help with lab results please

[Kristicats]

wondered if anyone could help me understand my lab results please. I have under active thyroid and sent off a test to see if I’m on right amount of Levothyroxine )75.

I’m particularly worried about the Thyroglobulin Antibodies that seem very high. Also the Thyroid Peroxidase Antibodies also high .

[SeasideSusie Remembering]

Kristicats

Your raised antibodies confirm autoimmune thyroid disease, known to patients as Hashimoto's. Therefore the cause of your hypothyroidism is autoimmune, the most common cause. Hashi's isn't treated, it's the resulting hypothyroidism that is treated.

Your vitamins are all at good levels, as is your ferritin.

Your thyroid results appear to suggest that you are undermedicated.

How do you feel?

When did you take your last dose of Levo before the test?

We always advise:

* Test no later than 9am

* Nothing but water before the test

* Last dose of Levo 24 hours before test

* No biotin, B Complex or any supplement containng biotin for 3-7 days before the test.

The aim of a treated hypo patient on Levo only, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges, if that is where you feel well.

If you feel symptomatic then your TSH is too high, your FT4 is just 50% through range and your FT3 is a mere 16.49% through range. Your FT4 and FT3 results suggest that your conversion of T4 to T3 is poor, they should be better balanced.

[Kristicats in reply to SeasideSusie]

thanks

[SlowDragon Administrator]

about 90% of primary hypothyroidism is autoimmune thyroid disease also called Hashimoto’s, usually diagnosed by high TPO and/or high TG antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis. 

Both are autoimmune and generally called Hashimoto’s.

TG antibodies will, reduce as dose levothyroxine is increased and TSH reduces

TPO antibodies frequently reduce slowly on strictly gluten free diet and/or dairy free diet

75mcg is only one step up from starter dose levothyroxine

Assuming you feel under medicated……Request 25mcg dose increase in levothyroxine and retest again in 6-8 weeks

Meanwhile get coeliac blood test done via GP if not already on strictly gluten free diet

Are you taking vitamin supplements?

Vitamin levels are excellent

[Kristicats in reply to SlowDragon]

yes I take multi vitamins, zinc ,D3

and omega3

[SlowDragon Administrator in reply to Kristicats]

most multivitamins contain iodine not recommended for anyone with autoimmune thyroid disease (hashimoto’s)

Better to only supplement what’s necessary

Multivitamins 

healthunlocked.com/thyroidu...

Have you managed to get dose increase in levothyroxine yet or had coeliac blood test done BEFORE trialing strictly gluten free diet

[Kristicats in reply to SlowDragon]

sent results to my GP as they were done privately. Had no reply yet.

[SlowDragon Administrator in reply to Kristicats]

make an appointment with GP

Take along/email another copy of results

(Always assume they haven’t got them)

Request coeliac blood test

25mcg dose increase in levothyroxine