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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Subclinical Hashi's
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Subclinical Hashi's
by ER_RN, Nov 03, 2009 12:18PM
Hello,
My TPOab is 54 (0-35 normal) and the other thyroid test are "within normal ranges" but I did not have FT3 drawn. Based upon the presence of antibodies and being symptomatic, should I be treated or continue to have the antibodies monitored? I also understand that the presence of antibodies can alter the TSH and FT4, basically making the results invalid...anyone??
My TPOab is 54 (0-35 normal) and the other thyroid test are "within normal ranges" but I did not have FT3 drawn. Based upon the presence of antibodies and being symptomatic, should I be treated or continue to have the antibodies monitored? I also understand that the presence of antibodies can alter the TSH and FT4, basically making the results invalid...anyone??
Doctor's Answer
by Mark Lupo, M.D., Nov 05, 2009 05:31AM
, Nov 05, 2009 05:31AM
A trial of levothyroxine in this situation is reasonable even with a normal TSH - given that you have symtpoms. The TPO titer is mildly elevated. If there is no symptom improvement, then we stop the levothyroxine after 3-6 months.
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