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Doctor insights on: Elevated Thyroid Antibodies Normal Tsh

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Symptomatically hypothyroid patient with elevated thyroid antibodies but normal TSH, T4, and T3 (liothyronine). What is normally done in this situation?

Symptomatically hypothyroid patient with elevated thyroid antibodies but normal TSH, T4, and T3 (liothyronine). What is normally done in this situation?

Usually you: Follow the patient and institute BRAND NAME thyroid replacenebt when the TSH increases above nornal, TSH and free T4 are the only tests necessary once you have established elevated antithyroid ab's. Over 60% of normal people have soe symptoms of hypothyroid with a normal thyroid. Diseases can cause symptoms, but symptoms don't cause you to have a disease. ...Read more

Dr. Melissa Haglund
72 Doctors shared insights

Thyroid Antibodies (Definition)

Thyroid antibodies are autoantibodies that are found in 7% of the general population. They attack the thyroid. They are increased in hoshimoto's thyroiditis and 14% of patients with chronic idiopathic urticaria have ...Read more


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Had high TSH (4.6). Refused Synthroid (thyroxine). Repeat test: Normal TSH (2.4), normal T4 (0.98), elevated T3 (4.8), negative thyroid antibodies. Any concerns?

Had high TSH (4.6). Refused Synthroid (thyroxine). Repeat test: Normal TSH (2.4), normal T4 (0.98), elevated T3 (4.8), negative thyroid antibodies. Any concerns?

No: Thyroid tests regularly fluctuate due to stress. My suggestion is to continue to keep an eye on it. May want to also have doctor examine ur thyroid and see if u need a UltraSound of the thyroid gland. ...Read more

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What can cause high thyroid antibodies with normal tsh?

What can cause high thyroid antibodies with normal tsh?

Thyroid antibodies: Hashimotos disease - its an autoimmune disorder causing thyroid inflammation. An ultrasound should be performed to detect thyroid nodules. It can cause thyroid dysfunction ie TSH abnormalities over time. ...Read more

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

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

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. ...Read more

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Why and how can a person have high thyroid antibodies (hashimotos), hypothyroid symptoms but normal tsh, T3 (liothyronine) and t4? How does the body pull this off?

Why and how can a person have high thyroid antibodies (hashimotos), hypothyroid symptoms but normal tsh, T3 (liothyronine) and t4? How does the body pull this off?

Thyroiditis: Antithyroid antibodies only suggest that there is an autoimmune reaction towards the thyroid. It takes a fair amount of destruction of the thyroid gland to affect its function. ...Read more

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Do I need treatment if my TSH 7.69 high normal free T4 and free T3 (liothyronine) and elevated thyroid antibodies?

Do I need treatment if my TSH 7.69 high normal free T4 and free T3 (liothyronine) and elevated thyroid antibodies?

Yes: Tsh 7.69 with high tpo is not "high normal" but high and indicates hypothyroidism. Having high tpo indicates autoimmune or hashimoto's thyroiditis. I suggest adding selenium zinc b complex and vitamin c and iodine and avoiding gluten for a month and rechecking levels in a month. If no change then you might need thyroid supplementation. ...Read more

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I've had hypothryoid-like symptoms for a few years now. My TSH is normal but I have thyroid antibodies. Could it still be a thyroid issue?

I've had hypothryoid-like symptoms for a few years now. My TSH is normal but I have thyroid antibodies. Could it still be a thyroid issue?

Probably: The presence of thyroid antibodies makes you more likely to develop a thyroid problem which usually ended up with low thyroid status. Given the normal TSH however no treatment is indicated at this time. Just follow-up. ...Read more

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Sud a person wit thyroid antibodies +ve n TSH normal becum hypothyrod n future, my sis is already hypothyrod, any implications of vision problems frm it?

Sud a person wit thyroid antibodies +ve n TSH normal becum hypothyrod n future, my sis is already hypothyrod, any implications of vision problems frm it?

Thyroiditis: A significant percentage of individuals with autoimmune antibodies to the thyroid gland develop hypothyroidism with time and need to have it corrected. If left uncorrected, a number of symptoms can occur, blurred vision is not a primary symptom but can occur. ...Read more

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6 months postpartum low TSH and thyroid antibodies found. Tsh went back to normal 2 months later. Hashimotos? Or just postpartum thyroiditis?

6 months postpartum low TSH and thyroid antibodies found. Tsh went back to normal 2 months later. Hashimotos? Or just postpartum thyroiditis?

Probably: Postpartum, but doesn't really matter if lab returned to normal. It will obviously need to be monitored on an on-going basis as it could change in the future, particularly during a future pregnancy. ...Read more

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My blood results came back normal but I still don't feel right? Tests for thyroid, antibodies, low test (TSH, T4, T3) and testicular. Physically

My blood results came back normal but I still don't feel right? Tests for thyroid, antibodies, low test (TSH, T4, T3) and testicular. Physically

Work with your team: When people just don't feel right in a general way, blood tests such as you had rarely give the answer. You need to find a provider (either MD or NP) who will listen to your complaints, get more history, and not just order tests. Perhaps you are not getting enough sleep or have some form of depression or mood disorder. Lots to consider and you need to see someone for more than 10-15 minutes ...Read more

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I'm 23yr female. I've hypothyroid symptoms, but my T3, (liothyronine)T4, TSH test results came out normal. What thyroid tests should I take to test thyroid antibodies?

I'm 23yr female. I've hypothyroid symptoms, but my T3, (liothyronine)T4, TSH test results came out normal. What thyroid tests should I take to test thyroid antibodies?

Thyroid Ab's and...: Many people who are clinically hypothyroid have normal tests as what is normal is debatable. Many believe any TSH above 3 is too high, some even above 2. Check anti-thyroglobulin and TPO antibodies but also test Free T3 (liothyronine) and Reverse T3 (liothyronine).
See http://tinyurl. Com/koyamo5
and http://tinyurl. Com/nrww2qg
and http://www. Stopthethyroidmadness. Com/tsh-why-its-useless/ ...Read more

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I had normal tsh, t3, (liothyronine) t4, but antithyroglobulin antibody level is 263 and thyroid uptake showed homogenous uptake at 56%. What should I do?

I had normal tsh, t3, (liothyronine) t4, but antithyroglobulin antibody level is 263 and thyroid uptake showed homogenous uptake at 56%. What should I do?

Auto immune thyroid: Your thyroid functions are normal presence of thyroglobulin antibodies indicate autoimmune disease though more sensitive test is tpo autoimmune disease makes thyroid inefficient and hence iodine trapppping is increased of these people 30 percent will develop undersctivity. ...Read more

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Do I need thyroid hormone if I have low free t3, (liothyronine) normal TSH and high tpo antibodies?

Do I need thyroid hormone if I have low free t3, (liothyronine) normal TSH and high tpo antibodies?

Possibly.: The TSH is normal so it might be a variation of normal or euthyroid. It also might be a developing thyroid condition, but there would be symptoms, like fatigue. The tpo antibodies might mean hashimoto's thyroiditis. This is usually associated with hypothyroidism. It would be wise to see your doctor to follow up. ...Read more

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Suppressed TSH 0.02 for about two, months that I know of. Free T3 (liothyronine) and T4 Normal. Thyroid antibodies Normal. Thyroid ultrasound normal? Confused? Help!

Suppressed TSH 0.02 for about two, months that I know of. Free T3 (liothyronine) and T4 Normal. Thyroid antibodies Normal. Thyroid ultrasound normal? Confused? Help!

2 possibilities: Hi. This could still be a phase of a subacute thyroiditis, although the window of time on that possibility is closing. The other is one or more autonomously hyper-functioning nodules, which in NOT ruled out by your ultrasound. An 123-Iodine uptakes and scan would clarify the issue: VERY low uptakes in subacute thyroiditis, and normal uptakes with hot spot (s) on scan image in toxic nodule (s). ...Read more

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What does it mean to have high tpo antibodies but Normal tsh t4 t3 (liothyronine) function? Enlarged thyroid-US heterogenous thyroid parenchyma with hypervascularity

Thyroiditis: You likely have thyroiditis (autoimmune)in its early stage and you need to consult your doctor for Rx and monitor. ...Read more

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Positive thyroid antibodies, a TSH of. 5, normal T3 (liothyronine) and normal T4. My mother has Hashimotos. I have hypothyroid symptoms. Dr won't help me. Help!

Positive thyroid antibodies, a TSH of. 5, normal T3 (liothyronine) and normal T4. My mother has Hashimotos. I have hypothyroid symptoms. Dr won't help me. Help!

Well...: Fortunately your thyroid function test are normal!
They should be checked about every year
Realize, that symptoms of hypothyroidism are similar to depression, or other diseases.
You may want to have a serious conversation with your Dr. Or get another one ...Read more

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Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Hard to say: I've yet to have anyone NOT have elevated TPo but I haven't sent many. The standard answer would be that it likley is GRAVES disease starting but if there aren't a lot of symptoms and the labs are normal you wouldn't give treatment. Retesting if symptoms and at about every 3 months. ...Read more

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Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies? Have Hypo symptoms

Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies? Have Hypo symptoms

Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more

Dr. Quang Nguyen
936 Doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more


Antibody (Definition)

An antibody is a protein the body's immune system makes to identify potentially harmful substances in the body. Antibodies attach to the substance on a molecular level and mark it so the immune ...Read more