Autoimmune thyroiditis. Euthyroidism

[Aspan]

'Autoimmune thyroiditis. Euthyroidism' this is my diagnosis. Lab results: TSH 1,99; FT4 1,52; Anti-Tg 444; Anti-TPO 148,7

I asked my doctor wether I had Hishimoto's or Grave's. She said neither of them. So right now I'm very confused. Could you please help me

[SeasideSusie Remembering]

You haven't given the reference ranges for your results so we can't interpret them.

However, as you state

'Autoimmune thyroiditis. Euthyroidism' this is my diagnosis

then it's safe to assume that your thyroid antibodies have tested postive, you may have autoimmune thyroid disease aka Hashimoto's, and that your TSH/FT4 are within range hence the "euthyroidism" (which means "normal" or within range).

Thyroiditis can sometimes be temporary, eg after pregnancy or a virus.

If this is your first test, it should be repeated to see if it is temporary or whether you do actually have Hashi's.

[Aspan in reply to SeasideSusie]

Thank you for your reply!

Reference values: TSH 0,27 - 4,2; FT4 0,93 - 1,7; Anti-Tg 0 - 115; Anti-TPO 0 - 34

Results: TSH 1,99; FT4 1,52; Anti-Tg 444; Anti-TPO 148,7

My doc says that I don't have Hashi's or Grave's. I'm confused.

I was diagnosed with hypothyroidism as a child. I'm 23 now

[SeasideSusie Remembering in reply to Aspan]

Aspan

Are you in the UK?

I was diagnosed with hypothyroidism as a child. I'm 23 now

So you have a diagnosis of hypothyroidism and presumably you are prescribed Levo?

Have you had raised antibodies before?

My doc says that I don't have Hashi's or Grave's. I'm confused.

Anti-Tg 444 (0 - 115)

Anti-TPO 148,7 (0 - 34)

As I said previously, it could be temporary thyroiditis due to a virus. If you've had antibodies tested previously and they were raised, there is no doubt it's Hashi's.

[SlowDragon Administrator in reply to Aspan]

UK doctors don't understand calling autoimmune thyroid disease Hashimoto's. It's the same disease, just a different name. In UK it's called autoimmune, rest of world calls it Hashimoto's

You need vitamin D, folate, ferritin and B12 tested. Very often too low with Hashimoto's.

Do you have any gut symptoms? Are you on strictly gluten free diet, or diagnosed as coeliac?

Or on dairy free diet?

[Aspan in reply to SlowDragon]

I'm on a balanced vegan diet. Although I haven't been eating seaweed on a regular basis. My life's been pretty stressful recently. I've been feeling very depressed and anxious. I had panic attacks. And lost my period. So I went to a gynecologist and endocrinologist. They ran tests. The diagnosis is 'Autoimmune thyroiditis. Euthyroidism' but she said not hypothairoidism.

[SlowDragon Administrator in reply to Aspan]

If you are vegan are you supplementing any vitamins?

Important on Levothyroxine to maintain good levels of B12, folate, ferritin and vitamin D

Have these been tested recently?

If not, request GP test

Seaweed, kelp or iodine are generally not recommended for anyone with Hashimoto's

drknews.com/iodine-and-hash...

thyroidpharmacist.com/?s=Io...

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. 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

Ideally ask GP for coeliac blood test first or buy one online for under £20

chriskresser.com/the-gluten...

amymyersmd.com/2017/02/3-im...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

thyroidpharmacist.com/artic...

Diets

thyroidpharmacist.com/artic...

[SeasideSusie Remembering in reply to Aspan]

So I went to a gynecologist and endocrinologist. They ran tests. The diagnosis is 'Autoimmune thyroiditis. Euthyroidism' but she said not hypothairoidism.

If you were diagnosed with hypothyroidism as a child, why has that diagnosis been changed and they're now saying it's not hypothyroidism?

You have your diagnosis of hypothyroidism, an underactive thyroid for which you've been taking Levo for many years. Your thyroid isn't going to regenerate and suddenly become perfect again and your hypothyroidism disappear after all this time. If it had been temporary it would have resolved many years ago.

Autoimmune thyroiditis is hypothyroidism caused by raised antibodies.

TSH 1,99 (0,27 - 4,2)

FT4 1,52 (0,93 - 1,7)

You are taking Levo for your hypothyroidism, this is keeping your TSH and FT4 within range (although your TSH is a bit higher than normal for your level of FT4). This is why your results are classed as "euthyroid" - because they fall within the normal range.

You haven't answered the question about whether or not you are in the UK. Are you in the UK?

Why not post other past results so we can see what's been happening, post results, reference ranges and the amount of Levo you were taking when the tests were done.

Also post any previous antibody results.