Thyroid UK
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Has my daughter inherited my thyroid problems?

Thanks to all those who kindly responded to my low TSH concerns. I have a further concern.

My daughter's grandmothers both suffered from thyroid problems as do I. She is now 42 and is showing symptoms of hypothyroidism in that she is exhausted most evenings and goes to bed as early as possible and has bouts of mild arthritis in her fingers and toes which flares up then subsides which has been diagnosed as early stage rheumatoid arthritis. She has just had a thyroid blood test with the following results which her GP has interpreted as being normal. She has now embarked on the Barnes temperature programme.

Blood test results:-

Serum free T3 4.4pmol/L (3.5-6.5)----normal

Serum free T4 10pmol/L (9-23)-----normal

Serum TSH level 4.8 mu/L (0.55-4.8)--normal

Serum B12 503 ng/L (211-911)---normal

Se thyroid peroxidase Ab conc (LMB3917)>1300ku/L---abnormal--thyroid antibodies screen is positive

Serum folate 19.3ug/L (>3.4 )---normal

Rheumatoid factor 128.51 iu/L (0-18.5)-- strong positive

My daughter and I would welcome your comments.

22 Replies

Pop back and shoot the GP. She has Hashi's, just as you deduced, well done. Her t4 is at the bottom of the range, the TSH is clearly showing a failing thyroid by their own range... she has clear symptoms an an associated auto immune condition. She needs treatment.

This is not normal.


Just been looking at this, there seems to be an increased risk of cardiovascular disease in patients with RA and Hashis. consider writing pointing this out to your GP, asking for a referral to a specialist.



Did you intend to include a link to the article?


Still waiting for my daughter to come back from university and teach me how. So no. Easily searched though.


Bateman et al, 2012 in arthritis - study in Netherlands. big study found 6.5 per cent in Netherlands with RA were hypo, the rate varies across the world. 27 per cent in Slovakia. "coexistence hypo with inflamm arthritis assoc with cardiovascular risk in women."


No way is a tsh of 4.8 normal and neither is her t4 its at bottom of the range

Problem is NHS has this crazy notion that they only treat when TSH is over 5

In her shoes i would order NDT and self treat

but she needs to get




Vit D



her antibodies are over range..



Your daughter's antibodies antibodies are positive for autoimmune thyroid disease (Hashimoto's) which causes 90% of hypothyroidism in the UK, Europe, USA and Canada. 100% gluten-free diet may improve symptoms and reduce antibodies.

Her TSH is top of range, and FT4 low in range. Her thyroid gland is being destroyed by lymphocytes and thyroid levels will be abnormal within a few months. It would be pragmatic for her GP to commence Levothyroxine replacement now rather than wait for symptoms to worsen as thyroid fails.

1 like

However, before gluten free do a blood test for celiac .. available on the internet. This is because i. if you have a third autoimmune disease you really want to know, and it is common in hypo, ii if you find you react to gluten you will not want to go back on it for weeks to have the celiac test.

celiacs who go g free find antibodies reduce, the picture is anecdotal in g sensitivity, but worth trying once celiac has been ruled out.


Thank you Clutter. My daughter is minded to self medicate with NDT. Is this a sensible course of action and if so how should she progress with the dosage? I have your list of contacts to obtain NDT but do you have a preference? Your advice is so very valuable.



If your daughter starts self-medicating she won't get a diagnosis. Her TSH is at the top of range so it can't be long before it rises and she gets a diagnosis.

I don't use NDT but if I started I would try the Thai brand's first, and if they didn't suit, Naturethroid.

As your daughter hasn't been taking replacment she should start low, at a half a grain (30mg) by halving a one grain (60mg) tablet. She can increase dose in half grain increments at 2 week intervals until symptoms resolve or she is taking 2 grains. She should hold at 2 grains for 6 weeks and have a thyroid test including FT3 before increasing further.


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 you once again and for the most interesting link. Would you be so kind as to elaborate with the names of the Thai brands of NDT and the source.



Thai brands are Thyroid-S and Thiroyd. Source is on the list of NDT suppliers.


My daughters have inherited, my thyroid conditon, they are both hypothyroid. My youngest has Hashimoto's too. My male parent, developed hyperthyroid so the links is there that the condition can be passed on. My Mum had underactive.

Others can read the results but to me looking at the T4 your daughter is only just in the normal range and the TSH is in the upper. Roughly I think that indicates she has a thyroid condition and the antibody test says positive Most people with chronic thyroiditis display a positive TPO test. The test is also positive in lesser numbers of people with other thyroid diseases. Other autoimmune disorders that may cause a positive TPOAb test include:

Sjogren's syndrome,


rheumatoid arthritis, and

pernicious anemia.

As it says Rheumatoid arthritis is also positive does she have arthritis?

Again unsure but I thought the normal result are the ones below, others can do this more properly. Think my last one was TSH 0.5 and T4 was 14 and I do have underactive/overactive thyroid I bounce and until last few years was also positive for antibodies and had Hashimotos Disease. Then my antibodies went awol and have remained so. My body tears up the medical books and does its weirdness with all things medical.

A normal result should be something like this.

TSH 0.2 - 4.0 miu/L

free T4 10 - 20 pmol/L

total T3 0.9 - 2.5 nmol/L


Normal looks like that..really? You can have so called. "normal" labs and be quite ill.

All autoimmune disease can be put into remission often permanently, naturally, according to functional medicine.


My grandaughter was born with coeliac she has been on the most perfect gluten free diet from that day yet at 9 yrs old she developed Hashimotos

My daughter is clear of all autoimmune disease and she and her husbsnd are incredibly careful with everything but nothing has stopped the genetic inheritance of Hashis from my husband


A person would need to go entirely grain free and dairy free to stop most celiacs.

Since 2/3 of the immune response is controllable, i think genetics takes a back seat. The odds are good that a person can break the cycle of autoimmune disease that run in the family. We do not hear about this kind of medicine often, because it is not profitable to the pharmaceutical industry . Mainstream meds have offered me nothing, by way of healing my immune system..functional medicine has.


please message me the details of your functional medicine guru


It was faith63 who uses functional medicine. Please contact her. Thanks.




She could show this study to the GP. It suggests thyroxine can reduce antibodies:

Also, she could investigate food sensitivities:

And nutrient deficiencies including selenium:


Thru Functional medicine, this can be put into remission permanently. Google Mark Hyman md or izabella wentz on reversing hashimotos or reversing autoimmune disease. Hereditary is only 1/3 of the issue, we can change the rest.


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