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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Test Questions
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.
Test Questions
by Squrl14, Sep 26, 2007 09:58AM
I would like help understanding my test results. Earlier this year my TPO levels were in the 200's and TSH was at 4.6. I was sent to an Endo. and had labs last week. I am a former competitive gymnast and have had issues with disordered eating and absent periods. I am working to correct the issue. My family practice doctor said that when I regain the weight lost and resume menstruation that it could correct itself. The endo. said "maybe." The results are:
THS - 3.273 (rr 0.32 - 5.5)
TPO - 144 (rr 0 -34)
T4, Free - 1.06 (rr 0.61 - 1.76)
T3 2.2 (rr 2.3 - 4.2)
Anti-Thyroglubulin Antibodies 24 (rr 1-100)
My estrogen has gone to "undetectable" to 24! However, the Vitamin D was low. I was given a Vitamin D prescription and told I would be fine.
Any insight?
Thanks,
Keleigh
THS - 3.273 (rr 0.32 - 5.5)
TPO - 144 (rr 0 -34)
T4, Free - 1.06 (rr 0.61 - 1.76)
T3 2.2 (rr 2.3 - 4.2)
Anti-Thyroglubulin Antibodies 24 (rr 1-100)
My estrogen has gone to "undetectable" to 24! However, the Vitamin D was low. I was given a Vitamin D prescription and told I would be fine.
Any insight?
Thanks,
Keleigh
Doctor's Answer
by Mark Lupo, M.D., Sep 30, 2007 08:47PM
, Sep 30, 2007 08:47PM
You have Hashimoto's Thyroiditis with mild (subclinical) hypothyroidism. This does not mandate treatment with thyroid hormone, but needs to be watched for the development of a more severe hypothyroidism.
The lack of periods may be contributed to by this mild hypothyroidsim but moreover is likely due to low body fat/eating disorder (as you imply).
With the positive thyroid antibodies and low Vitamin D, would check celiac sprue antibodies as a cause of the low Vit D.
The lack of periods may be contributed to by this mild hypothyroidsim but moreover is likely due to low body fat/eating disorder (as you imply).
With the positive thyroid antibodies and low Vitamin D, would check celiac sprue antibodies as a cause of the low Vit D.
