Hello doctor,I am a 30-year-old male. Recently, I went in for a check-up. I suffer from insomnia and fatigue. Below are the only two abnormalities:TSH 9.86 (mU/L)FT3 4.22 (pg/ml)TT3 1.29 (ng/ml)T4L 1.45 (ng/dl)TT4 6.30 (d/dl) Thyroid ultrasound: slightly inflamed isthmus (3.46 mm thickness). Normal blood supply. High cholesterol, VLDL and triglycerides: Cholesterol 265.00 (mg/dL).HDL 36.40 (mg/dL).LDL 159.60 (mg/dL).VLDL 124.00 (mg/dL).Triglycerides 620.00 (mg/dL).AIP 1.231. Is it possible that the high TSH level is the reason for my chronic fatigue and insomnia? Is it also elevating my cholesterol and triglycerides? I am guessing the doctor is going to want to put me on hormone medications to treat the high TSH?
Hello. A high TSH (thyroid stimulating hormone) indicates a condition called hypothyroidism. This condition can cause fatigue and high cholesterol levels but insomnia is very unlikely in this condition. Yes, your doctor will initiate a hormonal medication called Thyroxine which you may have to take for a long time. Hope this information was useful to you. For more information consult an endocrinologist online -->