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Anti-TPO Antibodies with normal Thyroid hormones! HELP!!!
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Anti-TPO Antibodies with normal Thyroid hormones! HELP!!!

I recently discovered that I have Anti-TPO antibodies in my body. (I have 60, the normal range is 0-30) All of my thyroid hormones are normal, though!

My endo. prescribed my Synthroid for my hypothyroid like symptoms (Headaches, lightheadedness, fatigue, dry skin, eyes, mouth, hair, lethargy, etc.)

Should I take the Synthroid? My symptoms slowly began about 3.5 years ago. They have been progressively getting worse.

BTW, I am a 15 year old male, if that helps!

TSH: 1.61 (0.50-2.50)
Free T4: 1.22 (0.89-1.76)
Free T3: 3.7 (2.3-5.0)
Total T3: (0.60-1.81)

Anti-TPo AB 57.5 (0.0-28.0)

Thank you so much!!!
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Avatar_m_tn
Just curious what dosage did the Dr prescribe of the T4 (synthroid) medication?

The elevated TPOantibodies would indicate that you have Hashimoto's disease.  This is the most common cause for low (hypo) thyroid in the industrialized world.  It is an auto immune disease where for whatever reason you body believes your own thyroid gland is a foreign invader.  And like a good immune system does.  It goes to work systematically to kill the invader.  But this time it is attacking your Thyroid gland. What that means is that over time your Thyroid gland produces less and less hormone.  As a result you go more and more Hypo over time.  Thus you need medication and increasing medication to make up for the loss of effectivness of your thyroid.

There are two schools of thought Dr's often take with Hashi's.  One is to wait until the blood labs and the symptoms get really pretty significant and THEN start with medication.  The other track is to start with very low doses of usually a T4 medication like Synthroid right away fully knowing that sooner or later you will be on them so why not start right away and not make the person wait until they feel awful before beginning the medication.

It sounds like you are starting to have symptoms and you state that this has been worsening for a few years now.  So from that point of view it appears reasonable that a Dr wants to start you out on medication.  I think you should be pretty happy that your Dr wants to start you out sooner rather than later.

Your lab results don't appear to indicate a super low thyroid condition but everyone is different.  I would suspect the Dr put you on a very low dose of synthroid.  I'd guess 12.5 mcg or 25 mcg.  These are fairly common low dose starting prescriptions.

Understand do NOT expect immediate response from the medication.  It takes 6 weeks for T4 to stabilize in your blood.  Also some people report feeling worse when you first start taking the medication.  This is another reason to start with small dosages and slowly work your way up based upon your blood lab tests AND maybe more importantly the relief of your symptoms.
6 Comments Post a Comment
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Avatar_m_tn
Just curious what dosage did the Dr prescribe of the T4 (synthroid) medication?

The elevated TPOantibodies would indicate that you have Hashimoto's disease.  This is the most common cause for low (hypo) thyroid in the industrialized world.  It is an auto immune disease where for whatever reason you body believes your own thyroid gland is a foreign invader.  And like a good immune system does.  It goes to work systematically to kill the invader.  But this time it is attacking your Thyroid gland. What that means is that over time your Thyroid gland produces less and less hormone.  As a result you go more and more Hypo over time.  Thus you need medication and increasing medication to make up for the loss of effectivness of your thyroid.

There are two schools of thought Dr's often take with Hashi's.  One is to wait until the blood labs and the symptoms get really pretty significant and THEN start with medication.  The other track is to start with very low doses of usually a T4 medication like Synthroid right away fully knowing that sooner or later you will be on them so why not start right away and not make the person wait until they feel awful before beginning the medication.

It sounds like you are starting to have symptoms and you state that this has been worsening for a few years now.  So from that point of view it appears reasonable that a Dr wants to start you out on medication.  I think you should be pretty happy that your Dr wants to start you out sooner rather than later.

Your lab results don't appear to indicate a super low thyroid condition but everyone is different.  I would suspect the Dr put you on a very low dose of synthroid.  I'd guess 12.5 mcg or 25 mcg.  These are fairly common low dose starting prescriptions.

Understand do NOT expect immediate response from the medication.  It takes 6 weeks for T4 to stabilize in your blood.  Also some people report feeling worse when you first start taking the medication.  This is another reason to start with small dosages and slowly work your way up based upon your blood lab tests AND maybe more importantly the relief of your symptoms.
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Avatar_m_tn
Thank you for your fast response! I was prescribed 25 MCG, once daily in the morning. Is this a good dose?

Also, since Levothyroxine is only T4, will I see improvement? I've heard that you need both T3 and T4 in the medication for it to work right, like Armour. Is this true?

Thank you so much!
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Avatar_m_tn
Is anyone else familiar with the condition and knows whether synthroid is a good option for treatment? Thanks!
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393685_tn?1325870933
Medication can be a good alternative for treatment. Some doctors also go the route of not using medication just because symptoms appear your hypothyroid but the labs aren't there.

These doctors look at the autoimmune level in the blood draw attempting to suppress the autoimmune antibodies then after they feel the autoimmune flare up is controlled run thyroid labs to see the damage done to administer thyroid meds to try and treat on a more controlled level.

With autoimmune thyroid, things get very complicated. The responder tests (thyroid labs have HUGE ranges and can change quickly, even as fas as during the lab draw itself! The antibodies in rage can appear false positive/negative tests and if the treatment of medication is done this can alter more and complicate things more.

The problem is you, as the patient experiencing the "swings" would have to control the attacks and attempt suppressing those attacks mostly on your own. Patients find diet, hydration, gluten free and basic (pure) eating can have a positive impact on this attempt. Also some supplements has been used to slow the rage of autoimmune Hashimoto antibodies along with developing a super immune system to fight and a clean internal digestive (gut and intenstine) system.
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Avatar_f_tn
As I said, I had antibodies for most of my life and have only had a problem with them attacking me recently.
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649848_tn?1357751184
The synthroid should help with the hypothyroidism, which is what's causing the symptoms, you're having, even if your labs don't show it yet.  Labs often lag behind symptoms.

You should be aware that it takes 4-6 weeks for the medication to reach full potential in your body, but you may start feeling slight improvement in the way you feel, before then.

Not everyone needs both T3 and T4 med.  T4 is converted to T3, which is the hormone actually used by the individual cells.  Some of us don't convert adequately, so we have to add a source of T3 med; however, looking at your results, it appears that you are converting well, at this time.  Continue to test both FT3 and FT4 every time you have blood work, to make sure both of your levels are adequate.
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