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High TPOab, normal TSH recent miscarriage at 5 weeks
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High TPOab, normal TSH recent miscarriage at 5 weeks

I recently has a miscarriage at 5 1.2 weeks. I have 3 healthy children and problem free pregnancies. I developed postpartum thyroiditis after #3.  My recent bloodwork was as follows:

tsh: 1.79
Free T4: 1.07
T4: 9.2
Total T3: .6  (1/10th low)
Free T3: 2.56
TPOab:  539
progesteron 25.12 at week 4.

My question is that everything is showing up normal. Is there no treatment for TPOab considering im relatively euthyroid? Anyone else out there with normal thyroid readings and high TPOab? I am 39.

I feel like nobody can give a good summary of the antibodies to me.
351246_tn?1379685732
Hi!
Thyroid peroxidase (TPO) is an enzyme in thyroid gland which helps in production of thyroid hormone. TPOab or antibody against this enzyme is present in cases where thyroid is attacked by body’s own immune system. Hence this is raised in autoimmune thyroid disease called Hasimotos thyroiditis. However, TPOab can also be raised in rheumatoid arthritis, Sjogren’s syndrome, lupus and pernicious anemia.Hence since you have other normal thyroid tests which happens in 10-15% cases of Hashimotos, other thyroid antibodies such as antithyroglobulin (anti-Tg), and to a lesser extent, TSH receptor-blocking antibodies, thyroid-stimulating antibody and cytotoxic antibody should be tested for. Also the tests should be repeated after 3 months.  If these are raised then you may need treatment for thyroiditis. As of now you may not need treatment. Do discuss this with your doctor. Take care!
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