A member asked:

Cbc results normal except mchc at 30.9. iron binding cap tibc at 360 / 399. ferritin at 8.7. vitamin d at 27.10. tsh at 2.98. thyroid peroxidase ab at 62. free t4 at 0.7. any cause for concern? im overall well, but seeing gi for some abdominal pain?

3 doctors weighed in across 2 answers

It would be helpful if you listed the lab's normal values. I think your results show mild iron deficiency, common in menstruating women, elevated antithyroid antibodies with a decrease in free T4 but a normal TSH,so Hashimoto's hasn't resulted in clinical underactive thyroid as yet. Vitamin D level is slightly low for a young woman. As always, your MD who knows you is best to advise you.

Answered 12/30/2021

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Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

You have iron deficiency (low ferritin, MCHC and high TIBC) but you do not have gross anemia yet (normal CBC results). With your abdominal pain, I would suspect you have peptic ulcer disease with some blood loss with iron deficiency as the early sign before overt anemia with low Hb/Hct. You have features of chronic thyroiditis (low FT4 and high Ab) but no gross hypothyroidism yet by TSH level.

Answered 12/31/2021

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