Thyroid UK
82,949 members97,983 posts

I need some information (dx with Hashi)

Hello, back in 2014 I had normal thyroid levels, but my anti-tpo was 250. The GP told me that I am fine at the moment and I don't need treatment. Fast foward to today (2 years after dx) I am still fine, with no symptoms or anything. I am awating my blood test results, as I done them on Monday to see if everything is normal. (regular checkup)

Any ideas why I have no symptoms and my thyroid is working properly, even though my tpo is high?

I also wanted to ask if anyone was dx with a different autoimmune after being diagnosed with Hashi? is there a chance I could only have one autoimmune disroder without having other disorders?

thanks in advance.

3 Replies



Your doctor is wrong. He is going by your blood test alone, particularly the TSH.

However Dr Toft who was President of the BTA in his Pulse Online article (Pulse is doctors magazine) says that if we have antibodies we should be prescribed levothyroxine.

Email and ask for a copy.


"The combination of a normal serum T4 and raised serum TSH is known as subclinical hypothyroidism. If measured, serum T3 will also be normal. Repeat the thyroid function tests in two or three months in case the abnormality represents a resolving thyroiditis.2

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."

You are fortunate to have no clinical symptoms but with Hashimoto's the antibodies wax and wane i.e. sometimes you may feel hyper when they are attacking your gland then they don't for a while."

What I don't like is that he also states (He is the Queen's Physician when in Scotland) that our TSH has to reach 10 before being diagnosed. Whereas in the rest of the world they will prescribe if TSH is around 3.

We don't have any say so on links tags etc. as that would be down to Healthunlocked itself. They also keep (supposed to be) improving but I don't think it's always for the best. They think up what they believe is an improvement but the actual users (us) don't always find it is an improvement.

What I do if something is of interest is to put it on a word document. The fact that there are so many questions/links would mean that a question may have umpteen tags.

It used to be so easy to 'search' as there was a search button at the top band - now you have to press on the r/h button with your avatar and up will come a selection of choices. In the meantime this is a link but it only gives the TSH.

If you want to edit anything you've posted, just click on the down arrow and up will come a selction enabling you to change or remove something.

Also put up a fresh post for everyone as members may have come had the same issues re hashi's - no symptoms etc.

I don't have hashi's but have two other autoimmune conditions. The first was about 30 years ago as pernicious anaemia.


Hello, thanks for the reply. After 2 years of my dx, I done a blood test on Monday and got the results today. The blood test consisted of liver profile, bone profile, iron deficiency, b12 deficiency, test for pernicious anaemia, hb1c, fasting blood glucose , whole thyroid, free t4 , tsh , and everything is in normal ranges, my TSH is in the middle from low and high end and same with t4. My doctor is not wrong. I only have tpo-anti bodies, which I read that there is A CHANCE in a future I got get an get dx with something, but 2 years later without medication all I can say that so far so good. I am thinking of going gluten free and start taking selenium followed by an anti-inflammtorary diet, I just want the tpo reduction.

1 like

You may also like...