TSH went up 3m after surgery?

[elalala 4]

I had a sleeve surgery done on 10/28/17. I had a bleed after the surgery and lost a good amount of blood before they realised and fixed it. Other than that no complications.

Before the surgery I have had my TSH, T3, and T4 tested multiple times. My TSH was generally on the high end of normal (4-4.5), though once it was a 5.6. T3 and T4 have always been within normal ranges.

Since the surgery I have been feeling a bit manic and very anxious. I am on antidepressents but have been on the same ones for 3 years.

A few weeks ago (about 90 days after surgery) I had bloodwork done and my TSH has gone up to 7.4. My T3 and T4 are still within normal range, but my TSH has never been that high before. My B12 and B6 were also very high, though I have no idea if that could be related.

My question is, did anyone's TSH go up after surgery? My surgeons office is being very unhelpful when I tried to ask them about it and I feel like they are just brushing me off. I honestly feel like they were so supportive before surgery, and now that it's over they rush through appointments and just say whatever I'm feeling is either normal or unrelated to the surgery. The NP there said that there is no way the TSH increase could be related to the surgery or the blood loss, and that stress would not cause it to go up. She also said that the elevated B12 and B6 might be because of my antidepressants, but I don't see how considering they have not changed.

I am afraid that if I go to an Endocrinologist they are just going to want to put me on Synthroid, but if the high TSH is something that will resolve on its own in a few months I don't want to do that. I am also not sure if the psych symptoms could be related to either the TSH or the high B12 and B6.

Has anyone had this happen to them? Do you know if the combination of the stress on my body from blood loss and low caloric intake, and the surgery itself, could cause my TSH to be elevated? Any thoughts or advice would be really appreciated!

[Little Green 583]

I'm so sorry you're going through this. I am the same way about my blood work, wanting explanations for things that are out of range or don't look right and I have definitely annoyed my saintly doctors by asking! However they have always treated me with respect and answered my questions, so I am sorry you are feeling brushed off.

Do you have a PCP/family doctor that you could see and ask them to repeat the labs or give you some better explanations? And, are you supplementing with B12? That is one of the required supplements on my program, so that could explain the high reading.

I have dealt with weird TSH readings for years. Omg. Up and down and up and down. When I was a teenager (16 I think) my endo put me on Synthroid, at 20 my ob/gyn took me off. I changed ob/gyns when I was 23 and she put me back on it. Almost 5 years ago I moved and found my current PCP and she repeated the labs twice with normal TSH levels and took me off. (I go to PP for my annual and birth control now, so they're not evaluating my labs.) SO......

I really don't know what the f-ck is up with the TSH tests and why they are so wonky for people. To be honest unless you decide to visit your PCP and get the labs repeated, I would not worry about it - you will get new labs at 6 months or shortly thereafter and can compare then. I know it's frustrating not to have answers! If you have symptoms then certainly ask for more help but I'm honestly not sure anyone, medical professional or not, can be confident in what that test reading actually means. Honestly. I was told as a teenager the thyroid never recovers function and you will always be on Synthroid. Soooo... yeah. *shrugs*

Good luck, ladybird!

[Little Green 583]

I had high platelet readings for several years and always bugged my doctor about it. Finally she was just like IT'S PROBABLY FROM INFLAMMATION YOU DON'T HAVE CANCER, OK???? And now I feel better. Hee hee! Sorry doc!