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Doctor insights on: Hypothyroid Tsh High No Antibodies

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A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

Hypothyroid: 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, your A1c result is not abnormal and is not pre-diabetes level. However you are hypothyroid and should consult your doctor for replacement medication. ...Read more

Dr. Su Fairchild
1,212 doctors shared insights

Hypothyroidism (Definition)

The thyroid gland is an endocrine organ located in the front part of the neck. Its role is to make thyroid hormones, which control the way cells use energy. Hyperthyroidism results when the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...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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Thyroid ultrasound results showed hyperthyroidism but blood tests came back saying hypothyroidism TSH 11.4 antibodies teat also came back high?

Thyroid ultrasound results showed hyperthyroidism but blood tests came back saying hypothyroidism TSH 11.4 antibodies teat also came back high?

Size v function: The ultrasound can only tell you the anatomy of the thyroid whereas the blood tests tell you how it functions. In your case, you have low thyroid function and probably an enlarged thyroid. ...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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Hypothyroidism (TSH 5.1mu/L, no anti-bodies),try to conceive,on Levothyroxine 25 micrograms/day for 4 weeks, TSH down to 0.4. Is my dosage too high?

Hypothyroidism (TSH 5.1mu/L, no anti-bodies),try to conceive,on Levothyroxine 25 micrograms/day for 4 weeks, TSH down to 0.4. Is my dosage too high?

More information:: Without other thyroid tests it is hard to be exact. But once Thyroxine supplementation takes hold the TSH value will go down. As you are providing the thyroid hormone by tablet form, and your feedback loop becomes down regulated causing the TSH to decrease reflexively. ...Read more

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I have hypothyroidism, microsomal antibodies range >1300, taking 100mcg for last 2 months, my TSH is .84 can I reduce dose, ?

I have hypothyroidism, microsomal antibodies range >1300, taking 100mcg for last 2 months, my TSH is .84 can I reduce dose, ?

See your Dr. first.: You should see your dr. Before lowering any dose first. In fact, you need to see dr. Anyway as your ab is high, and. Likely means hashimoto's, which can have both a low and high thyroid state, so you have to get this checked and your med(s) adjusted also. Best of luck! ...Read more

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Dx'd hypothyroid (TSH 28,negative antibodies) at 10y/o and on Levothyroxine since. Tested again and still neg antibodies. What could be cause of hypo?

Dx'd hypothyroid (TSH 28,negative antibodies) at 10y/o and on Levothyroxine since. Tested again and still neg antibodies. What could be cause of hypo?

Many possibilities: Hypothyroidism is very common but in most cases the cause isn't known. There are many possible causes.There are genetic tendencies and it's also related to iodine deficiencies and exposure to many environmental toxins including fluoride, BPA, pesticides, a diet high in goitrogenic foods etc. It is difficult to determine in an individual case. See http://tinyurl.com/p4p3fvj & my comment: ...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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Hashimotos antibodies greater than 1600, almost every symptom of hypothyroidism but TSH is within normal range. Doctor not treating me. Why?

Hashimoto's: Hashimoto's disease can, and likely will, affect your thyroid gland with antibodies that high. If your thyroid hormone levels are normal and you do not have symptoms nothing might be needed for now. Unlikely. You mention normal TSH but make mention of your thyroid hormones. Can you let me know what they are? ...Read more

Dr. Quang Nguyen
893 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