Help with Ultrasound results

[Aloha79]

Thank you in advance! I just received my thyroid ultrasound report, after being diagnosed and treated with high TSH in September of last year.

Can anyone help me with the results while I wait a GP appointment?

"The right lobe and isthmus appear normal.

There are several nodules in the left lobe measuring up to 5mm, mixed cycstic and solid in nature.

There is no surrounding lymphadenopathy".

[SlowDragon Administrator]

This means (I think) that left lobe is affected by autoimmune thyroid disease....Hashimoto's

Previous post

healthunlocked.com/thyroidu...

Your TPO antibodies are negative

However many Hashimoto's patients ONLY have raised TG antibodies

NHS refuses to test TG antibodies if TPO are negative. You would have to test TG antibodies via Medichecks or Blue Horizon

20% of Hashimoto's patients never have raised antibodies at all

Your ferritin was low in previous post. Have you been working on improving levels and had this retested ?

How much Levothyroxine are you currently taking?

What are most recent results?

Are you on now on strictly gluten free diet?

If yes, did you notice any improvements

[Aloha79 in reply to SlowDragon]

Thank you.

I have started GF this month, so hope to see improvement. I am taking high level supplements, improved (already good) diet etc.

I saw an Endo specialist here in December who put me on NaturThroid 65mg (from 50mg Levo) to improve T3. I was tested this morning so don't have the results of the first 6 weeks yet.

My main concern at the moment is that since taking levo/Naturthroid my menstrual cycles have become much shorter (so I ovulate too early to produce a viable egg). I have a thread about this too. Before thyroid treatment my cycles were perfect!

[SlowDragon Administrator in reply to Aloha79]

Perhaps you need reproductive hormones retesting once on stable dose of thyroid hormones

[Aloha79 in reply to SlowDragon]

Dear SlowDragon thank you for this. I just got my results after 6 weeks on NaturThroid (65mg) and it's:

TSH 0.48

T4 15.5

Free T3 6.6

TPO less than 15.

These look great to me? And the GP said the thyroid ultrasound is normal with nothing t worry about (the nodules are common)? I still feel horrendously fatigued but hope these results show I am on the right meds and going in the right direction!

[SlowDragon Administrator in reply to Aloha79]

We always need the ranges on blood test results

Each lab has different ranges

Essential to test vitamin D, folate, ferritin and B12

Have you had these tested?

Just testing TPO antibodies isn't full testing....but NHS refuses to test TG antibodies if TPO antibodies are negative. It's more common to have high TPO antibodies or high Tpo and high TG antibodies.....but it's not rare to have only high TG antibodies

But you would need to test privately

Lots of small nodules or thyroid looking granulated is Hashimoto's

[Aloha79 in reply to SlowDragon]

Thank you. The ranges are as per this graphic here (can’t seem to attach) and my results now fall into “optimal”. My TSH is much lower now with the NaturThroid and my T3 has finally moved up into optimal too (Levo moved the TSH to 1.5 ish but did nothing for T3.)

Sorry, can’t paste link, the ranges are:

TSH: (0.3-4.2)

T4: (12-22)

T3: (3-7)

TPO: <35

So if it’s Hashimoto’s, what next? Simply remain on this dose of NaturThroid, stay GF and that’s it? I can’t quite get my head around it yet!

[Aloha79]

My GP called me back to discuss the ultrasound results, saying they were normal and nothing to worry about. Does this seem reasonable?