Hi everyone,
My sister has enlarged lymph nodes on her neck (several lumps) and also low progesterone. Her ultrasound revealed an enlarged thyroid and the blood results were as follows:
TSH - 1.58 (0.27-4,2)
T4 1.14 (0,93-1.7)
TPO antibodies - 10,38 (0-5,61)
TG antibodies- 7,19 (0-4,11)
Any comments would be welcome. Would the lymph nodes and low progesterone be connected to her thyroid situation?
The antibodies results aren't very clear and are unusual ranges
TPO 10.38 (range 0.5- 5.61)
Is that correct?
If so, her TPO antibodies are high
TG antibodies 7.19 ( range 0.4- 11.0) ?
Is that correct?
Thanks for your reply. Yes, the values in my post are correct.
Would high TPO mean Hashimoto although the TSH is within range?
Yes this confirms that she has Hashimoto's
Next step is to get FULL Thyroid and vitamin testing
TSH, FT3 and FT4
Plus extremely important to regularly retest vitamin D, folate, ferritin and B12
These are frequently too low when someone has Hashimoto's
Improving low vitamin levels can help reduce symptoms
Link about Hashimoto's and if/when to start treatment
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone
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
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
drknews.com/changing-your-d...
restartmed.com/hashimotos-g...
Getting full testing done
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies
thyroiduk.org.uk/tuk/testin...
For thyroid including antibodies and 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 special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random
Cheapest option for just TSH, FT4 and FT3 £29 (via NHS private service )
monitormyhealth.org.uk/thyr...
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Come back with new post once you get results
Thank you!
Is she under the care of a good doctor?
Hi Kari, how have u been?
Are things more settled now?
Merry Christmas and Happy new year!
I’m good, thank you! Our twin girls are 8 weeks now 😊 Enjoyable hard work 😂 I love it but I feel like a zombie. We have also managed to move house and we love it.
How are you?
Wishing you merry Christmas and a happy New Year too! X
If these blood tests are just 8 weeks after giving birth,then her levels might slowly settle
These are my sister’s results. It was me who gave birth 😊
Congratulations.....twins ....and moving house. You must be exhausted
Well done for still having time to consider your sister's health
Thank you!
A friend of daughter's had a temporary thyroid problem after giving birth it has now resolved and her levels are normal.
The above results are my sister and it’s me who’s given birth. I might have my thyroid checked.
Lovely to hear that : )
Congratulations re the babies and the new house !! Everything has worked out well. Is your husband doing ok?
Thank you, we’ve moved when I was 32 weeks pregnant and to be honest the day after he move I started to swell for the first time so it was the last moment for me. My husband is doing ok but still considering to do have thyroidectomy but of course it’s not an easy decision to make. X
Yes not easy decision.
After 5 years "honeymoon", my thyroid's on the move again. Wonder where this is going : )
Happy holidays my dear and God bless you and your family : ) : )
I would never have my thyroid removed unless it was cancer. I think you will have a lot of problems trying to get your levels right without a thyroid. My hairdresser has a sister who was born without a thyroid and it has been a lifetime struggle for her because she was put on only Levothyroxine when she needed T3 as well. Her hair is very thin and she looks very tired and she is only 25 years of age. It is a personal choice and my incompetent Endocrinologist suggested I had mine removed 10 years ago I refused and then went into remission for 4 years but I did have relapse and was untreated for 2 years before I ordered Thyroid S from Thailand. I am now in my second remission and I feel well. It has been a bumpy ride for me and you can read my story on my profile page but I will continue to keep my thyroid until it finally gives up the ghost.
Swollen Lymph Nodes, Enlarged Thyroid, Normal Ultrasound?
Progesterone and thyroid function 
Lymph Nodes
Thyroid US results
