Doctor insights on:
What Disease Exists When Thyroid Fluctuates Between Hypothyroid And Hyperthyroid
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism.
If not Hashi's, what causes my Hypothyroidism? Pituitary?
Often same: 'thyroiditis' is an inflammatory process of the thyroid gland. Can be caused by virus, usually responds to anti-inflammatory medication and is self-limited. Hashimoto's thyroiditis similar, but is an autoimmune disorder where the antibodies attack the thyroid tissue, as though it was foreign. Over or underactive function could occur, but often becomes chronic and may need thyroid rx for life. ...Read moreSee 1 more doctor answer
I have hypocretin deficient narcolepsy which reduces TSH levels along with autoimmune hypothyroidism. Is the TSH test reliable to gauge my thyroid?
Not always: TSH is not always a reliable test, because it relies on what the pituitary thinks, but different tissues may have different sensitivity to thyroid hormone. In addition, some people make too much reverse T3 (liothyronine), (liothyronine) which can block the action of T3 (liothyronine). Google "stop the thyroid madness" ...Read moreSee 2 more doctor answers
Why could I swing back & forth from hypothyroid and hyperthyroid (thyrotoxicosis)? Neg. antibodies for Hashi's and Graves'. Have multinodular goiter.
Thyroid: It often depends on when you take your medicine. I think it best to take thyroid medicine at bedtime. Give it a bit of time and your levels should be stable. Yes, they could be stable and high or stable and low. Once you have settled on that please see your doctor. ...Read more
Former an emergency!: Both reflect a state of high thyroid hormone levels, however, the former is considered an emergency with life threatning systemic changes namely altered mental state, agitation and sometimes fever. It typically results from untreated hyperthyroidism and is usually brought on by a stress such as trauma or infection. ...Read moreSee 1 more doctor answer
What can cause low TSH of its not a Thyroid or pituitary problem? 0.01 TSH T3 (liothyronine) and T4 free normal, graves and hasmitos negative
2 possibilities: Hi. First of all, Hashimoto's doesn't cause a suppressed TSH, and YES, your TSH is SUPPRESSED, not "low", because your free T4 and total T3 (liothyronine) are "normal". A low TSH (pituitary defect) would cause low free T4 and possibly/probably low T3 (liothyronine). The most likely is a "hot" thyroid nodule (autonomously hyper-functioning); second most likely would be a phase of subacute thyroiditis. Follow over time to tell. ...Read more
Neither.: If you have normal TSH and T4 you have neither of those diseases yet. You may develop hashimoto's in the future but may not. Progression should be monitored with TSH and possibly ft4. ...Read more
Is it possible to show signs of hyper thyroidism with a TSH level of 0.75? palipitations, constant hunger,.is this physcosamatic?Multi nodular thyroid
Not hyperthyroid: If you were hyperthyroid your free T4 would be high and TSH ...Read more
When pituitary gland is responsible for thyroid .Then effect on TSH goes to high or low side of normal range means hypo or hyperthyroid condition?
If your: Pituitary is responsible for hypothyroidism, by definition your TSH will be low. That's what causes the thyroid deficiency. If it is normal, and your free T4 is normal, you do not have hypothyroidism or are on replacement, possibly unnecessarily. Check w/your doctor or see an endocrinologist. ...Read more
Diagnosed with subacute thyroiditis, t3, (liothyronine) t4, esr, CRP is normal except high TSH 10.2, i've bouts of both hyper and hypo. No distinct phases. Possible ?
Possibly: Subacute thyroiditis can cause evolving changes in thyroid hormone levels. Usually the thyroid antibody tests are positive. If your TSH is staying elevated however, you have hypothyroidism, not subacute thyroiditis. The free T3 (liothyronine) and free T4 can sometimes be normal early in the disease. When i see patients with elevated TSH i treat them with thyroid hormone replacement/supplementation. ...Read moreSee 1 more doctor answer
What type of thyroid disease would cause an individual to toggle between Hypothyroidism and Hyperthyroidism symptoms?
Definitely: TSH is a very poor marker for tissue hypothyroidism and to assess Hashimoto's. you can even have normal TPO and thyroglobulin antibodies and manifest Hashimoto's. Get your free T4, free T3, (liothyronine) Reverse T3, (liothyronine) and antibodies checked and optimized... refer to https://www.facebook.com/groups/95847031171/ ...Read moreSee 1 more doctor answer
Tsh 0.313 told I have hyperthyroidism, enlarged thyroid gland. Losing weight, heart palp, & trouble sleeping. What are my chances of Graves' disease.
Hyperthyroidism: There are several causes of hyperthyroidism, the most common of which are Graves disease and Hashimoto's thyroiditis. Given the secondary impacts on other organs, the diagnosis needs to be clarified and determined as early as possible so treatment can begin. Both of these causes could be associated with the symptoms you describe. Get your further testing done and get treatment going. ...Read more
What is the relationship between thyroid hormone and estrogen? Why there's amenorrhoea in hyperthyroidism and menorrhagia in hypothyroidism?
Can tpo antibodies be present in subacute thyroiditis? Or does it mean I have hashimotos. Swollen thyroid Tsh normal. Cold hands fatigue hair falling
Anti TPO antibodies: Can be elevated in some people with normal thyroids, and are markers of thyroiditis, depending on the levels and the follow up. Your symptoms don't point to a specific disease and can be common to other problems as well, your best bet is to see your doctor/endocrinologist for assessment and further management, best wishes ...Read more
Thyroid hormone: Hi. Hyperthyroidism is too much thyroid hormones (T4 & T3). Hypothyroidism is too little thyroid hormones. Thyroid hormone stimulates metabolism and affects many organ systems. Many of the symptoms of hyper and hypo are opposite: temperature sensation, change in weight, heart rate, period flow, bowel function, and so on. Easy to test for. Good luck! ...Read more
What are factors that determine someone with hypothyroidism must be on synthroid (thyroxine) forever?i have it(just high TSH)other thyroid hormones're normal
Failing thyroid: Most likely you have Hashimotos thyroiditis, which is gradually "eating away" at your thyroid. Your doctor could check TPO antibodies. Your gland may not be totally dead now, but it likely will be eventually, but total hypothyroidism and a dead gland could be in 3 months or 10 years. Probably best to take your synthroid (thyroxine) to avoid the symptoms of hypothyroidism, but talk to your doc. ...Read more
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
Yes: Strictly speaking thyrotoxicosis is too much thyroid hormone in the blood due to any cause (including taking too much). Hyperthyroidism is a more specific term, implying too much thyroid hormone in the blood due to an overactive thyroid. Despite this distinction, most patients, and many doctors, use these terms interchangeably. Graves' is one specific cause of hyperthyroidism. ...Read moreSee 2 more doctor answers
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