confirmation of graves/hashi: Hi, I have written... - Thyroid UK

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confirmation of graves/hashi

Blackberrymoo profile image
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Hi, I have written on here before, but have just had my TRab test back after waiting weeks for it, does this confirm I have graves? But also can or have got hashi as well as have antibodies for that too? I’m confused as does this mean I can go either way? I know my levels aren’t very high at the moment so wondering if I’ve caught it in the early stages maybe? Xx

TSH receptor antibody level 1.13 u/L [0.0 -

0.4)

Serum free T4 level 24.3 pmol/L [11.0 - 22.0]; Above high reference limit

Serum TSH level < 0.01 miu/L [0.27 - 4.21; Borderline hyperthyroid TFT results.

FREE T3

Free Tri-lodothyronine (FT3) 7.4 pmol/L [3.1 - 6.8]; Above high reference limit

Serum thyroid peroxidase antibody concentration 61 iu/mL [0.0 - 33.0]; Above high reference limit

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PurpleNails profile image
PurpleNailsAdministrator

Your Trab results exceeds the limit so is positive & as a marker for Graves - that confirms Graves. Having positive TPO is autoimmune marker and often highest elevations are see with Hashimoto’s but also elevated with Graves.

Your FT4 & FT3 are just over range & this is what doctors need to be looking at to treat. Antibodies fluctuate & do not always correlate to the severity of levels. The TSH is also be unreliable so your doctors should be looking to start you on very low dose carbimazole eg 5mg a day to lower high frees into range.

I’m might be they naturally increase and the dose need to be increased or adjusted according to what FT4 & FT3 are doing.

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