A member asked:

Why is it not standard to do thyroid antibodies on someone with hypothyroid symptoms but a normal tsh?

3 doctors weighed in across 2 answers

May not be thyroid: Symptoms are often similar for a number of dieases. If symptoms suggest a certain disease a screening test will often be done. If the screening test is negative (TSH) further, more specific testing (thyroid antibodies) is usually not indicated. If symptoms persist with no other explanation, re-evaluation of a certain diagnosis may be indicated.

Answered 2/1/2015

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First: Must check free T4 to prove normal TSH is nml, or could be inappropiately 'normal range' if free T4 low anyway, we don't treat 'antibodies'-- we treat thyroid hormone function measured by TSH and free t4.

Answered 2/1/2015

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