Thyroperoxidase Antibodies

[Tamylou]

Hi Dr. Lupo-
You answered one of my previous posts, but the ranges were jumbled and made it appear that my Thyroperoxidase Antiboides were within range. Sorry about that.
Below is the testing results again.
My questions is about the Thyroperoxidase Antibodies-mine were 96 and the range is under 35. Does this mean anything-or nothing to worry about.  
I was also wondering if the Calcium and Vitamin D results indicate anything in particular?
With all the strange symptoms I've been having the past 8 months or so, I want to make sure my test results aren't revealing anything I need to know.

8/31/09   TSH   4.51
9/14/09   TSH   1.97
9/14/09   Free T4   1.3
9/24/09   Vit B12   953
11/5/09   Tri-Iodothyronine Total   123
11/5/09   Free T4   0.9
11/5/09   TSH   1.18
11/5/09   Thyroperoxidase Antibody   96
1/15/10   TSH   1.73
1/15/10   Tri-Iodothyronine Total   103
1/15/10   Free T4   1.0
1/15/10   Vit D 25-Hydroxy   21
1/15/10   Calcium Serum   9.9
1/15/10   Albumin Serum   4.6
1/15/10   Glucose   88
1/15/10   Vit B12   898
1/15/10   ANA negative

Ranges:
--------------------
TSH 0.10-5.50
Free T4 0.8-1.7
Tri-Iodothyronine Total 50-170
Thyroperoxidase Antibody under 35
Vit D 25-Hydroxy 30-100
Calcium Serum 8.5-10.3
Albumin 3.3-4.7
Glucose 60-99
Vit B12 over 200

Thank you again!

[LUZ2229]

MY THYROPEROXIDASE ANTIBODY RESULTS WERE 1712.3 AND THE RANGE SAYS IT SHOULD BE <5.6, IS THAT BAD

[Mark Lupo, M.D.]

Vit D is low - recommend talking to your doctor about optimizing it (>40 in most cases)
TPO antibody high, but TSH most recently very normal -- aka "euthyroid hashimoto's" - medication is not necessary in these cases, but sometimes a trial of low dose meds may help with nonspecific symptoms.  Would go w/ the vitamin D treatment first.  Ca is 9.9 -- appears normal, but if gets above 10 consistently, check PTH.