HomeAnswersEndocrinologytsh levelCan reduced TSH level cause irregular heart beat and hand tremors?

Will low TSH level cause irregular heart beat with hand tremors?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At December 17, 2020
Reviewed AtJune 9, 2023

Patient's Query

Hi doctor, I have a low TSH level. But they remain within normal range. My T3 and T4 levels are normal. I have irregular heartbeats, hand tremors, fatigue, irregular periods. What is the cause?

Hi,

Welcome to icliniq.com.

As your TSH (thyroid-stimulating hormone) is in lower range with normal values of T3 (tri-iodothyronine) and T4 (thyroxine), it is necessary to check your free T3 levels. In our body, T3 and T4 occur in free and bound form. Free-form always remains active. As your TSH is low with normal T3 and T4 values, then free T3 levels help in deciding whether you have hyperthyroidism. As you facing some symptoms of hyperthyroidism, I suggest you do these tests as soon as possible. After that, you can start taking medication for hyperthyroidism which gives you relief from your symptoms.

Investigations to be done

You need to do FT3 (free tri-iodothyronine).

Probable diagnosis

You seem to have hyperthyroidism.

Treatment plan

Your treatment can be decided after knowing T3 levels.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mohammed Abdul Nasir
Dr. Mohammed Abdul Nasir

Pain Medicine

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