Hi from new zealand☺ is it graves?

[Kiwifeen]

Great forum so informative ☺ I was told ten years ago I had a goiter but nothing was done re ultrasound and I had normal bloods. 3 years ago I was told the same thing again normal bloods but my tpo antibodies were 36...again nothing was done or said to me and I went on my way. Fast forward to a year ago 8 months post partum I had full thyroid panel done and out of blue my tsh was 0.1 ft3 7 and normal ft4...the doctorput me straight on carbimazole and over the next 2 months the blood levels kind of stayed the same ...we tweaked and I ended up hypo...I was told to stop cold turkey and now every blood test I've had since has been normal ( 7 months of normal blood tests after 2 months on carbimazole) I also had a thyroid scan which showed 2% uptake. My tpo rised to 250 and are now at 49 9 months later...what's going on with me 😢 my doctor is prety useluss and doesn't seem to know much about thyroids so I'm hoping to see a specialists soon.ALso forgot to mention my anti tg??? Was 4 and my ferritin was 12 and myb12 was298 have a lovely day and I hope someone can offer me something to help me figure out what's actually going on xxx stacey xxx

[Clutter]

Kiwifeen,

It is possible you had post-partum thyrotoxicosis which is usually transient or Hashimoto's thyrotoxicosis which is transient.

TPO antibodies can be present in a percentage of Graves patients but more commonly TPO antibodies are elevated in Hashimoto's patients. You will need a Thyroid receptor antibody (TRab) blood test or Thyroid stimulating immunoglobulin (TSI) blood test to determine whether you have Graves.

In the early days of developing Hashimoto's as lymphocytes infiltrate the thyroid gland cells are destroyed and dump hormone into the blood causing hyperthyroidism. This is usually transient.

Treatment. When thyrotoxicosis occurs with Hashimoto's disease it is transient and requires no therapy other than propranolol or other ß-blockers for symptomatic relief. If symptoms persist beyond 3 to 4 months, further tests should be done to exclude Graves' disease or TMG.

medscape.com/viewarticle/43...

There is no cure for Hashimoto's which causes 90% of hypothyroidism. Treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

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

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

[BallerinaB in reply to Clutter]

your ferritin was pretty low so I hope that has improved now. Keep an eye on that as you need iron stores to be well. Take care, from another NZ-er