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Thyroid labs - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   thyroid labs? very confused

Doctor :   Hi
Doctor :   Hi

User :   i was dx with graves in 2001. since then have been hyper or in remission.
Doctor :   can u explain the labs ?
User :   i would go hypo but only after being over medicated.
User :   tsh noraml at 1.38
User :   t4 free 1.0 normal
User :   t3 total 110 noraml
Doctor :   ok
User :   thyroid peroxidase antibodies 192 high
User :   tsi 56 normal.
User :   the peroxidase should be below 35
User :   thats it for labs
Doctor :   ok

Doctor :   can u tell me ur age ?
User :   39 female3
Doctor :   Do u have any other symptoms ?
User :   oh ya! feel extremely HYPER.. rapid heart rate, mood swings, leg weekness, tired, hair falling out, palpitations, tremors,
User :   i get puffy eyes also, frequent urination
Doctor :   ok

Doctor :   Are u on any thyroids medications ?
User :   no
Doctor :   i think u need to get ablation therapy for thyroid

Doctor :   since you have symptoms of hyperthyroidism
User :   well, thinking of that.. amd i hyper or hypo at this point?
Doctor :   u r hyper right now
User :   my endo wants to put me on synthroid?!
User :   how could i either if all other labs are normal? The tpo is suggestive of what?
Doctor :   has u told him about ur symptoms that u have currently ?

User :   YES, he knows.. his nurse called me tonight and told me to pick up the script. i dont think that is correct
Doctor :   Mild to moderately elevated levels of thyroid antibodies may be found in a variety of thyroid and autoimmune disorders
User :   hashimotos?
Doctor :   hashimotos and graves - both have TPO ab

Doctor :   your condition could be coz that ur thyroid gland is undergoing a burn out state , with release of all hormones and then developing hypothyroidism
User :   if i was hyper or hypo why are my other labs normal?
Doctor :   this is why, ur doc must have thought to put u on replacement meds now
Doctor :   have u got checked for TSH receptor antibody ?
User :   no, just 3rd generation tsh
Doctor :   i would advice u to get this test done, and as well a thyroid scan, to know if the thyroid staus exactly in functionality
User :   so u suggest taking synthroid even though i feel hyper?
Doctor :   yes

User :   why?
Doctor :   BUT u need to get these tests done before u start taking them
Doctor :   if the thyroid gland is not producing any hormones
Doctor :   it could be some antibodies that are producing these symptoms instead
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