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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 58762
Experience:  GP in the United States
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Blood tests back serum TSH <0.05 and serum Free T4 23.0pmol/L. Test

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Blood tests back serum TSH <0.05 and serum Free T4 23.0pmol/L.
Test taken as puffy eyes, slightly enlarged thyroid on right side. 39 year old female. Low B12 (on 12 weekly injections) low vit d (on tablets 1000 iu daily) and poor calcium bone profile, coeliac disease.
Doctor has asked to see me but no appointment until next week - any ideas?
Thank you.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
You likely have hyperthyroidism
probably Grave's disease
this is where your body makes antibodies that stimulate the thyroid gland
you are going to need radioactive ablation of the gland
Here is an article for you
Customer: replied 3 years ago.

Even though my free T4 is in normal range? it says normal is 9 - 25 and mine is 23?

Thank you.

Yes, absolutely
your TSH is VERY low and you have symptoms of hyperthyroidism
the only other possibility is that your brain isn't making TSH. This would be a pituitary gland issue.
However, the T4 would be very low with this
I suspect graves disease.
Dr. Phil, MD and other Medical Specialists are ready to help you
Customer: replied 3 years ago.

Thank you!

you're welcome
please don't forget a positive rating. I appreciate it
Customer: replied 3 years ago.

Already done the rating - excellent service!

I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)