Is this presentation of suppressed thyroid‑stimulating hormone with elevated free thyroxine and free triiodothyronine indicative of primary hyperthyroidism or overt hyperthyroidism?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 19, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What are the initial steps in investigating and managing subclinical hyperthyroidism in a 44-year-old male?

What is the management approach for an asymptomatic adult patient with subclinical hyperthyroidism, presenting with low Thyroid-Stimulating Hormone (TSH) levels but normal free Triiodothyronine (T3) and free Thyroxine (T4) levels, and no significant past medical history?

In a patient with low‑normal thyroid‑stimulating hormone (TSH) and elevated free thyroxine (free T4), how should alcohol consumption be managed?

What is the step‑by‑step algorithm for treating hyperthyroidism and hypothyroidism based on thyroid‑stimulating hormone and free thyroxine (and free triiodothyronine) results, including medication dosages, dose adjustments, follow‑up timing, additional laboratory tests to order, precautions, contraindications, and alternative treatment options?

In a patient with suppressed thyroid‑stimulating hormone but normal free triiodothyronine and free thyroxine (subclinical hyperthyroidism), is treatment required before performing a fine‑needle aspiration biopsy of a thyroid nodule?

How should a 62‑kg adult who completed a first isotretinoin (Accutane) course over two months ago, with normal liver function and lipid labs, take the remaining 30‑mg tablets to reach the cumulative target dose?

What is the first‑line pharmacologic treatment for a 49‑year‑old man with newly diagnosed uncomplicated hypertension?

Can viral gastroenteritis cause leukocytosis?

Can you discuss edema, its various types, their etiologies, and underlying pathophysiology?

What is the recommended initial levothyroxine (synthetic thyroxine) dose and titration schedule for a healthy non‑pregnant adult, for an elderly patient (≥65 years) with coronary artery disease, heart failure, or atrial fibrillation, and for a pregnant woman, and how should thyroid‑stimulating hormone (TSH) and free thyroxine (free T4) be monitored during dose adjustments?

In an HIV‑positive patient with a CD4+ T‑lymphocyte count of 9 cells/µL, which prophylactic regimens should be initiated?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.