Hi, I have just received my results back from doctor who has indicated my Thyroid peroxidase antibody level is high but my other thyroid tests are within normal range. I am experiencing symptoms of an under active thyroid & generally feel unwell.
My test results are as follows:
Free T4 level 15.0pmol/L Range 12.0 - 22.0
Serum TSH level 2.53mU/L Range 0.27 - 4.20
Thyroid peroxidase antibody 145.9 Range 0.0 34.0
Should I request treatment? I would be grateful for feedback especially from others with high thyroid antibodies.
Many thanks!
Written by
mrsgreen
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Your TPO antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all primary hypothyroidism in Uk is due to Hashimoto's
Essential to test vitamin D, folate, ferritin and B12. Always get actual results and ranges. Post results when you have them, members can advise
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels. Low vitamin levels are EXTREMELY common, and may affect Thyroid hormone working or cause symptoms in their own right
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
But don't be surprised that GP never mentions gut, gluten or low vitamins. Hashimoto's gut connection is very poorly understood
Next step is to ask GP to test vitamin D, folate, ferritin and B12 as these are often low along with coeliac blood test
Come back with new post once you have results
Getting vitamins tested and supplement to bring to optimal can often help a lot
Then retesting bloods again in 6-8 weeks after. For full Thyroid evaluation you need TSH, FT4, FT3 plus TPO and TG thyroid antibodies and also very important to test vitamin D, folate, ferritin and B12
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins
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 ideally be done as early as possible in morning and fasting. This gives highest TSH and most consistent results. (Patient to patient tip, GP will be unaware)
Thank you for taking the time to reply in such detail. I will certainly ask for the tests you recommend - i have an appointment with my doctor for 15th November.
I have read a little about leaky gut as I am prone to recurring thrush.
Thank you again. Why are the doctors not providing this information? Or making the connection when I present with all these issues. God knows how many appointments I have had with my doctor & it’s only now they will refer me to see about my thyroid!
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Help understanding Thyroid results
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Blood test results - odd ?!? 
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Blood test results 
