Also if you are fatigued and it is common for people with low thyroid to also be deficient in the following and you should be tested for these as well
Vitamin D3,
Vitamin B-12
Iron
Ferritin
back to TSH. TSH is a pituitary hormone. It is supposed to signal the thyroid gland to increase and decrease the thyroid hormone production. TSH is highly variable and can vary as much as 70% within a 24 hour period. TSH should be used as nothing more than a screening tests.
You would worry if the TSH (Thyroid Stimulating Hormone) was elivated (high in normal range or above the range). TSH is a pitutary signal released in the blood to alert the thyroid gland that more thyroid hormone is needed in the body. Growth and cognitive development is dependent in babies on the proper amount of thyroid hormone. Do you have the levels and ranges of the other test taken (the actual thyroid levels)? If you post these we will be glad to take a look.
Your TSH is excellent. Thyroid stimulating hormone is released by the pituitary gland (in your head) in direct correlation to how your thyroid is functioning. It is like a thermostat- if your thyroid is sluggish, your pituitary puts out more thyroid stimulating hormone to turn up the thyroid's activity, if your thyroid is very active, it puts out less, because your thyroid doesn't need as much stimulation.
CLIA stands for "Clinical Laboratory Improvement Amendments". I don't understand your question. Judging from the title of your post, I'm guessing that you are asking about thyroid stimulating hormone or TSH? Is that the result you have posted?
If your TSH is 70.49, you most likely need to be on thyroid replacement med; but you need to have further tests done as well. You should ask to get tested for Free T3 and Free T4, along with thyroid anitbodies - TPOab and TGab.
Typically, when one has hyperthyroidism, TSH is very low, while FT3 is higher than normal. TSH (Thyroid Stimulating Hormone) is a pituitary hormone, which, ideally, stimulates the thyroid to produce T4 and T3. When there's adequate thyroid hormones, the pituitary slows down or stops putting out TSH. High levels of FT3 will, cause this to happen. This can also happen if you are taking a replacement thyroid hormone and are over medicated.
The hypothalamus and pituitary gland can sense an underactive thyroid gland and try to kick things back to normal by increasing levels of the hormones TRH (thyroid-releasing hormone) and TSH (thyroid-stimulating hormone) in your body. TRH prompts the pituitary to release TSH, which in turn stimulates the thyroid to do its job. However, TRH also prompts the pituitary to release more of the hormone prolactin.
Graves’ disease is considered an antibody-mediated autoimmune disorder. Here, stimulating TSH receptor antibodies (also known as thyroid stimulating immunoglobulins or TSI) react with the TSH receptor protein on thyroid cells, ordering these cells to produce excess thyroid hormone.
While the immediate goals in treating Graves’ disease are to reduce thyroid hormone levels and lessen the effects of hyperthyroidism, the long-term goals are to heal the immune system and reduce the production of TSI.
And if the pituitary believes there is too little thyroid hormone, it will secrete TSH hormone. This TSH is the signal which tells the thyroid gland to produce more thyroid hormone. The less thyroid hormone in the blood, the MORE TSH hormone the pituitary gland puts out.
So as for your thyroid gland not producing any or enough hormone to be put into the bloodstream thus you would have high levels of Thyroid Stimulating Hormone (TSH).
TSH, thyroid stimulating hormone, is a pituitary hormone that is telling your thyroid to get busy. Normal is around 0.5 to 5, depending on the lab. So at TSH 93.96, your thyroid is not making enough hormone.
Its the signal from your pituitary telling how much thyroid hormone the thyroid gland should produce, even if you no longer have a thyroid gland, the pituitary will continue to produce this signal. Makes as much sense as the government sending tax statements to dead people LOL....
In your case without a thyroid gland, the body looks at how much synthetic thyroid hormone (synthroid) is in your blood.
the pituitary gland produces TSH (Thyroid Stimulating Hormone) to stimulate the thyroid gland to produce thyroid hormones. If the thyroid levels start getting too low, the pituitary starts producing TSH and will continue to do so until the thyroid responds. The lower thyroid hormone levels get, the higher TSH will get.
Your pituitary seems to be working fine - it's your thyroid that's not responding to demands from the pituitary. The fact that your TSH is at 213.
A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It tells the thyroid gland to make and release thyroid hormones into the blood.
Conversely if it senses too high of thyroid, it will produce less TSH and slow the thyroid gland from producing thyroid hormone. When everything is working perfectly, the TSH level is supposed to be at a level number like a your car on cruise control going down the highway at a constant speed. Another analogy woudl be to think of the pituitray and the TSH as like the thermosta in your house. which measures the temperature and tells the furnace to turn up or down.
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