thyroid perioxidase (TPO): So I was able to get... - Thyroid UK

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thyroid perioxidase (TPO)

Unite_To_Fight profile image
8 Replies

So I was able to get more information on what was tested in relation to my thyroid which was the thyroid perioxidase at 103 alongside my TSH which is at "normal levels".

My TSH has been tested many times in the past months due to A&E trips but all came back "normal" with all other blood tests "normal" aswell.

Anyway the point and overall question is whether or not the thyroid perioxidase result alone is enough to indicate autoimmunity and whether it's enough to warrant further investigation?

I was told by a doctor at the A&E who I brought this up with (I initially went in due to palpationions and new onset of ectopics) and she explained that it could merely have been a coincidence to have those antibodies elevated as it can be caused by factors such as flu/colds.(Paraphrasing, can't remember exact words)

I am currently looking into full panel checks and private testing but just curious of your opinions.

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SlowDragon profile image
SlowDragonAdministrator

High TPO antibodies confirms autoimmune thyroid disease

verywellhealth.com/thyroid-...

Unite_To_Fight profile image
Unite_To_Fight in reply to SlowDragon

Looks like I have no choice but to pay out of pocket for the private testing then, ridiculous.

Thanks for the link and response, did you have any difficulty getting your initial diagnosis, did you have to fight for answers?

SlowDragon profile image
SlowDragonAdministrator in reply to Unite_To_Fight

You will see thousands of U.K. patients on here forced to get full testing privately to make progress

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels

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 .

If/when on levothyroxine.......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)

Is this how you do your tests?

Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins

List of private testing options

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus vitamins including folate (private blood draw required)

medichecks.com/products/thy...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/thyr...

If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).

About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s. Low vitamin levels are particularly common with Hashimoto’s. Gluten intolerance is often a hidden issue to.

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

List of hypothyroid symptoms

thyroiduk.org/signs-symptom...

Posts discussing private test results

healthunlocked.com/search/p...

healthunlocked.com/search/p...

healthunlocked.com/search/p...

healthunlocked.com/search/p...

Unite_To_Fight profile image
Unite_To_Fight in reply to SlowDragon

My sympathies for all those people, it's a real shame this is the case.

Thank you for all your information and links I really appreciate it.

Currently looking into the medichecks listing medichecks.com/products/thy....

SlowDragon profile image
SlowDragonAdministrator in reply to Unite_To_Fight

Yes this needs private blood draw, may be difficult to find clinic prepared to do so during pandemic

Blue horizon or Thriva offer same tests, but can do via DIY finger prick test

Tips on how to do DIY finger prick test

healthunlocked.com/thyroidu...

Unite_To_Fight profile image
Unite_To_Fight in reply to SlowDragon

Yeah I noticed that may be an issue, are these finger prick tests just as effective and accurate as the blood draws?

I'll take a look at those other options now, thank you.

SlowDragon profile image
SlowDragonAdministrator in reply to Unite_To_Fight

Can be tricky the first time you do it.....allow plenty of time

And only test early morning Monday or Tuesday morning and post back via tracked postal service

Unite_To_Fight profile image
Unite_To_Fight in reply to SlowDragon

Understood, thanks for your responses and advice, appreciate it.

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