Hyper Hashimoto: Dear all,Two weeeks ago I have... - Thyroid UK

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Hyper Hashimoto

Croat profile image
8 Replies

Dear all,Two weeeks ago I have been diagnosed with Hashimoto, although I currently have hyperproduction of tyroid hormones. I have given birth twice in the last 3 years i.e. my younger child is 1.8mnths old. Could it be that I suffer from postnatal Hashimoto?

And my second question - can the production of antibodies be somehow slowed down? That is, is it possible to avoid the hypo stage?

Thank you for your help.

🌼❤️

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Croat profile image
Croat
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8 Replies
PurpleNails profile image
PurpleNailsAdministrator

Welcome to forum

Which antibodies were tested? As you been diagnosed with Hashimoto’s I will assume it was TPOab (Thyroid Peroxidase antibodies), & / or TGab (Thyroglobulin antibodies).

Very common to occur postpartum.

With hashis the immune systems attacks thyroid & the thyroid cells breaks down. This means the thyroid stored gets released. So in early stages it causes fluctuations and elevation but over time the damage means the thyroid ability to function becomes under active.

The rise however is not from the thyroid over producing, that’s caused from a separate autoimmune thyroid condition. (Graves, & that confirmed by testing further antibodies, - the thyroid gets stimulated to over produce) & the hyper being continuous must be treated.

Raised thyroid levels with Hashimoto’s is managed differently.

The antibodies are clearing up debris from the immune attacks. Not the cause - antibodies signify what’s happening but not why or how severely as antibodies don’t always correlate to what’s affecting your thyroid levels & symptoms.

Doctor’s do not know how treat that autoimmune aspect the replace thyroid when it can’t function any more.

Do you have any thyroid results? TSH. FT4, FT3?

Also important to test folate,ferritin,B12 & Vitamin D.

Please put country in profile.

Croat profile image
Croat in reply to PurpleNails

4Dear PurpleNails,

Thank you very much for your prompt answer. There have been changes in my diagnosis - the doctor said that scintigraphy showed hyperthyreosis, not Hashimoto. She gave me pills to slow down the heart rate and thyroid. I have been taking the therapy for 6 days now and I don't feel any change. My heart keeps pounding and I feel tension in my neck.

As for my thyroid results, they are as following:

Ferritin 40.8

TSH <0.005

T4 - 251

T3 - 7.1

Kisses and hugs from Croatia 🌼☀️🪻

PurpleNails profile image
PurpleNailsAdministrator in reply to Croat

Scintigraphy often gives an accurate diagnosis. Have Doctors diagnosed Graves’ disease or nodules?

Trab or TSI antibodies often tested to confirm Graves.

“Pill to slow down heart” was this propranolol? That will help with heart rate & often prescribed with hyperthyroid to help heart symptoms, but it won’t treat the high thyroid levels. Has an antithyroid medication been prescribed? Carbimazole or PTU.

Please add lab range for results, range vary between labs. Was it Free T4 & T3. If FT4 was it 25.1?

Croat profile image
Croat in reply to PurpleNails

Dear PurpleNails,

The doctor didn't give me an explanation. I know that there is a nodule and a cist, but I had been told prior to scintigraphy that both is inactive.

Yes, I have been prescribed propranolol for the heart and athyrazol for the tyroid.

As for the results and the range:

Ferritin: 40.8 (10-120)

TSH: <0.005 (0.27-4.2)

T4: 251 (66-181)

T3: 7.1 (1.3-3.1)

Anti-Tg: 127.1 (up to 115)

Anti-TPO: 49.8 (up to 34)

Fe: 24 (8-30)

TIBC: 47 (49-75)

UIBC: 23 (26-59)

Thanks 🪻

PurpleNails profile image
PurpleNailsAdministrator in reply to Croat

Scintigraphy is the only way to confirm if nodules are functioning or not. Cysts won’t as they are fluid filled, but solid components can.

Ask for a copy of the scan report, you often find there’s much more detail on report than what get communicated to you.

Propranolol / athyrazol is right medication. Your thyroid function needs to be repeated 6 weeks after starting, expect the dose to be adjusted. Go by FT4 & FT3 as TSH can remain low for an extended time.

Also reduce propranolol slowly when you wish to stop.

Ferritin looks low & other iron panel, has doctor advised / offered treatment.

Croat profile image
Croat in reply to PurpleNails

Thank you so much for your answers, PurpleNails.I have Heferol at home (I was taking it during my pregnancy) and I was thinking of taking it.. but since nobody prescribed it, I am not sure.

After one week of taking propranolol and athyrazol, I don't feel my heart pounding any slower.. I am a bit concerned. Is it too soon to be thinking like that?

The medical report says - autoimmune hyperthyreosis. Would that be Graves? There is no explanation on scintigraphy scan.

Croat profile image
Croat

Dear all, dear PurpleNails,

I would, once again, like to have your advice.

It has been a month and a half now since I have been taking Athyrazol and Propranolol, however, I still feel constant tension in the neck area. How long do I need to take the medication for it to start function? I am also taking vitamin D and will start to take Bcomplex and foliacin. I try avoiding gluten and coffee.

Sending veeery warm hugs from Croatia 🌷

PurpleNails profile image
PurpleNailsAdministrator in reply to Croat

Do you have any repeat thyroid function?

The tension may be caused by thyroid swelling. I have this when on too much anti thyroid & levels are too low. it improves when levels are mid range.

Is the neck issue an existing issue?

Best to test and check for gluten issue when eating a diet with gluten. Once tested trial strictly gluten diet. All or nothing with gluten.

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