Please can someone tell me what these levels could mean? Thank you. At the mo i am not on meds but awaiting a full thyriodectomy due to cancer. I wondered if i had Hashis too? As have many symptoms. ( I am quite thin though).
TSH O.25 (2007 - 1.53. 2009 - 0.78. 2014 - 0.95. 2017 - 1.22)
T4 14.9
TPO 82
Can we have the reference ranges please. As they vary from lab to lab we need the ranges that come with your results to be able to interpret them.
Were TPO the only thyroid antibodies tested?
Sadly this is all they did. I have no further information. I have taken it upon myself to request a new blood test. So i have a benchmark of my levels before my thyriodectomy. No one is taking an interest so i am taking charge myself.
It's not possible to interpret your results.
FT4 has various ranges that we see on the forum, i.e. 7-17, 9-19, 12-22. So you see you could be in the upper part of the 7-17 range and very low in the 12-22 range.
Your current TSH is very low, possibly below range or very near the bottom of the range. Your 2007 and 2017 TSH results would be classed as normal for someone without thyroid disease.
As for TPO antibodies, we usually see the range as <34 so your result of 82 would suggest Hashi's in that case, but we do see other, higher ranges too.
Thank you. When my specialist was looking at my antibodies he said it was either cancer or auto immune as they present the same way.
Here are a couple of articles about thyroid antibodies that might help:
verywellhealth.com/thyroid-...
thyroiduk.org.uk/tuk/about_...
One about thyroid cancer:
thyroiduk.org.uk/tuk/about_...
And one about testing thyroid antibodies - click on
"When is it requested" and "What does the test result mean"
labtestsonline.org.uk/tests...
I was always under the impression that Thyroglobulin antibodies (TgAbs) were the ones tested to monitor cancer.
Thank you. What a fantastic article about thyroid cancer....
Lots of people have high TPO only some have Hashimoto's thyroiditis. Since you are having a thyroidectomy this is academic as with no thyroid there can be no thyroiditis. If you get another blood test make sure it includes fT3 as T3 release can be irratic in these circumstances and is more likely to account for your low TSH and symptoms. Good luck with the operation.
Thank you. What are the protocols for meds for no thyriod? Are there any?
The treatment is the same for all cases of hypothyroidism whatever the cause - replace the absence or shortage of endogenous thyroid hormones with exogenous hormones, whether that is with synthetic T4 and/or T3, or 'natural' porcine or bovine dessicated thyroid. In the UK the NHS gold standard of treatment is synthetic Levothyroxine aka T4.
As MaisieGray has written with the proviso that they may give you a higher dose to suppress you TSH. This is done to prevent any possibility of the cancer coming back. They use to continue this high dose indefinitely but now they are able to assess risk and give a lower dose for less time depending on the aggressiveness of the cancer. Talk to the endocrinologist / surgeon if you have any questions.
Tsh levels
Cortisol levels
