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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
TSH level increasing
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.
TSH level increasing
by jamuella, Jan 19, 2009 12:40PM
Good morning
I had TSH level done in August ( level .07) normal Free T4 ,in November my TSH went up to .103 , Free T4 was at 1.1 ( was at 1.5 in August)Free T3 normal and my TPOab was at 46 ( normal 0-3.9 ) ; in January my TSH was at 1.5 ( no free T4 or FreeT3 done, MD had ordered TSH reflex) My question is, my level is now normal my MD thinks I might end up with hypothyroidism, what are my chance to get hypothyroidism. My only symptoms ( not known if related to thryoid) is being very anxious, over cautious and depressed.
Thank you for your input
I had TSH level done in August ( level .07) normal Free T4 ,in November my TSH went up to .103 , Free T4 was at 1.1 ( was at 1.5 in August)Free T3 normal and my TPOab was at 46 ( normal 0-3.9 ) ; in January my TSH was at 1.5 ( no free T4 or FreeT3 done, MD had ordered TSH reflex) My question is, my level is now normal my MD thinks I might end up with hypothyroidism, what are my chance to get hypothyroidism. My only symptoms ( not known if related to thryoid) is being very anxious, over cautious and depressed.
Thank you for your input
Doctor's Answer
by Mark Lupo, M.D., Jan 24, 2009 09:02AM
, Jan 24, 2009 09:02AM
There is evidence of autoimmune thyroid disease -- there may have been a transient silent thyroiditis (inflammation of the gland w/ release of pre-formed hormone). At this point, with normal labs, it is best to monitor -- there is a chance you will become hypothyroid, but it may be months or years before this happens. Would test thyroid function labs at least every 6 months for 1-2 years then annually to keep an eye on things. In terms of symptoms, it sometimes takes 2-3 months after normalization of thyroid status to feel better --- so if the previous hyperthyroidism caused the symptoms, it may take more time to resolve (no medication though is indicated at this time)
