After 2 months of a lot of wierd symptoms happening and a lot of doctors visits + no diagnosis i visited an endocrinologist.
She made an ultrasound and told me my thyroid has abnormal shape that looks like hashimoto. I already had a routine blood test that came back with normal TSH and T4 so she requested some other hormonal tests. Results were the following
ANTI TPO : 132 (normal rates <60)
ANTI tg :157 (normal <120)
VitD:10 (<11= severe deficiency)
After the results came back even though she told me i have a type of thyroiditis but she only prescribed vit d and selinium supplements,and told me to come back after 6 months to test thyroid hormone levels again. Im confused. Should i ask for another opinion ?
Symptoms: i have 180/300 of the symptons in the famous thyroid list.
Written by
B00mcrash
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Do you have the lab ranges? They’ll help. It looks like your TSH is only slightly elevated so I can see why she’s adopting a watch and wait approach but I’d recommend asking for repeat blood tests in a couple of months rather than waiting for 6 months.
What Vitamin D has she put you on? How much?
The other things that would be worth testing are Vit B12 levels and iron. Often both are low in folk with Hashimoto’s - especially untreated or undertreated Hashimoto’s.
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.
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, lowest FT4 and most consistent results
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
I ediited the lab ranges in the previus post so u can see them.
I also had lab tests 2 months before and tsh was 2,22. and in range t4 but dont know exact number.
B12 was 315 (197-771) i am taking b-complex supplements 3 pils everyday.
Iron and ferritin was not tested.
Funny thing is i was constantly gaining weight the last 4 years and for the past 2 years i was having a lot of vitamin deficiency symptoms. I should get tested for vit-a also because i noticed having diminished night vision and photophobia.
My endo did not prescribed thyroid hormone replacement.
i have serius issues that signals something is wrong with my homeostasis
I believe i have several vitamin deficiencies since i am an R.D and i can recognise symptoms . Should i also seek 2nd opinion from another doctor along with the further testing for Iron, Feritin,Folate and vit a ?
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Abnormal tsh, normal T4
Large Goitre/ Thyroid symptoms / TSH normal. 
Positive for antibodies TSH normal
Normal TSH, T4, T3. High thyroglobulin antibodies. 
Why Elevated TSH but normal FT4?
