New blood results and high TPOAb: Hi everyone... - Thyroid UK

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New blood results and high TPOAb

Muddy1980•

5 years ago•5 Replies

Hi everyone,

Just got my latest results back from Thriva. I've been feeling fine and my results I think are OK obviously they have marked up my TSH needs looking at (currently on 75mg levothyroxine), but the only other one I'm concerned with is my TPOAb which is still really high.

I've been strictly Gluten Free for more than 3 years now. I occasionally have dairy such as mozzarella on my pizza each week and a Crunchie bar a day. I have a sulfite allergy so my diet is pretty restricted as I'm pescatarian as well. I'm still working out the food allergy thing but do you think that's the reason my antibodies are high?

What can I do to reduce them further?

Ferritin 82 ug/l (13-44 normal) (44-150 optimal)

Folate 31.9nmol/L (8.83-40 normal) (40-60.8 optimal)

FT3 5.4 pmol/L (5-6.8 normal) (3.1 - 5 optimal)

TSH 0.03 miU/L (0.27-1 normal) (1-2.5 optimal)

TgAB kU/L 54.9 (0-115 normal)

TPOAb 129.9 kIU/L (34-200 high) (0-34 normal)

T4 116nmol/L (66-181 normal)

FT4 16.9 pmol/L (17-22 normal) (12-17 optimal)

Vitamin D 76 nmol/L (75 - 100 optimal) (100-175 normal)

Thanks for all your help.

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Muddy1980

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5 Replies

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fuchsia-pink5 years ago

Good morning.

Can you add reference ranges to your results please [the "more" button on the right allows you to edit your post]. The high antibodies show you have Hashi's - which I think you know, as you are gluten-free. You can't "cure" this - it's just part of who you are, like your eye colour, so please don't worry about how high they are: they will do their thing regardless of what you try!

greygoose5 years ago

Well, actually, antibodies don't do much anyway. It's just an indication that you have Hashi's. And, lowering them - or trying to lower them - won't have any effect on your Hashi's. It's not an indication of the seriousness of the disease. In fact, 20% of Hashi's sufferers never even have raised antibodies. So, not point fretting about it.

So, I've looked at your TSH: very nice! lol Doesn't mean a thing. The important number is your FT3 and, although you haven't put a range, I would imagine that it's not much over mid-range. So, you're not over-medicated. TSH is not something to look at in isolation. The three results - TSH, FT4 and FT3 - should be looked at as a whole. Any attempt to raise your TSH would result in an FT3 too low to make you well, so forget it. It is what it is, just like your antibodies.

Muddy19805 years ago

Sorry everyone the report was a bit odd and didn't specify things clearly like Medichecks do. I hope the above helps. x

SlowDragonAdministrator5 years ago

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 .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Is this how you do your tests?

Ft4 is only 49% through range

Ft3 is 73% through range

Are you taking T3 as well as levothyroxine?

Your low TSH and higher Ft3 suggests you probably are

No B12 result?

Vitamin D may be better at least around 80nmol and around 100nmol maybe better

Folate also on low side

What vitamin supplements are you currently taking?

Are you absolutely strictly gluten free.