#tsh levels

H’s bloodwork has been trickling in. The results are automatically generated to me via email. The results so far have been normal except for his TSH level. It’s low. I’m not sure how big of a deal his number is compared to what is normal. I know a bit about thyroid issues because I’m having some problems with my own and having testing done.

Of course I have consulted google. In addition, I have Poloed with my friend who is a nurse practitioner. Both confirmed that all of the behaviors we are seeing are consistent with hyperthyroidism. I will be so relieved if this is the cause and we have figured it out this quickly.

The doctor did say yesterday that his behaviors could be related to endocrin function. I know this sounds horrible, but this sounds so much easier to me to deal with than a mental health diagnosis (of course, this could be the ignorance talking). The doctor hasn’t called yet so hopefully I will hear from her tomorrow.

Thyroid enlargement and abnormal growths such as nodules are increasingly common today. While many cases are benign, others may hint at underlying conditions like iodine deficiency, hypothyroidism, or even early stages of thyroid cancer. If you've noticed a lump in your neck or been diagnosed with goitre, understanding the causes and treatments can help you make informed decisions. Learn how to interpret symptoms, explore thyroid treatment options, and whether Ayurvedic or conventional therapies suit your condition.

What Are Thyroid Nodules and Goitre?

Thyroid Nodules are abnormal growths or lumps that form within the thyroid gland. They can be solid or fluid-filled and may occur singly or in clusters.

Goitre is the swelling or enlargement of the thyroid gland, which may or may not include nodules. It’s often visible as a bulge at the base of the neck.

Common Causes

1. Iodine Deficiency

One of the most widespread causes, particularly in developing regions. The thyroid compensates for low iodine by enlarging.

2. Autoimmune Disorders

Conditions like Hashimoto’s thyroiditis (hypothyroidism) or Graves’ disease (hyperthyroidism) can trigger goitre and nodule formation due to chronic inflammation.

3. Hormonal Imbalances

Disruption in TSH levels or the body’s inability to regulate T3 and T4 production may result in abnormal tissue growth.

4. Genetics & Age

Family history and aging increase the risk of thyroid irregularities, including nodules and enlargement.

Symptoms to Watch For

Visible neck swelling

A feeling of tightness or fullness in the throat

Hoarseness or voice changes

Difficulty swallowing or breathing

Unexplained weight changes, fatigue, or mood swings

Note: Most nodules are asymptomatic and discovered during routine exams or imaging.

Diagnosis of Nodules and Goitre

1. Physical Examination

Doctors may detect irregularities in size or texture through palpation.

2. Ultrasound Imaging

Helps determine the size, location, and structure of nodules.

3. Thyroid Function Tests (TSH, T3, T4)

To assess hormonal imbalances that may be contributing to the condition.

4. Fine-Needle Aspiration Biopsy (FNAB)

Used to evaluate if a nodule is cancerous or benign.

Treatment Options

Conventional Treatments:

Observation: For small, benign nodules or mild goitre.

Hormone Replacement Therapy: For cases caused by hypothyroidism.

Radioactive Iodine Treatment: Common in overactive thyroid conditions.

Surgery (Thyroidectomy): For large goitres, suspicious nodules, or cancer.

Ayurvedic & Herbal Support:

Kachnar (Bauhinia variegata): Traditionally used for reducing glandular swellings.

Trikatu & Guggulu: Stimulate metabolism and support detox.

Ashwagandha: Balances thyroid hormones and stress.

Sankh Bhasma: Supports thyroid health at the tissue level.

Always consult a qualified practitioner before using herbs alongside prescribed medications.

Can Diet & Lifestyle Help?

Absolutely. Eating iodine-rich foods, avoiding goitrogens in excess (like raw cabbage, soy), and maintaining a balanced diet can prevent or manage mild thyroid issues. Also, stress management and regular exercise are crucial to hormonal health.

Conclusion

Thyroid Stimulating Hormone, TSH is responsible for regulating the hormones released by the thyroid gland.

The TSH test is primarily done to measure the level of TSH in the body. But various factors can affect the TSH level.

Thyroid TSH & Ferritin Levels: Atypical Results in Recent Labs

Thyroid TSH is not supposed to fluctuate or change day to day, doctors say it takes a months even years to show even the slightest difference. Not Ashley’s of LiveLoveManja. She had mentioned to her doctor that she felt her thyroid levels were fluctuating and her doctor had said that wasn’t possible. Well the labs on the left show different and her doctor was amazed at how “tuned in” Ashley is with her body. Fluctuations at this rate point to Hashimoto’s Thyroid Disease, not a typical case of hyperthyroidism or hypothyroidism (common in the United States).

Lab on the right shows low Ferritin level (a protein that binds to iron) which is unique and atypical because usually patients who show high iron levels (hemochromatosis, iron poisoning) have high ferritin as well, not low. Doctors are puzzled as to why Ashley’s blood is showing high iron and high B12 but low Ferritin as they for a long time thought this was not possible and Ashley’s labs are teaching them differently. Has this happend to anyone else? Perhaps a lovely side effect of Lyme & Chronic Lyme, Hashimoto’s, or recently entering into Chronic Lyme Remission? We are waiting to hear back on what the specialists say as they are analyzing as we speak and trying to do some research on the atypical results.

Thoughts?