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What Does Raised TSH And TPO Levels Indicate?

Posted on Tue, 13 May 2014

Question: My daughter having 9 years and 9 months has TSH >100, FREE T4 2.15 and ANTI TPO ANTIBODY 236.2 in her thyroid test. Is that hypothyroid or hyperthyroid? Doctor prescribed her to take 50mg Thyronorm. How do you evaluate? Is there anything to worry?

Answered by Dr. Prashant Mahajan (1 hour later)

Brief Answer: Hypothyroidism Detailed Answer: Hi, Welcome to healthcaremagic. Your daughters report is showing raised TSH and raised TPO ANTIBODY. This indicates hypothyroidism.Since antibodies are raised cause is autoimmune hypothyroidism. Treatment started to her in the form of thyronorm is correct.We repeat thyroid function test every 3 months and adjust dose of thyronorm accordingly. Normally autoimmune cases require treatment for 2-3 years.Once TSH level returns to normal all effects caused by hypothyroidism will resolve. Hope I solved your query. Happy to help you Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prashant Mahajan (12 hours later)

Doctor she is the shortest in her class. Hope this medication will improve her height. May I hope so?

Answered by Dr. Prashant Mahajan (6 minutes later)

Brief Answer: Yes... Detailed Answer: Yes, to some extent it will help. But height depends on genetic factors as well. Whether or not her height is right can be determined by MIDPARENTAL HEIGHT FORMULA. I would require your heiight; her father's height and her current height. Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prashant Mahajan (19 hours later)

Thanks a lot doctor. My husband's height is 177 cm, my height is 149 cm and our daughter's height now is 123 cm (9 years and 9 months). What is the minimum height she can achieve defending with this hypothyroid problem?

Answered by Dr. Prashant Mahajan (3 hours later)

Brief Answer: She has ability to reach upto 150cms and above... Detailed Answer: Thanks for review. Her height is currently between 5 and 10 centile for her age. Her future predicted height falls in line with genetically determined height (148-165 cms). According to current height she has ability to reach upto 150cms. So make sure she gets her thyroid treated appropriately. Hope I answered all your queries. If so then we can close this query here. Happy to help you Best regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prashant Mahajan (19 hours later)

Thank u doctor. Doctor may i know 1) how this hypothyroid happened to my daughter at this young age? My mother(identified after 50 years) and I have thyroid (Identified 4 years back, when I was 34). Is heredity is the only reason? or any problems in her diet? 2) Anything to be taken care during her treatment on thyroid? Especially on diet?

Answered by Dr. Prashant Mahajan (33 minutes later)

Brief Answer: in your daughters case it is autoimmune Detailed Answer: 1)your daughters problem is autoimmune in which antibodies are transferred through placenta at the time of birth or produced automatically on its own 2)Here is list of good food for hypothyroid Iodized Salt Seaweeds and Seafoods Salt Water Fish Meat,Chicken,Salmon,Whole Unrefined Grains,Dairy Products,Garlic Onions Here is a list of foods to be avoided: Cassava,Linseed,Peanuts,Turnips Mustard Greens,Mustard,Millet Cauliflower,Peaches,Coffee,Spinach Bamboo shoots Soybeans and related products Sweet Potato

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Above answer was peer-reviewed by : Dr. Shanthi.E