Can you have hyperthyroidism with normal TSH but high T-3 and T-4?

Ok, this is wats going on, in 2004 I started feeling really nervous all the time, along with shaky hands, hot flashes, sweating, frequently going to the bathroom, lost weight even tho I was hungry an ate more, had a pounding racing heart even at rest...My pcp doc did some test and at first rulede out hyperthyroidism, but the symptoms got worse so he checked my t-3, an t-4, they were way to high he said an started me on PTU to control it, I feel better now, but still have symptoms occasionally, and am really tired of dealin with them, went to an endocinologist, who says its not my thyroid!!!!! Say I can not have normal tsh levels and it be my thyroid, he didn't even care about t-3 or t-4 wants me to quit my med for 6 weeks and lets start over he says!!! I'm scared to death, I really don't wanna feel like I did back in 2004 again, it makes u feel like ur dying!!! An I have a 4 yr old to take care of!! Help!!! Plz!! What should I do? My pcp isn't thrilled with the endo doc's idea either..

You absolutely have hyperthyroidism, by definition. Hyperthyroidism means that you have too much thyroid hormone. The thyroid hormones are T3 and T4.

You also have all of the classic symptoms of severe hyperthyroidism. DO NOT GO BACK TO THAT ENDO!

Your first doctor is doing the right thing with the PTU, and lo and behold, it is working and you are feeling better! What kind of nut case would stop the meds when they are working?? Keep up with the PTU.

Here's the thing. The meds take time to work, and it takes time to find the correct dose, and unfortunately the correct dose may change over time. You have to follow up with blood tests at least once a month and have your dosage adjusted until you are completely stable. You can follow up and get blood tests less often once you are stable.

There is one other thing that you need to do. You have to get a diagnosis of what is wrong with you. Hyperthyroidism is a symptom, not a diagnosis. You need to find out why you have hyperthyroidism. Do you have Grave's disease? Do not leave your next doctor appointment without demanding that the doctor tell you what is wrong with you. It will take further tests to find out.

You sure can be hyper if you have high t4 and high T3. TSH is a lousy test for diagnosing thyroid problems. I'm hypothyroid and it took a while for me to get diagnosed because of the TSH test. Ask your doctor to run a free t3 and free t4, as these are moe reliable than a total T4, toal T3, and TSH. In fact, under Synthoid in the Physician Desk Reference (PDR) it actually states something about testing for free t4 and free t3 when the TSH does not indicate a problem.

get another opinion
there are other hormonal imbalances one can have that cause this. Also, did they check any other medications that could be causing it?

That is a good question. PERHAPS, you should do some more research on MANY of the MEDICAL SITES, that are available on the Internet!

You may even "Yahoo" your question and find someone that has similar problems.

Also I think that ONCE you have your information in hand, seek a Specialist that can help you. Many medical practitioners take patients FOR THE MONEY and do not really know the field!

Thanks, RR

this is possibe
but c a endo dr