Hello. I am a 22 yo guy.
My great-grandma, my grandma and my mom have hypothyroidism. And my aunt have hypothyroidism and had thyroid cancer.
I have several symptoms of it (like unexplained high cholesterol, difficulty in losing weight, although my weight did not went rampant, hair loss, itches, and psychological problems that resemble depression and mania), so I went to a specialized doctor (the one that take care of the glans, I don’t know the name of it in english…)
The first doctor, refused to even ask examinations, and said that I am overweight because of what I eat. After two years, struggling to lose weight eating less crap, I actually reduced levels of several blood sugars to reasonable levels, but no weight loss, and still high LDL. It was then that I discovered about the rest of the family with hypothyroidism and went to check again.
This new doctor made me take several exams, including TSH, but not T4, TSH was normal, so she insisted that I have something else (not a thyroid problem), but after I really annoyed the doctor, she was willing to ask for a Anti-TPO test (no T4 :/), and it resulted in 111.7 UI (the reference value was maximum of 35 UI).
Also I did a… I don’t know the name in english, a examination using sound waves for imaging, and my thyroid had a nodule (that the doctor believed that was from the parathyroid, but all blood levels from minerals and hormones from the parathyroid are normal), and a “strange texture” according to the examination machine operator (a medic too).
I will return to the doctor (although I don’t trust, the one that refuse to allow me take a T4 test because TSH is normal…), and show the latest results (parathyroid blood levels and anti-TPO), I am convinced that I have hereditary thyreoiditis, and hypothyroidism (otherwise, where my symptoms came from? They are not a psychological “invention”, because several it was other people that noticed, not me, I have some symptoms for so much years that to me was normal, I did not knew that it was wrong…)
My question is: Should I trust this doctor? Or my theory that just TSH alone (and no T4 test) is not sufficient to diagnose is correct?
So, why TSH would be normal?
Extra detail:
The reason why I go to this doctor, is because is the only one that accepts my health plan, and non-health plan consultations here have absurd prices (that is: I would need to borrow lots of money to pay one…)