TRAb result: hi all, my previous post here... - Thyroid UK

Thyroid UK

140,912 members166,035 posts

TRAb result

Heybella profile image
8 Replies

hi all,

my previous post here: healthunlocked.com/thyroidu...

I have a ‘negative’ TRAb result:

Thyroid receptor antibodies 1.21 IU/L (0 - 1.50)

I had been on PTU for around 5-6 weeks at this point and believe my levels were just outside of range.

Medichecks TPO 28 Feb was 121 Kiu/l (0-34)

NHS test 15 April: Serum thyroid peroxidase antibody concentration 664 iu/mL [0.0 - 6.0];

Ultrasound in April showed inflammation/ thyroiditis

suffering with overactive thyroid with levels just over the ranges but very symptomatic.

I have been ill for months with severe fatigue and almost flu like symptoms. Terrible debilitating anxiety and depression.

Can anyone give any advice on what to do next?

Written by
Heybella profile image
Heybella
To view profiles and participate in discussions please or .
8 Replies
SlowDragon profile image
SlowDragonAdministrator

how long since last TSH, Ft4 and Ft3 test

ALWAYS test early morning, ideally before 9am and only drinking water between waking and test

How long since you stopped PTU or Carbimazole

Heybella profile image
Heybella in reply toSlowDragon

Hi  SlowDragon thanks for replying

Stopped PTU on 4 May

Last thyroid function test 14 May showed levels had increased again since coming off PTU:

FREE T4+FT3+TSH

Serum free T4 level 19 pmol/L [9.1 -17.6

Serum TSH level < 0.01 mu/L [0.35 - 4.9

Serum free triiodothyronine level 7.9 pmol/L [2.4 - 6.0; Above high reference limit

SlowDragon profile image
SlowDragonAdministrator in reply toHeybella

So you look like you still need something to block excess thyroid hormones

Why was PTU stopped

You can’t take propranolol because of asthma?

Heybella profile image
Heybella in reply toSlowDragon

I had to stop because of raised liver enzymes on PTU

I was told I couldn’t have propranolol due to asthma but I have actually been taking a small dose which has helped somewhat

Will keep an eye on my asthma but it is only mild asthma

pennyannie profile image
pennyannie

Hey there again :

So have I got this right - now a negative for Graves but a positive for Hashimoto's -

Last year started with Carbimazole but had side effects - maybe too high a dose -

switched to PTU - dealing with debilitating symptoms which can be both hyper and hypo ?

Now off PTU due to liver issues and T3/T4 rising again - and thinking of restarting on a low dose of Carbimazole -

Are you taking any other medications ?

What were the results and suggestions from the thyroid scan ?

Heybella profile image
Heybella in reply topennyannie

Hi pennyannie

I was started on Carbimazole in Feb this year - but stopped after a week because it made me feel sick, and seemed to give me palpitations

Went onto PTU in March but had to come off due to raised liver enzymes.

Endo/ hospital now want me to try carbi again but start at 5mg

Ultrasound - just showed inflammation / thyroiditis - I don’t have access to result (I was told this by my GP who could see the result)

It looks negative for Graves? But I guess I was on PTU when the test was taken - would this matter at this point?

Hope this helps x

pennyannie profile image
pennyannie in reply toHeybella

I doubt the PTU would lower the antibody reading - did it lower your TPO readings ?

I do know that with Graves you can have Blocking or Stimulating antibodies at any given time and for a length of time - and so phases of hyper or hypo - and phases when neither blocking nor stimulating are controlling your thyroid production - with you just feeling - worse for wear -

and for some people these blocking and stimulating antibodies burn each other out - and this phase of Graves - considered over :

However your thyroid is still able to produce hormones and they seem to be slowly rising - so you need to put the brakes on - and that means trying the Carbimazole again.

Graves can wax and wane throughout one's life - as can Hashimoto's - with both AI diseases - ultimately I'm guessing - damaged and what ever is left isn't enough to cause the the extremes of high levels usually seen in Graves :

I guess for the hospital to want you to try the Carbimazole again they are seeing you as Graves though currently with negative antibodies.

Thinking on :

Heybella profile image
Heybella

thank you pennyannie

I really appreciate your reply.

Finding it really difficult at the minute x

Not what you're looking for?

You may also like...

Blood Result opinions

Hi , I’m new on this site -found it via the link on the PMR version of the site I was on before -...
66Mac profile image

Blood test result advice

Blood test results received today for my wife. On no medication, has plenty of classical thyroid...

Could this be Hashimoto's

Hey Guys, Thanks in advance, need some advice. I have had my Thyroid Bloods done recently after...
Teggie profile image

Will I need medication?

Hi All, New to here, I just wanted some advice really. I have had 2 private blood tests in the last...
RachP47 profile image

Blood Results - Are They Normal?

Hi I wonder if anyone can help with the interpretation of my blood results. I have been having...
engo profile image

Moderation team

See all
SlowDragon profile image
SlowDragonAdministrator
PurpleNails profile image
PurpleNailsAdministrator
RedApple profile image
RedAppleAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.