A member asked:

Tsh low at .04, but peroxidase high at 617. normal free t3 (liothyronine) & t4. feel awful with hyper symptoms, not hypo. doc says wait and see. agree?

A doctor has provided 1 answer
Dr. Ralph Morgan Lewis answered

Specializes in Family Medicine

Thyroid: If your doc is an endocrinologist, follow his advice. Tsh has an inverse relationship with thyroid activity, i.e. Low tsh=high thyroid activity. The elevated thyroid peroxidase (aka antimicrosomal antibodies) suggests autoimmune hyperthyroid disease, but can also be elevated in other autoimmune disorders like lupus & rheumatoid arthritis & many other conditions. Get 2nd opinion if in doubt.

Answered 2/10/2019

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