Hanshimotos or Graves? Continue with Drug, or RAi, OR Surgery ?

@greygoose

Hi,

Below is my recent complete blood test.

FT4 20.0 pmol/L (9.0-25.0)

TSH 0.053 mIU/L (0.400-4.700)

FT3 6.4 pmol/L (3.5-6.5)

TSH Receptor Antibodies

Thyroid Stimulating Immunoglobulins (TSI) 2.43 IU/L (<0.55)

(comment: Consistent with Graves disease)

THYROID AUTOANTIBODIES

Anti-thyroglobulin(Anti-TG) 4000 IU/mL (<115)

Anti-thyroid peroxidase(Anti-TPO) 250 IU/mL (<34)

25-hydroxy Vitamin D 33.0 nmol/L (60.0-160.0)

VITAMIN B12 AND FOLATE LEVELS

Vitamin B12 281 pmol/L (>185)

Serum Folate 26.9 nmol/L (>5.7)

Do I have both Graves & Hanshimotos?

Do I continue with carbimazole, or RAI, or surgery to remove entire thyroid gland?

Why Vitamin D is below range?

Please Help. Thank you.

[greygoose]

It rather looks as if you do have both. It's rare, but it happens. I really don't know what you should do next, but your thyroid hormone levels are now in-range (forget the TSH, it's not helpful).

But, how do you feel? I don't think you should make any decision about RAI or TT at the moment. I think you should give things time to settle down. But, I'm no expert in your case. Hopefully someone will come along that knows this type of scenario better than I.

[Hidden in reply to greygoose]

I have back pain, and swollen ankles. I’m not sure whether the back pain is caused by deficiency in vitamin d. anyway, I will engage with new Endo to go through this report this week. Thanks everyone who recommended me to take these antibodies test, otherwise, I wouldn’t be known that I have hashimoto's.

[greygoose in reply to Hidden]

The back pain could very well be due to your low vit D, yes.

[Hidden]

4000 was printed on my report. Should I go clarify with this number? Is there strange to have the value this high? Surprising, I don’t feel anything wrong with my neck. I don’t even have goiter. Before I do this antibodies test, I’m actually diagnosed with hyperthyroidism, and I take carbimazole.

[Hidden]

what will be the consequences if I have this high value of antibody?