hi i have had a blood test taken on 19 july and my thyroid test has come back as 1000.0 ku/l dose this mean i have an overactive thyroid again as i had an overactive thyroid in 2014.
i have recently been diagnosed with ADHD and I’m taking medication could this have caused my thyroid to become overactive?
clare
High thyroid antibodies confirms autoimmune thyroid disease also called Hashimoto’s
Hashimoto’s frequently starts with transient hyperthyroid results and symptoms (possibly what you had previously…..it’s not really overactive…..but as cells in thyroid breakdown, excess thyroid hormones can be temporarily released)
Hashimoto’s will eventually become increasingly hypothyroid as thyroid is attacked and destroyed
About 90% of primary hypothyroidism is autoimmune thyroid disease
Have you had TSH, Ft4 and Ft3 levels tested
Always test thyroid levels early morning, ideally before 9am
Also important to test vitamin D, folate, ferritin and B12
ADHD and Hashimoto’s may be linked
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These are my results Plasma C reactive protein
2.4 mg/L
Se thyroid peroxidase Ab conc
1000.0 ku/L
Serum FSH level
23.4 iu/L
Serum LH level
12.0 iu/L
Serum TSH level
0.01 mu/L
Serum ferritin
268.0 ug/L
Serum free T3 level
9.6 pmol/L
Serum free T4 level
22.7 pmol/L
Serum estradiol level
279.0 pmol/L
Can you add range on Ft4 and Ft3 results
Request GP test
Vitamin D
Folate
B12
TSI or Trab antibodies for Graves’ disease
Autoimmune hyperthyroid disease
Last time i had an overactive thyroid I was told I have Graves’ disease and A goitre. I was on Carbimazole medication for 8 months before I had allergic reaction and had to stop they then tested me regularly every month for 6 months and said that the thyroid was back to normal. The consultant at the hospital said it normally takes 12 to 18 months before you can come off the medication and they were most surprised that after only 8 months I was all clear.
I am looking at my blood test results on my my GP app and there are no ranges on there.
I had the blood test on Tuesday and GP called on Friday to say you need to get an appointment asap but we don’t have any today
So i am going to call in the morning to get an appointment x
That really does sound more like Hashi's than Grave's. Trouble is, very few doctors know the difference, as strange as that may sound! And as soon as they see a low/suppressed TSH leap to the conclusion that it has to be Grave's and put the patient on carbi WITHOUT DOING THE PROPER TESTING! Which is wrong, and very unprofessional, but they just don't have the knowledge to treat thyroid correctly.
If you had Hashi's, and took carbi, your FT4/3 levels would have gone down very quickly, and you would become hypo. So, the fact that you came off the carbi after six months only, really does suggest that it was Hashi's, and not Grave's. But, your doctors were too dim to put two and two together.
Now, your antibodies are high, and so are your FT4/3, but not high enough to suggest Grave's. Those levels really do suggest a Hashi's 'hyper' swing. They will eventually come down by themselves and you will probably become hypo. 
Hi thanks for your reply I don’t know anything about Hashimoto is there medication that can help ? X
Look through old test results on app
See if you can find TSI or Trab antibodies test results
If not been tested, insist GP does test this week
As greygoose said ….we see a small, but steady stream, of initially hyper Hashimoto’s patients misdiagnosed as having Graves’ disease if Graves antibodies aren’t tested …..including Buddy195 , one of admin team on here
It’s also possible (but rare) to have Graves’ disease and Hashimoto’s at the same time
I have looked and can’t see TSI or TRAB on my blood tests. My Serum free T3 level
9.6 pmol/L
19 Jul 2022
5.1 pmol/L
17 May 2021
My Serum free T4 level
22.7 pmol/L
19 Jul 2022
13.4 pmol/L
17 May 2021
10.9 pmol/L
6 Jul 2020
11.4 pmol/L
21 Sep 2018
11.9 pmol/L
3 Jul 2017
13.1 pmol/L
3 Mar 2016
14.1 pmol/L
28 Sep 2015
20.9 pmol/L
My Serum TSH level
0.01 mu/L
19 Jul 2022
2.71 mu/L
17 May 2021
2.13 mu/L
6 Jul 2020
3.22 mu/L
21 Sep 2018
1.66 mu/L
3 Jul 2017
0.63 mu/L
3 Mar 2016
0.51 mu/L
28 Sep 2015
0.51 mu/L
13 jan 2013
0.01 mu/L
Is there any other results that could help just ask x
Obviously you need to know the ranges on these results
(Should be Figures in brackets after each result)
Predominately Ft4 is low ….This STRONGLY suggests Hashimoto’s, not Graves’ disease (assuming you weren’t taking Carbimazole)
Thanks for your reply. Is there anything i can do as i have been struggling to sleep i spent most of my time tossing and turning 4 week of not much sleep is exhausting me I also have been having hart palpitations and I feel sick most of the day. I am seeing my GP at 3:30 should I ask to be referred to endocrinology ? X
What dates were you taking Carbimazole
Request GP test
Vitamin D
Folate
B12
TSI or Trab antibodies for Graves’ disease (Autoimmune hyperthyroid disease)
Are you currently taking any Carbimazole or propranolol (beta blocker) ?
Hi i am not on any meds yet the HP have referred me to endocrinology on Friday last week and I’ve been told I have a 2 to 3 week wait. I have asked fir blood test and on the form it say bone Profile vitamin D folate vitamin B12
I also got the GO to print the Results and I now have the ranges so
Free T3 is 9.6 pmol/L 2.40-6.00pmol/L
Thyroid peroxidase Ab conc > 1000.0 ku/L 0.00- 5.60 ku/L
Serum TSH <0.01 mu/L 0.35-5.00 mu/L
Free T4 22.7 pmol/L 9.00- 22 pmol/L
Serum ferritin 268 ug/L 10.00-200.00ug/L
Thanks for all your advice x
So if not on any medication these results suggest Hashimoto’s
Very high thyroid antibodies suggests Hashimoto’s rather than Graves’ disease. It’s also possible to have mildly raised TPO antibodies with Graves’ disease
I have relaid these results out by date
Not sure if I have correct results on correct date …it was confusing
19 Jul 2022
TSH 0.01 mu/L ( 0.35-5.00 )
Ft4 22.7 pmol/L (9 -22) only just over range
Ft3 9.6 pmol/L (2.4-6.0) High
Likely a temporary Hashimoto’s flare as thyroid breaks down
17 May 2021
TSH 2.71 mu/L ( 0.35-5.00 )
Ft4 13.4 pmol/L (9 - 22)
Ft3 5.1 pmol/L (2.4 - 6.0)
6 Jul 2020
TSH 2.13 mu/L ( 0.35-5.00 )
Ft4 10.9 pmol/L (9 - 22)
21 Sep 2018
TSH 3.22 mu/L ( 0.35-5.00 )
Ft4 11.4 pmol/L (9-22)
3 Jul 2017
TSH 1.66 mu/L ( 0.35-5.0)
Ft4 11.9 pmol/L (9-22)
3 Mar 2016
TSH 0.63 mu/L ( 0.35-5.0)
13.1 pmol/L (9 - 22)
28 Sep 2015
TSH 0.51 mu/L ( 0.35-5.0)
14.1 pmol/L (9-22)
13 Jan 2013
TSH 0.51 mu/L ( 0.35-5.0)
Ft4 20.9 pmol/L (9-22)
Thanks for your reply can i ask why is the TSH so low <0.01 the range says (0.35-5.00)Whats dose this mean ? X
TSH 0.01 mu/L ( 0.35-5.00 )
Ft4 22.7 pmol/L (9 -22) only just over range
Ft3 9.6 pmol/L (2.4-6.0) High
Because Ft3 is over range
TSH is the message from pituitary to tell thyroid to work
Because you have (temporary) excess hormones, probably due Hashimoto’s, pituitary is not sending any messages to thyroid
This temporary excess thyroid hormones is called a Hashimoto’s flare. Caused by sudden breakdown of cells in thyroid releasing excess thyroid hormones.
After each flare thyroid becomes a little more damaged and increasingly hypothyroid
Read about Hashimoto’s here
thyroiduk.org/if-you-are-hy...
The main problem is medics frequently just look at low TSH…..assuming it’s Graves’ disease (autoimmune HYPERTHYROID)
Your results suggest Hashimoto’s
It’s possible but rare to have Hashimoto’s and Graves at same time.
To confirm Graves’ disease GP or endocrinologist must test TSI or Trab antibodies
Help with thyroid blood tests
Help with understanding Graves' TSH Receptor Antibodies/Thyroid Peroxidase test results?
Thyroid peroxidase antibodies test results 
Abnormal thyroid blood test 
positive thyroid peroxidase antibodies
