Thank you for posting your query.
Laboratory reports have to be correlated with clinical findings to ascertain their significance.
As of now, you do not have any features of goitre
(as found by palpation of the neck region) or encephalopathy
(altered consciouness, etc as assessed by the neuro).
So, the TPO reports need observation and follow up and no action is needed at this stage.
I hope it helps.
Please get back if you require any additional information.
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: firstname.lastname@example.org