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Doctor insights on: High Thyroid Antibodies Low Tsh

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Dr. Lakhminder Sandhu Dr. Sandhu
General Practice
27 years in practice
University of Delhi, Lady Hardinge Medical College
1
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


Dr. David Sneid Dr. Sneid
Internal Medicine - Endocrinology
37 years in practice
Washington University School of Medicine
2

2
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.

Dr. Samuel Freedman Dr. Freedman
Pediatrics
5 years in practice
University of South Florida College of Medicine
3

3
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.

Dr. Pouya Shafipour Dr. Shafipour
Family Medicine
19 years in practice
Loma Linda University School of Medicine
4

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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.

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Dr. Ali Saberi Dr. Saberi
Internal Medicine
16 years in practice
5

5
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.

Dr. Vered Lewy-Weiss Dr. Lewy-Weiss
Pediatrics - Endocrinology
24 years in practice
New York Medical College
6

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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.

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Dr. Paul Kaplowitz Dr. Kaplowitz
Pediatrics - Endocrinology
41 years in practice
University of Chicago Pritzker School of Medicine
7

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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

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
8
Dr. David Sneid Dr. Sneid
Internal Medicine - Endocrinology
37 years in practice
Washington University School of Medicine
9

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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.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
10

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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.

Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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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.

Dr. Peter Corrado Dr. Corrado
Family Medicine
37 years in practice
12

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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.

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Dr. Nayla Mumneh Dr. Mumneh
Internal Medicine - Allergy & Immunology
25 years in practice
State University of New York Downstate Medical Center College of Medicine
13

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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.

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Dr. Randy Baker Dr. Baker
Holistic Medicine
36 years in practice
University of Michigan Medical School
14

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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/

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Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
15

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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.

Dr. Thomas Knecht Dr. Knecht
Internal Medicine - Endocrinology
27 years in practice
UC San Diego School of Medicine
16

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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?

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!

Dr. Thomas Knecht Dr. Knecht
Internal Medicine - Endocrinology
27 years in practice
UC San Diego School of Medicine
17

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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).

Dr. Joseph Gutman Dr. Gutman
Internal Medicine
39 years in practice
Universidad Central del Caribe School of Medicine
18

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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!

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

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Dr. Stephen Southard Dr. Southard
Internal Medicine
11 years in practice
Tufts University School of Medicine
19

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I'm 27. my blood test showed low TSH, and total T-3 and free T-4 are both high. What symtomps should I be having? I don't feel classic thyroid symptom

I'm 27. my blood test showed low TSH, and total T-3 and free T-4 are both high. What symtomps should I be having? I don't feel classic thyroid symptom

Remember: Hyperthyroidism - which appears to be the case with based on your biochemical studies - can present with a spectrum of symptoms. Not everyone has tremor, palpitations, anxiety, emotional lability, weakness, heat intolerance, increased perspiration, and/or weight loss. But your testing does suggest that you need further evaluation for the cause of your hyperthyroidism.

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Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
20

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I'm 27. Last year blood work fine. Now I have low TSH, and total T-3 and free T-4 are both high. No thyroid symptoms, maybe chest pain. What is this?

Overactive thyroid: You have an overactive thyroid. Sometimes this is the early phase of what eventually will become an underactive thyroid (thyroiditis). It will need treatment and close followup. Fortunately, there are excellent medications that can normalize your function either way, albeit slowly, so stay in close touch with your doctor!

Dr. Quang Nguyen
930 Doctors shared insights

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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