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Doctor insights on: High Thyroid Antibodies Low Tsh

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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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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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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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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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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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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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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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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

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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. ...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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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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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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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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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

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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! ...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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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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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. ...Read more

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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! ...Read more

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How can I address benign thyroid nodules and low tsh?

Need further eval: The low TSH needs to be addressed as it can cause problems for you. In the presence of thyroid nodules, you will need a thyroid uptake and scan to make sure the nodules are not producing too much thyroid hormones. Treatment then would be antithyroid drugs, radioactive iodine, or surgery. You should not be doing nothing with a low tsh. ...Read more

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What does low T4 and low TSH signify on a thyroid test?

What does low T4 and low TSH signify on a thyroid test?

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to have the actual values rather than your interpretation of the results.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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Can you have low TSH with Hashimoto's (antibodies are present)?

Can you have low TSH with Hashimoto's (antibodies are present)?

Yes, transiently: Hashimoto's thyroiditis can go through a phase of thyroid hyperactivity early in the course of disease and that would be associated with low TSH. Sooner or later enough thyroid is destroyed that thyroid functions declines and TSH rises. ...Read more

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With low TSH 0.02 but all normal thyroid and pituitary gland tests what could, be causing the suppressed tsh? Confused please help....

With low TSH 0.02 but all normal thyroid and pituitary gland tests what could, be causing the suppressed tsh? Confused please help....

Depends: Hi. How long has your suppressed TSH been present? If more than a couple months, and your free T4 and T3 (liothyronine) are normal, it's most likely an autonomous hyper-functioning ("hot") nodule (or multiple hot nodules). ...Read more

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Endocrinologist says my thyroid 2 low. Tsh-3gen 6.30 FTI 2.4 TotT4 8.8 T-uptake 27.8 wants to increase meds. I have no T gland. No symp. What's low?

Thyroid hormone.: We all need thyroid hormones for proper health. If you had your thyroid removed, you will have to take thyroid replacement meds for the rest of your life. If you are taking them, the level has to be monitored to be sure you are getting enough for your body to function normally. If your level is low, the medicine is increased and the level is rechecked regularly to make sure it is stays normal ...Read more

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What besides thyroid can cause light head fluttering in chest hot an cold sweats an excess tiredness? I'm on Med for low tsh.

What besides thyroid can cause light head fluttering in chest hot an cold sweats an excess tiredness? I'm on Med for low tsh.

Check thyroid first: B"sd
If being on a med for "low TSH" means treatment with an antithyroid drug for hyperthyroidism, then the first concern is your thyroid status as this requires frequent monitoring. Thyroid function will change depending on the dose and effectiveness of the medication and the course of the underlying thryoid disease. Challenging even for the best of us endocrine specialists - contact yours! ...Read more

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Normal T3 (3.53) and T4 (1.42), very low TSH (0.02), thyrogobulin is 69, thyroid uptake imagining "significantly abnormal and below normal range"...

Normal T3 (3.53) and T4 (1.42), very low TSH (0.02), thyrogobulin is 69, thyroid uptake imagining "significantly abnormal and below normal range"...

Unusual combination: This is a very unusual combination of results +scan. The most likely cause (if you are not taking excess thyroid hormone and have appropriate Iodine levels in your blood) is thyroiditis, Which type would need antibody assessment and exam of the gland. ...Read more

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My TSH is 0.2 which doctors are happy with as I have a history of thyroid cancer. But could this low TSH be causing my brain fog?

My TSH is 0.2 which doctors are happy with as I have a history of thyroid cancer. But could this low TSH be causing my brain fog?

Thyroid supplement?: If you are taking a thyroid supplement have your doctor check your free T3 (liothyronine) and 4. This will make sure you have proper thyroid replacement. This is important for just about any metabolic function. ...Read more

Dr. Quang Nguyen
938 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