Am asking for info for a friend she is not on thyroid medication

Her gp did a series of blood tests which included serum TSH result 2.10

range 0.30 - 0.50 also TPO antibodies result 79 range range 0.003- 33.90

She is not feeling well and asked GP if she had a thyroid problem GP replied

It is imminent. GPs asked her to repeat antibodies in 3 months.

Would appreciate anyone's thoughts on this.

I myself have Graves that is another story!!!

Thank you


6 Replies

  • Ali, your friend's antibodies are positive for autoimmune thyroid disease (Hashimoto's) which usually causes hypothyroidism, although it can take years to develop. TSH >2 indicates her thyroid is beginning to struggle but NHS doesn't usually treat until TSH is >5.0.

    Your friend should supplement 200mcg selenium and adopt 100% gluten-free diet to slow progression of Hashi's and reduce antibodies. G-F may be helpful in reducing Graves activity and antibodies too. You can swap recipes and compare notes on progress :)

  • Thank you for your reply Clutter most helful

  • Hello ali56,

    Clutter has already given excellent advice.

    I just wanted to add that the progression of Hashimotos can be managed and slowed quite significantly when certain measures are put in place.

    It would be wise for your friend to educate herself as this disease is progressive and her thyroid will eventually become depleted to the point of requiring hormone replacement medication.

    Two excellent reads are "Your Thyroid & How to keep it Healthy " by Dr Barry Durrant Peatfield and "Root Cause" by Izabella Wentz.


  • Thank you for your reply flower007

  • If your friend still has antibodies in three months and if she still isn't feeling well, if you email for a copy of the Pulse Online article by Dr Toft and within it he says:-

    But if it persists then antibodies to thyroid peroxidase should be measured. If these are positive – indicative of underlying autoimmune thyroid disease – the patient should be considered to have the mildest form of hypothyroidism.

    In the absence of symptoms some would simply recommend annual thyroid function tests until serum TSH is over 10mU/l or symptoms such as tiredness and weight gain develop. But a more pragmatic approach is to recognise that the thyroid failure is likely to become worse and try to nip things in the bud rather than risk loss to follow-up.

    Treatment should be started with levothyroxine in a dose sufficient to restore serum TSH to the lower part of its reference range. Levothyroxine in a dose of 75-100µg daily will usually be enough.

    If there are no thyroid peroxidase antibodies, levothyroxine should not be started unless serum TSH is consistently greater than 10mU/l.

  • Thank you for your reply Shaws most helpful.

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