TPO antibodies 204.5 (<34)

[Stellar17]

Hi I have TPO antibodies of 204.5 (<34) this was taken 4 years ago. I am on no treatment for thyroid. I am having symptoms which I think are low thyroid but can't be sure?

Joint pain, stool that is hard to pass, feeling cold, losing hair, puffy eyes, swollen thyroid area, dry skin, weight gain?

Thank you

TSH 0.86 (0.2 - 4.2)

Free T4 13 (12 - 22)

Ferritin 15 (30 - 400)

Folate 2.2 (2.5 - 19.5)

Vitamin B12 195 (190 - 900)

Calcium 2.19 (2.2 - 2.6)

Calcium adjusted 2.19 (2.2 - 2.6)

Vitamin D total 17.3

[Clutter]

Stellar17,

When were the tests above done?

[Stellar17 in reply to Clutter]

Thanks they were done a year ago and new ones have now come back

TSH 32.8 (02 - 4.2)

Free T4 10.4 (12 - 22)

Free T3 3.0 (3.1 - 6.8)

[Clutter in reply to Stellar17]

Stellar17,

You are overtly hypothyroid and should see your GP about a prescription for Levothyroxine. NICE recommends 50-100mcg initiation dose for people <50 without heart disease. cks.nice.org.uk/hypothyroid...

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.3 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted.

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine 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_...

Ferritin, calcium, vitamin D and folate were all deficient a year ago and B12 was bottom of the range. Did your GP treat them?

[Stellar17 in reply to Clutter]

Thanks I have been prescribed 50mcg levothyroxine. The other results were done a week ago and have only received treatment for ferritin.

[Clutter in reply to Stellar17]

Stellar17,

Vitamin D is severely deficient. Your GP should refer to local guidelines or the NICE CKS recommendations for treating vitamin D deficient adults cks.nice.org.uk/vitamin-d-d... Do not accept 800iu D3 which is a maintenance dose to be prescribed once vitD is replete >75. My GP prescribed 40,000iu daily x 14 followed by 2,000iu daily x 8 weeks which raised vitD from <10 to 107. Vitamin D should be taken 4 hours away from Levothyroxine.

If you are prescribed iron for deficient ferritin it should be taken 4 hours away from Levothyroxine. Taking 1,000mg vitamin C with each iron tablet will aid absorption and minimise constipation.

Folate is deficient and will prevent B12 working. My GP prescribed 5mg folic acid for a couple of months to correct folate deficiency.

B12 195 is very low. If you have symptoms in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice as they are the experts on B12 and folate deficiency.