Hello everyone, I'm slightly confused.Tested positive for TPO[OVER 100) and heterogeneous thyroid (scan). Recently seen my GP and asked if I have Hashimoto's. Got told I don't? I thought I did from the research I've done? Got my retest bloods(3 month) soon so hopefully have more information then. Been referred to an endocrinologist and it looking like August when I will be seen. Any advice on what questions to ask?
Hashimoto's : Hello everyone, I'm slightly... - Thyroid UK
Hashimoto's
![Ticman profile image](https://images.hu-production.be/avatars/7598e3969ee84a26b3172ebd0b0a0c19_small@2x_100x100.jpg)
![Ticman profile image](https://images.hu-production.be/avatars/7598e3969ee84a26b3172ebd0b0a0c19_small@2x_100x100.jpg)
TSH 5.1 (5.5) FREE T4 11.8 (10 -20)
T3 5.4 (3.5 - 6.5)
TPO 105 (<35 )
Are the results you just posted the same from 2 months ago?
healthunlocked.com/thyroidu...
Did the GP actually say you didn’t have Hashis? Or that he couldn’t diagnose you officially maybe until a repeat test? When is your next blood test?
And what are your symptoms?
Ask him if he actually knows what Hashimoto's is. Because a lot of them don't. And, in any case, they don't tend to call it that. They call it Autoimmune Thyroiditis. And, if your TPO antibodies are that high, you do have something autoimmune going on. And given the level of your TSH it has to be Hashi's.
![SlowDragon profile image](https://images.hu-production.be/avatars/27fbbead1f291333f83bad1f31359fe3_small@2x_100x100.jpg)
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
Your high thyroid antibodies confirms autoimmune thyroid disease
Technically
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.
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/signs-and-sym...
Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease
Have you had vitamin D, folate, B12 and ferritin levels tested if not get these included at next test
Recommended that all thyroid blood tests 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)
Starting levothyroxine - flow chart
Two tests 6 weeks apart with TSH, over 5, high thyroid antibodies and symptoms ……you should be started on levothyroxine
![SlowDragon profile image](https://images.hu-production.be/avatars/27fbbead1f291333f83bad1f31359fe3_small@2x_100x100.jpg)
Looking at your profile you are also taking PPI, Lansoprazole.
GP should test vitamin levels of patients on long term PPI
Ppi like Lansoprazole will tend lower vitamin levels
gov.uk/drug-safety-update/p...
webmd.com/heartburn-gerd/ne...
pharmacytimes.com/publicati...
PPI and increased risk T2 diabetes
gut.bmj.com/content/early/2...
Iron Deficiency and PPI
medpagetoday.com/resource-c...
futurity.org/anemia-proton-...
onlinelibrary.wiley.com/doi...
sciencedirect.com/science/a...
being hypothyroid tends to result in low stomach acid, resulting in poor nutrient absorption and low vitamin levels as result
Web links re low stomach acid and hypothyroidism
nutritionjersey.com/high-or...
stopthethyroidmadness.com/s...
thyroidpharmacist.com/artic...
meraki-nutrition.co.uk/indi...
huffingtonpost.co.uk/laura-...
lispine.com/blog/10-telling...
Useful post and recipe book
healthunlocked.com/thyroidu...
My lipids and sugars have gone up recently. Looking at having the cholesterol injection and im trying my best to get my sugars down. Currently at 42,just over the cut off (41) Thanks
High cholesterol directly linked to being hypothyroid and will improve once on correct dose replacement thyroid hormones
nhs.uk/conditions/statins/c...
If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.
Im also taking a daily multi vitamin but will ask GP to test for vitamins. Thanks.
Multivitamins never recommended on here
Usually cheap, poorly absorbed ingredients.
You shouldn’t supplement iron unless tested first
Iodine not recommended for anyone with Hashimoto’s
Essential to stop all supplements that contain biotin 5-7 days before all blood tests as biotin can falsely affect test results
Suggest you Stop multivitamins and get tested
Hi there, I also want to re-surface this reply you got a couple months ago, as it's very clear and helpful
healthunlocked.com/thyroidu...
You should read that, and re-read SlowDragon's responses. These should give you confidence in understanding your body right now. And that confidence will help you navigate your next GP visit when they say things that aren't quite true, or they use ambiguous language that isn't quite accurate.
Let us know how you get on!