Can anyone help me understand my Tpo level

[SandraSims]

I have a Tpo level of 95.5iu/ml. I have been on Levo for years but it has recently been increased due to high TSH 5.05

My TSH is now 0.3, T4 is 12.1

My symptoms are awful at the moment. With a Tpo of 95.5, could I have Hashimotos?

Regards

Sandra

[greygoose]

I'm afraid we need the ranges. Results are meaningless without the ranges, because they change from lab to lab.

[SandraSims in reply to greygoose]

Ok,

TSH 0.31 mIU/L (0.30 - 4.80)

T4 12.2 pmol/L (7.7 - 20.6)

Tpo 95.9 mIU/L (<9.0)

In July before my increase of Levo my TSH 5.05, T4 8.5 (same refererence ranges)

Regards

Sandra

[greygoose in reply to SandraSims]

Yes, you definitely have Hashi's. And, despite your low-in-range TSH, your FT4 is still too low, not even mid-range.

So, in about six weeks time, you need another test, and probably another increase in dose. Ask if you can have your FT3 tested, next time, because you might not be converting very well.

Are you taking levo? How much?

[SandraSims]

Thank you, I asked for my T3 to be done but they said they wouldn’t because they only test with hyperthyroidism. I am thinking of having a private test done (they are really unhelpful)

Yes, I’ve been on Levo for years. I was increased a month ago from 50 to 100. I want to back to my GP for an increase because my symptoms are severe at the moment.

Thank you for your help.

[SlowDragon Administrator in reply to SandraSims]

So you need to get private tests for FT3 and folate, B12 and ferritin if GP remains unhelpful

If you can't get full thyroid and vitamin testing from GP

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers. DIY finger prick test or option to pay extra for private blood draw or

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH and most consistent results

Good vitamin levels are ESSENTIAL for good thyroid. No good guessing, they need testing. Come back with results in new post when you have the

Changing to strictly gluten free diet likely to give good improvement

Avoiding all soya including soya lecithin if possible and flouride (use flouride free toothpaste) too

Selenium supplements can help improve conversion

Read as much as possible about Hashimoto's. Medics don't consider it important

It's as much a disease of the gut as it is the Thyroid

[SlowDragon Administrator in reply to SandraSims]

Don't do test until 6-8 weeks after dose increase

50 increased to 100 was big increase, normally it's done in 25mcg steps

Always do tests on Mon or Tuesday. Wednesday at a punch, needs to be back at lab for processing asap

[SandraSims]

Thank you

[SlowDragon Administrator in reply to SandraSims]

Your very low vitamin levels in other post were most likely causing low TSH

Getting vitamins optimal and going strictly gluten free diet will all help

Following SeasideSusie vitamin advice is first step.

Going gluten free is easier than it sounds. Literally thousands on here find it helps significantly or is essential