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What Causes Increased Thyroglobulin Level?

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Posted on Wed, 8 Apr 2015
Question: My Thyroglobulin is 101.3, very high, my TSH is 45.00
What should I do next, there is not a competent doctor around. I am taking 15 mg of Armour Thyroid, cannot handle a larger dose
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
You clearly have a permanently under active thyroid condition called 'Hypothyroidism'. This requires lifelong thyroid hormone replacement with a medication called levo thyroxine. Synthroid is one brand name of this medicine.
Treatment guidelines by thyroid experts have repeatedly emphasized that armour thyroid is not safe to use for the treatment of this condition.
Levo thyroxine alone is typically sufficient.
So I suggest you see an endocrinologist in person who will likely stop the Armor and give you an appropriate dose of levo thyroxine to start with. This dose will be determined based upon a comprehensive in-person assessment, and further dose adjustments will be made on the basis of the TSH (and Free T40 blood tests results over the course of the next few months.

I believe your zip code is 92705. The following practitioners in your area are deemed experts in thyroid management:

5.44 Miles     
Shah, XXXXXXX MD     725 W. La Veta Ave
Suite 220     Orange     CA     92868     0000

9.66 Miles     
Moattari, XXXXXXX MD,FACP,FACE     1441 Avocado Ave, #807     Newport Beach     CA     
92660     (949) 706-7706

12.28 Miles     
Mulford, Mim, MD,FACE     Mission Internal Medical Group
26800 Crown Valley #230     Mission Viejo     CA     92691     (949) 364-6000

11.35 Miles     
Nguyen, Lan, MD,FACE     14971 Brookhurst St XXXXXXX CA     92683-6037     (714) 839-5898
12.36
Miles     Punim, XXXXXXX MD,FACE     17822 Beach Blvd
Suite 201 XXXXXXX Beach     CA     92647     (714) 842-9400

7.77 Miles     
Reikes, XXXXXXX MD,FACE     Gottschalk Medical Plaza
1 Medical Plaza Drive XXXXXXX CA     92697-0001     (949) 824-8600
18.66
Miles     Reitz, XXXXXXX MD,FACE     Quest Diagnostics, XXXXXXX Institute
33608 Ortega Highway     San XXXXXXX Capistrano     CA     92675-2042     (949) 728-4324

5.44 Miles     
Rettinger, XXXXXXX MD,FACE     725 W La Veta Ave
Suite 220     Orange     CA     92868     0000

12 Miles     
Saltman, XXXXXXX MD     433 W Bastanchury Road XXXXXXX CA     92835-3404     (714) 446-7817

12.28 Miles     
Stosel, XXXXXXX MD     25982 Pala
Suite140     Mission Viejo     CA     92691     949-951-7100
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (15 hours later)
Thank you so much Dr. Topiwala for your very valuable information. I'll follow up with one of the Specialists you suggested.
Regards,
XXXX
doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
Best wishes
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Increased Thyroglobulin Level?

Brief Answer: Thyroid Detailed Answer: You clearly have a permanently under active thyroid condition called 'Hypothyroidism'. This requires lifelong thyroid hormone replacement with a medication called levo thyroxine. Synthroid is one brand name of this medicine. Treatment guidelines by thyroid experts have repeatedly emphasized that armour thyroid is not safe to use for the treatment of this condition. Levo thyroxine alone is typically sufficient. So I suggest you see an endocrinologist in person who will likely stop the Armor and give you an appropriate dose of levo thyroxine to start with. This dose will be determined based upon a comprehensive in-person assessment, and further dose adjustments will be made on the basis of the TSH (and Free T40 blood tests results over the course of the next few months. I believe your zip code is 92705. The following practitioners in your area are deemed experts in thyroid management: 5.44 Miles Shah, XXXXXXX MD 725 W. La Veta Ave Suite 220 Orange CA 92868 0000 9.66 Miles Moattari, XXXXXXX MD,FACP,FACE 1441 Avocado Ave, #807 Newport Beach CA 92660 (949) 706-7706 12.28 Miles Mulford, Mim, MD,FACE Mission Internal Medical Group 26800 Crown Valley #230 Mission Viejo CA 92691 (949) 364-6000 11.35 Miles Nguyen, Lan, MD,FACE 14971 Brookhurst St XXXXXXX CA 92683-6037 (714) 839-5898 12.36 Miles Punim, XXXXXXX MD,FACE 17822 Beach Blvd Suite 201 XXXXXXX Beach CA 92647 (714) 842-9400 7.77 Miles Reikes, XXXXXXX MD,FACE Gottschalk Medical Plaza 1 Medical Plaza Drive XXXXXXX CA 92697-0001 (949) 824-8600 18.66 Miles Reitz, XXXXXXX MD,FACE Quest Diagnostics, XXXXXXX Institute 33608 Ortega Highway San XXXXXXX Capistrano CA 92675-2042 (949) 728-4324 5.44 Miles Rettinger, XXXXXXX MD,FACE 725 W La Veta Ave Suite 220 Orange CA 92868 0000 12 Miles Saltman, XXXXXXX MD 433 W Bastanchury Road XXXXXXX CA 92835-3404 (714) 446-7817 12.28 Miles Stosel, XXXXXXX MD 25982 Pala Suite140 Mission Viejo CA 92691 949-951-7100