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What Does My Blood Test Report For Thyroid Indicate?
Question: Hi,
I have just had a blood test for thyroid problems. The results are as follows:
Serum free T4 level 14.6
Serum TSH level. 6.39
What does this mean and how can it be treated?
Many thanks
XXXXXXX
I have just had a blood test for thyroid problems. The results are as follows:
Serum free T4 level 14.6
Serum TSH level. 6.39
What does this mean and how can it be treated?
Many thanks
XXXXXXX
Brief Answer:
Thyroid
Detailed Answer:
Your TSH is mildly elevated. There can be a number of reasons for this. A common one is 'Primary Acquired Mild Subclinical Hypothyroidism'. In non-expert terms this means a slightly underactive thyroid gland. An important matter is to determine the normal range for free t4 in your laboratory. It appears to be in the normal range but a confirmation would be helpful. The commonest reason for this condition is Hashimoto's thyroiditis. It is also called Chronic Auto immune Thyroiditis. In this condition the body's own defenses attack the thyroid gland in the neck. This problem can progress to a point where it is irreversible and require lifelong treatment with a medication called Levo thyroxine. However there are several other possibilities where the thyroid normalizes spontaneously. To diagnose this correctly as to which type you have requires a physical examination by a qualified endocrinologist
Thyroid
Detailed Answer:
Your TSH is mildly elevated. There can be a number of reasons for this. A common one is 'Primary Acquired Mild Subclinical Hypothyroidism'. In non-expert terms this means a slightly underactive thyroid gland. An important matter is to determine the normal range for free t4 in your laboratory. It appears to be in the normal range but a confirmation would be helpful. The commonest reason for this condition is Hashimoto's thyroiditis. It is also called Chronic Auto immune Thyroiditis. In this condition the body's own defenses attack the thyroid gland in the neck. This problem can progress to a point where it is irreversible and require lifelong treatment with a medication called Levo thyroxine. However there are several other possibilities where the thyroid normalizes spontaneously. To diagnose this correctly as to which type you have requires a physical examination by a qualified endocrinologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi again. I have just had a further blood test - Thyroid Peroxidase Antibody level and the results are as follows:
Abn Y HI. 354 IU/ml. I can see that the range should be <34 U. Can you please tell me what this shows combined with my previous results for TSH and T4? In your opinion how would you treat me? I look forward to hearing from you.
Kind Regards
XXXXXXX XXXXXXX
Abn Y HI. 354 IU/ml. I can see that the range should be <34 U. Can you please tell me what this shows combined with my previous results for TSH and T4? In your opinion how would you treat me? I look forward to hearing from you.
Kind Regards
XXXXXXX XXXXXXX
Brief Answer:
Follow up
Detailed Answer:
It is high. Such positive levels are seen in one of the causes of an under-active thyroid called Chronic Auto Immune / Hashimoto's thyroiditis. I have alluded to this entity in my previous response as well. Now you will be best served by an endocrinologist who will have the opportunity to examine you in order to have a joint discussion as to whether or not you should start treatment with a medication called XXXXXXX thyroxine.
There is no one immediate correct approach for this because your TSH is not significantly elevated. Had it been more than 10 or 20, it would make sense to initiate treatment.
Follow up
Detailed Answer:
It is high. Such positive levels are seen in one of the causes of an under-active thyroid called Chronic Auto Immune / Hashimoto's thyroiditis. I have alluded to this entity in my previous response as well. Now you will be best served by an endocrinologist who will have the opportunity to examine you in order to have a joint discussion as to whether or not you should start treatment with a medication called XXXXXXX thyroxine.
There is no one immediate correct approach for this because your TSH is not significantly elevated. Had it been more than 10 or 20, it would make sense to initiate treatment.
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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