Most definitely heading towards hypo, yes. In fact, you're there! You're hypo when your TSH reaches 3. However, you have Hashi's, so results can be a bit weird at times. And, although you have a high TSH, your thyroid hormones - T4 and T3 - aren't low at the moment. So, you wouldn't get a diagnosis with those results. But, you need to keep an eye on them, and keep testing. Also, keep an eye on that B12, it's a bit on the low side and could be causing hypo-like symptoms.
Hi thank you for the reply. I am so pleased to hear that. I have been fobbed off by Dr's for years. I have been supplementing ignessus super b conplex.
How often would you suggest testing? I thought maybe in 4/5 months.
Good idea to supplement the Bs. But, did you stop the supplement a week before doing that test? A B complex will contain biotin. And, biotin can affect blood test results. That's not to say that yours were affected, but best to be on the safe side and always stop the B complex a week before testing.
Your TPO antibodies are above range and this confirms Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten intolerance. Second most common is lactose intolerance
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find strictly gluten free diet reduces symptoms, sometimes significantly. Either due to 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 ยฃ20, 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 strictly gluten free diet for 3-6 months
If no noticeable improvement, reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Itโs not in your head....itโs very real....but at moment your thyroid levels are still not low enough, nor TSH high enough for vast majority of doctors to consider starting levothyroxine yet
Retesting 2 or 3 times a year.....especially say 2-3 months are trying strictly gluten free diet....
Frequently people see TPO antibodies drop slowly on gluten free diet
Just to add when you said lowering antibodies. My gp tested my tpo antibodies a few years ago and they were over 1000. I know antibodies fluctuate but since then on private tests they have only been 100 something. Don't know if that means anything with the progress of hashimoto's. It's all so confusing ๐ค
So sorry to hear that. You poor thing ๐ I haven't had to deal with hair loss.....yet anyway. It's just awful now. So dry, brittle and breaking. Was always healthy and in good condition. Kind of affects your self esteem eh ๐
Yes, you have Hashi's, so your thyroid is being slowly destroyed. As the amount of thyroid hormone your thyroid is able to produce, the more TSH your pituitary will produce to try and stimulate the thyroid to make more.
OK. Thank you for explaining. I've thought for years it was thyoid related but my tsh was never over 2. Only the last 6 months or so it's starting to rise.
Hi Sophie, I would just second the suggestion to try to go gluten-free (for at least 6 months) and potentially lactose-free to see if those help. If you haven't already, I would also cut out soy, try to minimize processed foods and other foods that might contribute to inflammation (sugary foods, etc.) as you can, and priortize de-stressing, social support, getting good sleep, and treating yourself and your body well. Easier said than done (trust me, I know) but research suggests that ultimately these things really can make a difference. If and as you have the energy, research/experiment with finding foods that work well for you and cutting out those that don't, but don't stress yourself out over it.
Personally, I would also try Ashwagandha if I had known what I know now when I was in your situation a decade ago - my suggestion would be to research Ashwagandha and see if it's something you want to try to supplement with to get your body to produce more thyroid hormone. Like any herb it is not completely without risk, and as with any supplement you'll want to be careful to use a brand you trust, but to me it seems to be a very compelling option for those not already reliant on exogenous thyroid hormone to potentially (potentially!) prolong the body's ability to adequately rely on itself for at least some time, if not a good amount of time. If you have issues with cortisol, keep in mind that Ashwagandha is thought to lower cortisol levels.
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