Hello everyoneIve had a positive TPO result and told not to worry will retest in 3 months as its not particurly high. Ive been reading a lot of posts on here recently and im of the view point now it is quite high. Whats peoples views?
TPO 105 ( RANGE 35)
TSH 5.1 (5.5)
FREE T4 11.8 l10-20)
T3 5.4 (3.5-6.5)
TPO 105 (35)
Bloods taken 3.30pm also which i believe cause lower results?
Will make sure next time i get bloods done early morning before food.
Thanks
Yes, it is high, and definitely positive. You have Hashi's - aka Autoimmune Thyroiditis. And, even it the antibodies drop lower in the next test, you will still have Hashi's. Antibodies fluctuate all the time.
Your TSH is also high, but not high enough to get you a diagnosis of hypo, I'm afraid. It would have to be over the the magic cut-off point: the top of the range! One point below that and there can't possibly be anything wrong with you, even if you're on your knees! 🙄
high thyroid antibodies and high TSH and low Ft4 shows you have autoimmune thyroid disease
Retest 6 weeks after first test
Definitely test early morning, ideally just before 9am, only drink water between waking and test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
You need two tests with TSH over 5 before starting on levothyroxine
Starting levothyroxine - flow chart
gps.northcentrallondonccg.n...
meanwhile get Vitamin D, folate, B12 and ferritin levels tested …..quite likely low levels already
Plus coeliac test
nice.org.uk/guidance/ng20/c...
1.1 Recognition of coeliac disease
1.1.1 Offer serological testing for coeliac disease to:
people with any of the following:
persistent unexplained abdominal or gastrointestinal symptoms
faltering growth
prolonged fatigue
unexpected weight loss
severe or persistent mouth ulcers
unexplained iron, vitamin B12 or folate deficiency
type 1 diabetes, at diagnosis
autoimmune thyroid disease, at diagnosis
irritable bowel syndrome (in adults)
first‑degree relatives of people with coeliac disease.
Thanks for the links very informative.My last coeliac blood test result was <0.5 (0-14.9)
Just had a look online and i think that is good?
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
as coeliac test is negative you can trial strictly gluten free diet
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
drknews.com/changing-your-d...
Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease
pubmed.ncbi.nlm.nih.gov/296...
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
nuclmed.gr/wp/wp-content/up...
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
restartmed.com/hashimotos-g...
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
Post discussing gluten
healthunlocked.com/thyroidu...
Thank you very much its appreciated.
Thank you for replies
Neg ANA, positive TgAb, negative TPO
TPO
TPO
Tested positive for TPO antibody, Dr not willing to find the root cause
