Thyroid UK
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Serum thyroid per oxidase 232.7 advise please on what to do next

Hi I have been in remission from graves for 10 months  but through out my treatment and every since I have suffered with stiff joints exhaustion insomia burning hands and feet as I was euthyroid the endo discharged me and I have been trying to get on and put up with symptoms last week being really fed up I called my dr and said if it's not thyroid it must be something else she ran auto immune tests all of which have come back negative except the thyroid antibodys range 0- 35  could this be causing my problems and if it is how can I get them to take them seriously

With eutroid bloods

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Positive thyroid peroxidase  antibodies means you have Hashimoto's in addition to Graves.  My doctors insisted that Hashimoto's was asymptomatic and didn't cause symptoms until one was hypothyroid.  As I was euthyroid my symptoms were, therefore, non-thyroidal.  I didn't believe them then, and when Hashi symptoms stopped after I had a thyroidectomy, I was convinced they were wrong.

You might try 100% gluten-free diet as many Hashi patients find it helps reduce symptoms and antibodies.


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.


Thank clutter as you know I have been boring Every on on here for a while  with my Random  persistent symptoms  funny thing is I think dr just did this one as a stab in the dark as she didn't do graves just a whole bunch of automunne stuff that came back negative I have a phone appointment with her next week so i will see what she has to say but as we both know they won't treat antibodies if every thing else is in range despite symptoms I think I might get my t3 done by blue horizon as they wont do that if you are in range God isn't it boring the its in range bit I'm in agreement with you if you have antibodies that shouldn't be their they are going to affect you 

After all antibodies for any other autoimmune illness means you get treatment 



There isn't treatment for autoimmune illness, treatment is almost always to restore the low thyroid hormone, low insulin, or low B12 etc. which are caused by various autoimmune diseases.


Sorry didn't word that well I meant if you had lupus like my daughter or ra like my mum they wouldn't just treat you like a hypercondract  and be dismissive of your symptoms


If you're in remission from Graves, do you know what your thyroid blood tests look like now? Do you know what your FT3 and FT4 levels are? I'm wondering if you've now become hypothyroid. If you've been told your results are in normal range, that doesn't mean that it's optimal for you.


hI jazzw no I really am eutroid tsh  1.29 range 0.3-3.94

T4 15.6 range 12.3 -20.2


That T4 looks a bit low to me, not even mid-range. I would want to know what my FT3 was.

Have you had your B12 tested? Some of your symptoms sound like low B12. :)


Hi Greygoose yes my b12 was only 234 the wouldn't do anything about it so I have been taking jarrows 5000mg for last 6 weeks 

Dr won't do a t3 so I think I'll have to go to blue horizon


OK, that's good. But do take a B complex with the B12, because all the Bs work together, and need to be kept balanced. :)


Yes I have been taking jarrows vitmin b complex as well but I think over balanced them as I started to get really red flushes about 45 mins after taking them I think I overdid the nician


How much niacin was in the B complex? Did you have any other symptoms?


Bit confused look at label it b3 as nician 25mg which is 130 percent but there is b2 as nicanamide 100 mg 500 percent I took them for first month with the b12


 B2 is riboflavin. Do you mean niacinamide? Niacin and niacinamide are different forms of the same thing - B3.

If there really is 125 mg B3 in those tablets, then it really is too much. Some people say you should only take about 15 mg.

Is this the one you're taking :

This is the one I take :

It only has 80 mg but even that is rather a lot if it doesn't agree with you. Do you have liver problems?


Quite shocked at size of doses off jarrows b-right tablets to be honest I didn't look at amount that was in it as every one mention jarrows for b12 I just trusted this was I haven't had liver bloods done for a while I did have some abnormalities when I was taking the  carbimazole


Perhaps give it a rest for a while, then find something with lower doses and try again.


Supplement Facts

Serving Size 1 Capsule   Servings Per Container 100

    Amount Per Serving %DV

Vitamin Bl (as thiamine mononitrate)     25 mg    1670%

Vitamin B2 (as riboflavin)    25 mg    1470%

Vitamin B3 (as niacin)    25 mg     130%

Vitamin B3 (as niacinamide)    100 mg    500%

Vitamin B5 (as calcium D-pantothenate)    100 mg    1000%

Pantethine (vitamin B5 derivative)    25 mg    *

Vitamin B6 (as pyridoxine HCI)     25 mg     1250%

Vitamin B6 (as pyridoxal 5-phosphate)     10 mg    500%


(6S)-5-methyl-tetrahydrofolic acid glucosamine salt)     400 mcg    100%

Vitamin B12 (as methylcobalamin)    100 mcg    1670%

Biotin     300 mcg 100%

Choline (as choline bitartrate)    50 mg    *

Inositol        50 mg    *

* Daily Value not established


Thanks helvella

Would of taken me ages to write that out was having trouble reading it as was written so small I just take one a week now Anf flushing has stopped


I used Jarrow's own site, copied the label, and pasted it into OneNote which has Optical Character Recognition. Just had to tidy the formatting up a bit. :-)

So it wasn't much effort.

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