Graves or Hashi?

[Glenn G]

I'm confused.
I had my antithyroglobulin checked, it was 3200.
I also had my TSI checked, it was 102, range <129.

TSH 16.878
Triodothyronine (T3) 102  85-205
Triodothyronine Free Serum  2.9  2.3-4.2
Thyroxine (T4) Free direct .85   .61-1.76


What does this mean?
I was told i am Hashi hypo but have hyper symptoms.
SEVERE Brain fog, anxiety, pounding heart etc.

I'm only on 25mcg of synthroid for 4 weeks.
I am retesting FT3, FT4, TSH this week.

Am I hypo or hyper or what?
From what i read, the TSI shows hyper/graves.
Should I retest the antibodies?
What do I do? I need to feel better again, its been 5 months of going crazy daily.

ugh/

[Mark Lupo, M.D.]

You are HYPO (ie high TSH and normal T4/T3 -- aka subclinical or mild hypothyroidism) -- your TSI is normal so this is not Graves.  The Tg-antibody suggests Hashimoto's.

The symptoms can overlap sometimes.  The reason for the low start dose of 25mcg was likely the anxiety & heart pounding -- give it more time and recheck after 6 weeks of being on med, and change dose as necessary to target TSH 0.5-2.0.

[Glenn G]

This seems like me!

http://www.hateshopping.com/hashitoxicosis.html

[LadyCherry]

MY THYROID is enlarge defiused dr order ( radiation test, blood workup,) found a growth then put me on syntroid 100mgs lost weight quick 15lbs in a few weeks but on 5th wk signs of dizziness (like room spinning) then a surging feeling internally from stomach area (like a wave) moving through my body to the top of my head then break out into hot flashes that made me sweat like I stepped out of a shower lasting 20 min I had those several times a day as the following week came I was a sleep than woke suddenly gasping for air felt horriable dr then sent me to an endroconologist she said I had Hoshimoto's That's beena year ago recently few months now my throat hurts I cant turn my head with out pain it comes n go  the dr then took a sonogram it (thyroid has enlarge) nothing he say's to worry about but my blood work came back with my blood platlets low 109 1st blood test  168 2nd bruising easy my hair looks fried, my skin soaks up all lotion it can , I was put on Estrodol 1mg but now off I gained 15lbs (+) maintained weight @ 160 for 5yrs what would be the best solution to these symptoms where suffering gain n lose could be relieved I'd like to look pretty again n feel pretty again instead of ran down

[shybee]

A related discussion, toxic mutli nodules untreated was started.