help with results

[paizay]

Hi - just had my first blood test results after being on 100mg of Levothyroxine for 4 months. The T3 and T4 are now in normal range but the TPO are still high at 143.68 (at the start were 869.23). what does this mean? is the dosage of medication still appropriate? have docs appt next week.

thanks

[Clutter]

Welcome to the forum, Paizay.

Normal range is very broad. If you post your thyroid results with the ranges (figures in brackets after results) members will advise whether you are optimally medicated on 100mcg.

As your FT4 and FT3 rose TSH will have dropped. Low TSH is helpful in reducing stimulation of the thyroid gland and may be why antibodies have dropped. Antibodies also subside after a Hashimoto's flare but will rise if there are subsequent flare ups. 100% Gluten-free diet can help reduce flares, symptoms and antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

_________________________________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[paizay in reply to Clutter]

Thanks for that! the results were

TSH 3 G -----1.192 (range 0.350-4.940) 4 months ago =7.844

T4 -----1.12 (range 0.70-1.48) 4 months ago =0.95

14.41 (range 9.01 -19.05)

TPO 143.68 (<5.61) 4 months ago =(869.23)

I don't understand the rsults really. Just that the antibodies have attacked my thyroid so no longer works!

[Clutter in reply to paizay]

Paizay, TPO is thyroid peroxidase antibodies. Leukocytes infiltratrate the thyroid gland and destroy thyroid cells which atrophies the thyroid gland causing hypothyroidism. The antibodies are a response to the infiltration and will be high after an attack and then subside until the next.

Thyroid Stimulating Hormone (TSH) is a pituitary hormone which responds to thyroid levels (T4 and T3) and is high when thyroid hormone is low, and low when hormone is sufficient or high.

T4 is a pro-hormone which is converted to T3, the active hormone, via the thyroid and major organs.

TSH 1.192 is low-normal. I think what you've said is T4 1.12 may be T3. If so, it's a good level, almost in the top third of range. 14.41 is likely to be T4 or FT4 (free T4) which is mid range. If you feel well there is no need to do anything but if you are still symptomatic you might ask for a dose increase of 12.5-25mcg.

thyroiduk.org.uk/tuk/about_...

_______________________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[shaws Administrator]

The most important question is 'how are you feeling'?

[paizay]

Hi - Thanks everyone! I really appreciate the help! When I was first diagnosed a thyroid problem was the furthest thing from my mind so I felt great almost immediately after starting meds as was relieved I wasn't actually going mad. However as time goes on, I still feel much much better, definitely more rational, less anxious but not as good as I thought I would. I will see what my doctor says next week. thanks again.