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Dr says probably just minor inflammation?

So I during a screening, I came up with a TSH result of 0.07, when the normal range is 0.27-4.2. My T3 & T4 were normal. I was then referred to the Endocrinologist.

Two weeks later I found I had Cellulitis, and needed immediate antibiotics via IV. Then I was sent home with motrin 800, 3 times a day, and 10 days worth of antibiotics, which I had since finished.

The day after I finished my antibiotics, I was retested by the endocrinologist and the TSH is now .14 (which is still low), and a high THYROGLOBULIN AB, my result is 2228.0, the normal range is <20, and a high THYROID PEROXIDASE AB which was 63.0 and the normal range is 0-35.

The Dr says that this may be from a temporary inflammation of the thyroid or thyroiditis? He says this is improvement, but shouldn't the anti-inflammatory medication or the antibiotics have resulted taking away the inflammation if there was one?
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Avatar universal
Well, you could have postpartum thyroiditis.  That is also characterized by elevated antibodies.  It's considered a variant of Hashi's, women usually recover from it.

Right now, your FT3 and FT4 are quite high, so you really "shouldn't" be having hypo symptoms.  When your FT4 was 1.65 and your FT3 was 3.9, were you feeling any hyper symptoms?  Intolerance to heat, weight loss, hand tremors, anxiety, insomnia, etc.?  PPT usually has an initial hyper stage, followed by a return to normal, then a hypo phase.  Have you noticed symptoms changing?

Selenium was shown in a small study to reduce antibodies.  A g/f diet has been touted to reduce antibodies, but after extensive reading, I've come to the conclusion that the claims are totally not backed up with any science.  

I think a second opinion is an excellent idea.  You should pin a doctor down for a diagnosis.  If he thinks this is a temporary inflammation, you should ask when he would expect your thyroid to get back to normal and how you will treat it in the interim.

Once you have antibodies, you typically have them for life.  In the absence of any proven method for reducing them, I have no suggestions on how to get them down.  As with all autoimmune diseases, all we can do is treat the symptoms when they appear.  

I just realized that one of your initial questions was never answered.  "...shouldn't the anti-inflammatory medication or the antibiotics have resulted taking away the inflammation if there was one?"  Antibiotics have no effect on antibodies.  Anti-inflammatory drugs might help on a very temporary basis, but with a high antibody count, the attack on the thyroid is continuous, so as soon as inflammation is reduced, it's recreated.    
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Avatar universal
I had a baby 8 months ago, and I can't seem to lose any of the weight. Unlike with my first child. I'm always tired and cold...but I don't know if these are symptoms or if it's just how I'm built. I've been reading on the Hashimoto's, and see people using Selenium and going Gluten Free.I am going to try and get a second opinion from another Endo, as I'm not too thrilled with the one I saw. Any suggestions on how to get my AB digits down?
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Avatar universal
I don't know how your endo could say that this was "temporary inflammation that would take care of itself".  Your antibodies, especially your TGab are very high, indicating an autoimmune response.  Typically, once we have antibodies, we have them for life.  However, antibodies can be present for years or even decades before they damage the thyroid enough to send FT3 and FT4 out of range and/or cause symptoms, i.e. many people live with antibodies for years with no symptoms.  

Although Hashi's is ultimately hypothyroidism, initial stages can be hyper or swing from hypo to hyper.  Your first FT4 was 95% of range, high of the 50% target.  Second FT4 was still at 80%.  Your first FT3 was 72% followed by 44%.  Target for FT3 is 50+%, so that doesn't look too bad at all.

Did you have any hyper or hypo symptoms before you were screened?  Have you ever had thyroid testing previously?
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Avatar universal
Hi Gabell.

If they're talking about a temporary thyroiditis that'll resolve itself they must mean subacute thyroiditis. I've been having that since April of this year. Mine was extremely painful. Right now I'm severly hypothyroid as a result starting in the beginning of July when my levels dropped just as rapidly as when they were rising.

I tested my TPOab levels myself (private lab) in the very beginning when my thyroid started to hurt. It was within the range.
But I've never tested any other antibodies, my endocrinologist told me that won't "tell me anything anyways", whatever that means.
But your TGab is skyrocketing high, I would think it's more likely you have Hashimotos than subacute thyroiditis.

Antibiotics doesn't help subacute thyroiditis since it's believed to be viral. Motrin is more to help for pain but won't do much for the inflammation. The only thing that can help is steroids, like Prednisone. But not if it's Hashimotos.

I take it that your cellulitis was not connected with your thyroid? That is a bacterial infection. A bacterial infection in the thyroid, acute thyroiditis, is very serious and fatal but luckily very rare.

I just started taking Levothyroxine due to being so hypo now. In the beginning it felt great to have my levels go down after having such high ones. But after 2 months of being severly hypo I begged my endo for help. I think she wanted to wait 1-2 months more without meds to see if my thyroid will repair itself. Just that I don't, I just want to start feeling human again.
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Avatar universal
My endo was the one that told me that this a temporary inflammation that would take care of itself...that's why I needed to get some other opinions on this, since I'm not familiar with this at all. I just don't see that someone could have had reading like this and not have some sort of issue. Especially since I was on the motrin and antibiotics for so long.

The Lab's normal T3 range is 2.6 - 4.4, and on the first test I had a 3.9, and on the second test I took it was a 3.4.

The Lab's normal T4 range is 0.7 - 1.7. On my first test I had a 1.65, and on my second test I had a 1.50.

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Avatar universal
Typically, antibodies are not elevated in a transient case of thyroiditis.  Elevated TPOab and TGab indicates Hashimoto's thyroiditis, which is an autoimmune disease and the most prevalent cause of hypothyroidism in the developed world.  

Please post your actual T3 and T4 numbers and include reference ranges.  Ranges vary lab to lab, so they have to come from your own lab report.

Do you have symptoms?  Pain in you thyroid?

What did the endo have to say?
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