Blood results

[Jassie10]

Hi,Had one half of my thyroid removed approximately 2 years ago. Not on any thyroid medication as the other thyroid took over.

Latest results below:

TSH- 0.302 (mIU/L) - range - (0.27 to 4.2)

Free T3 - 5 pmol/L - range - (3.1 to 6.8)

Free Thyroxine - 16 - range - (11.9 to 21.6)

Have been feeling more tired lately, overheating at night (not sleeping well)and during the day at times.

Do these results seem OK - I know they are within range.

Thank you

[PurpleNails Administrator]

What was reason for hemi thyroidectomy?

You were negative for Graves, did you have nodule/s?

If yes, was it confined to 1 side or on both lobes.

Have ALL thyroid antibodies been previously tested?

TRab (TSH receptor antibodies)

TPOab (Thyroid Peroxidase antibodies)

TGab (Thyroglobulin antibodies)

TSI (Thyroid-Stimulating Immunoglobulin)

Drs do not take action until levels reach / approach abnormal. Are these current results higher / lower than pre & post surgery levels? How do they compare?

[Jassie10 in reply to PurpleNails]

Hi,

Had a left hemi thyroidectomy due to a large multinodular goiter.

Before surgery Graves was ruled out with TRab test. Have had TPOab tested again before surgery and these were elevated.

Current results are lower than pre op and higher than post op. Pre op results were only ever slightly elevated -TSH 0.005 and T3 approx. 7.6 and T4 23.

I cannot remember last results but they were slightly lower than recent results.

[PurpleNails Administrator in reply to Jassie10]

Continue to monitor. 6-8 weekly if possible.

Positive TPOab prior to surgery indicates autoimmune thyroiditis (Hashimoto’s), which can cause fluctuating levels caused by damage cells releasing hormone, overall the thyroids ability to produce is slowly reduced.

The Multi nodules likely would have also been over producing. Nodules continue to over function (do not go into remission), so require definitive treatment.

So it’s possible autoimmune damage is causing a temporary rise or that a residual nodule on remaining thyroid is beginning to over produce.

You’re watching for dropping levels as much as increasing levels.

[Jassie10 in reply to PurpleNails]

Many thanks PurpleNails for your replies. Will keep an eye on levels.

Thank you