Hypo or Hyper?

[gofigerr]

I was having muscle twitching, muscle fatigue and pain, general fatigue and I was sent to a neuro. He said he thought it was my thyroid becasue I had thyroid antibodies, he was wanting me tested for some kind of antibodies to look for Hashi Encepholitis. He consulted with an endo who said she didn't need to test me for those antibodies, she could tell by my high tpo antibodies and low end t4 (low normal at .89) that I had Hashi's hypo. That is why she put me on the levothyroxine. I am on the smallest dose and I know you answered my question about the meds and anxiety/adrenaline rushes Im having since starting them, but is there any way I might actually be hyper? My tsh was only 2.62. Someone suggested having TSI antibodies checked and others have indicated an adrenal problem?  Do you think its reasonable to ask her for the other tests or do you agree with her that it is probably just Hashimoto's Hypothyroid?

[Mark Lupo, M.D.]

most likely early hypo due to hashi.  did the neurologist do an MRI of the brain -- if so it would have showed a pituitary problem/mass that would cause lowish T4 with a normal TSH, but all in all this looks like hashi with primary mild thyroid failure.  Checking cortisol would help with adrenal assessment.  TSI is not likely to add much in this case.