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b'Lisa\\u2019s Question:\\xa0\\nI have a free T4 of 1.5, a TSH at 3.09 and I have a free T3 of 2.7. Do these seem like they are within parameters? My ENT says everything is fine with my numbers, and my vitamin D is 26.5.\\nShort Answer:\\xa0\\nThis is a good example of a high normal TSH level (3.09), which does raise some concerns. Any time we see a TSH above 2.0 to 2.5, it gets our attention. A high normal TSH level, along with clinical symptoms helpt to determine the best course of action for the patient. We like to see a low normal TSH level and a high normal Free T3 level, preferably greater than 3.2.\\nPYHP 078 Full Transcript:\\xa0\\nDownload PYHP 078 Transcript\\nDr. Maki: Hello, everyone. Thank you for joining us for another episode of the Progress Your Health Podcast. I\\u2019m Dr. Maki.\\nDr. Davidson: And I\\u2019m Dr. Davidson.\\nDr. Maki: So how are you doing this morning?\\nDr. Davidson: I\\u2019m doing great. How are you doing?\\nDr. Maki: Pretty good. Pretty good. 2020 is moving along.\\nDr. Davidson: It sure is.\\nDr. Maki: A little bit of a hiccup earlier in the year, but we survived. We\\u2019re all making it through. We\\u2019re going to continue answering some more questions. This one also is pertaining to thyroid, and this is from Lisa. So, Dr. Davidson, why don\\u2019t you to go ahead and read it from Lisa?\\nDr. Davidson: Sure. So, Lisa is a podcast listener, hence we\\u2019re doing the podcast, but she has a question based on episode 38 which seems like light years away.\\nDr. Maki: Yeah, it seems like it was so long ago.\\nDr. Davidson: That we did that episode 38. Episode 38 was, Do you have a low free T3 level? So, Lisa\\u2019s question is, I have a free T4 of 1.5, a TSH at 3.09 and I have a free T3 of 2.7. Do these seem like they are within parameters? My ENT says everything is fine with my numbers, and my vitamin D is 26.5.\\nDr. Maki: Yeah. Right. So, this is in some ways in contrast to Dinette that we talked about. In some ways, almost exactly, the opposite. So here her TSH is already on the high end of normal. 3.0, that\\u2019s a little bit of a red flag for us, right? When we talked about Dinette, her number was point\\u2013 I don\\u2019t remember exactly what it was. It was 0.82 or something. So, way on the low end of normal. Now here, her number is on the complete high end of normal. Right away, that automatically puts up some red flags.\\nDr. Davidson: Why don\\u2019t you reiterate what TSH does and what does it mean when it\\u2019s high and when it\\u2019s low?\\nDr. Maki: Oh, well, why don\\u2019t you do that?'