Doctor insights on:
Elevated Thyroid Antibodies Normal Tsh
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
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?
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
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
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
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
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?
My thyroglobulin antibody was <0.9 other thyroid test are normal tsh, free4, tpo, tg panel, but have overactive thyroid, confused!
6 months postpartum low TSH and thyroid antibodies found. Tsh went back to normal 2 months later. Hashimotos? Or just postpartum thyroiditis?
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
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
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
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
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
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
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!
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
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
Thyroid antibodies are high, my free T4 low, TSH & free T3 (liothyronine) in normal range, on whole thyroid yet exp 2-4lb weight fluctuation & hair loss- what next?
Worried! Thyroid lab test came back normal tsh, freet4, tg panel, tg antiboby, tpo, but had a scan came back overative thyroid. What does it mean.
If tpoab and tgab are present but within norm range what does that mean? Does everyone have positive thyroid antibodies? Fluctuating TSH as well.
Probably early: Thyroid disease. Autoimmune thyroid disease may present with just autoantibodies that you have. These are not normal. Your doctor likely plans to follow your TSH levels and if you develop any signs of thyroid deficiency, s/he will put you on medication. ...Read more
I am hypothyroid and have thyroid antibodies. I took eltroxin 100 but my T3 (liothyronine) was abit low so I took eltroxin 125 and now my TSH is low. What that mean?
Too high a dose: It means your replacement dose is too high and should be lowered. ...Read more
My TSH levels are 4.67.I am on 25mcg levothyroxin. Doc said its hashimoto's.Should I ask to check my thyroid antibodies too? Or the treatment is same?
Same treatment: If you are/were hypothyroid and are doing well on replacement medication, knowing the status of your auto-antibodies is not going to change the course of treatment. ...Read more
My TSH fluctuates goes to 5.5 with 12.5 mcg comes down to. 27 on 25mcg. Anti thyroid antibodies +ve. How to titrate. Only hair loss no hypothyroid symp?
Dosing: Hi. Most systems are not that sensitive! I would suggest trying 12.5 mcg on even days of the month and 25 mcg on odd days of the mont. This will give you an average daily dose of 18.75 mcg, and should give you a nice, normal TSH. But to reiterate, most systems are not that sensitive. Make sure you're well equilibrated (dose at least 6 weeks) before testing. Good luck! ...Read more
Yes: First, the 'normal' level is a statistical not a clinical determination. Many people will have symptoms when their thyroid test is in the lower part of the normal range and will benefit from treatment. Unfortunately, older thyroid tests were not as precise as the present 3rd generation test and we were formally taught that we could not diagnose mild hypothyroidism. This is no longer true. ...Read more
YES: But I would expect an underactive thyroid to produce a somewhat higher tsh. Best to tell your dr why you're concerned and sort it out. ...Read more
OUr lab 0.3-5.5.:
tsh is from the pituitary.
Usually goes up when the thyroid is low (unless rare genetic changes).
Some labs have a range between 0.3-5.5, other labs between 0.4-4. ...Read more