definitely got for the scan 9 months for now, but I am curious as to why they are waiting. I can only guess its because they didn't see any evidence of spread outside of the thyroid gland.
Anyways...the reason why your doc wants you on the low end of the TSH scale, and is perfectly okay with a TSH of 0.173, is to suppress any cancer that might have metastasized to your lymph nodes. A low TSH suppresses any papillary thyroid cancer growth.
Some supplements you might consider are B vitamins, and C for your adrenal glands. They use these two vitamins to make their hormones. Often adrenal glands become tapped out with stress or malfunctioning thyroid.
I'd get your vitamin D checked. Often we're low on that.
Also your calcium, since the parathyroids ( 4 rice sized glands that control calcium metabolism) are found on the back side of the thyroid gland and can become damaged or even removed accidentally when they take out your thyroid.
As for aches and pains, if they are severe, you might want to get an ANA (anti-nuclear antibody test) to see if you have connective tissue auto antibodies or lupus.
I've found that bone broths and gelatin help with aches and pains... sounds exotic, but its basically good ole chicken soup... just cooked a little longer, made with the skin on and the bone in with a bit of apple cider vinegar added to the water so that it gets the minerals out of the bones. Gelatin has l-proline, hydroxyproline and glycine, all "non-essential" amino acids that we don't get very much of in our diets. They are considered non essential because our bodies can make them. Problem is as we age, sometimes that doesn't happen as effectively as we'd like.
Whey is another good, easily digested protein that can help feed/repair your muscles after working out. You can also try a probiotic or eat fermented foods to help your intestinal health.
Organic Kale (organic to avoid pesticides... kale is on the EWG's dirty dozen list ), is a powerhouse of minerals, antioxidants and vitamins.
CoQ10 and vitamin K2 are two others you might consider for aches and pains. Apparently we don't synthesize CoQ10 as well as we used to when we were in our twenties. K2 (Mk4, Mk7) helps clear arteries of calcium.
Hope this was helpful... make sure you research and are comfortable with these things, know why you are taking them, before you go out and buy them.
Take care of you
Edited by: MZZCHIEF at: 12/14/2012 (18:38)
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