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(TBS #11) Thyroid Lab Patterns Explained: Hi TSH, lo T3, lo T4 & More

The Dr. Westin Childs Podcast
The Dr. Westin Childs Podcast
Episode • Jul 10, 2018 • 9m
This is episode #11 in my thyroid video series and today is all about thyroid lab patterns!

Lab patterns can give you important insight as to how your thyroid gland is functioning and they can be very confusing, especially for patients.

In this video I go over 6 lab patterns which tend to be the most "confusing" because they may seem "normal" even though you may experience hypothyroid symptoms.

1. High TSH, normal T4, normal T3 = This is the pattern we've been discussing in this post and will usually present with hypothyroid symptoms.

2. High TSH, normal T4, low T3 = This pattern may be an indication that you are having issues with thyroid conversion and most often presents with hypothyroid symptoms.

3. Normal TSH, low T4, low T3 = This pattern is usually what is seen in those with chronic illness and in those who are taking multiple medications. If you have this pattern you will most likely be symptomatic.

4. Normal TSH, normal T4, low T3 = This pattern may be consistent with low T3 syndrome or euthyroid sick syndrome and may present with hypothyroid symptoms but not always.

5. Normal TSH, normal T4, normal T3, positive thyroid antibodies = This is a classic presentation for early Hashimoto's and most patients with this pattern will be symptomatic. If you are symptomatic this is a valid reason to consider a trial of thyroid medication even though your lab tests are "normal".

6. Normal TSH, normal T4, normal T3, high reverse T3 = This pattern is most often seen immediately after calorie restriction or after dieting and weight loss. This pattern usually indicates an adaptive response from your body and one that shows your metabolism will be slowing over the next few months (not ideal for weight loss).


Hey guys!

I'm Dr. Westin Childs and I focus on thyroid health, hormone balance, and weight loss. I write about thyroid disorders, weight loss, insulin resistance, estrogen/progesterone balance on my blog. I truly believe that hormone balance is the key to managing your weight, your mood and your quality of life which is why I'm so passionate about it.

I take a personalized/functional medicine approach to management of conditions. I'm not accepting patients but you can learn more and get plenty of information on my blog!

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More information, including links to literary studies, in the video and the full blog post, can be found here:
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This video is not intended to be used as medical advice. If you have questions about your health please consult your physician or primary care provider. Dr. Westin Childs goes to great lengths to produce high-quality content but this is NOT a substitute for medical care.

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