Once TPOab and TGab have been done, they don't need to be done with every set of blood work. Once you have Hashi's and/or Graves, you always have it, even if the antibodies go into remission. It's not the antibodies that cause the symptoms; it's the resulting hypo or hyperthyroidism.
Both DHEA and cortisol are adrenal hormones, so yes, the fact that they are high would indicate an adrenal issue. You should ask for further testing to find the cause. Cortisol, naturally, rises and falls, at certain times of the day, so you really need to get a 24 hr test done.
I'm not an expert on parathyroids, at all, but everything I've read says that if you have an issue with a parathyroid (most of us have 4 of them), the offending gland(s)s must be removed, because they don't "heal"; therefore, surgery is the only option. That's why Dr Norman is all about surgery.
Yes, I've heard that Vitamin D can make parathyroid issues worse; deficiency can also cause a multitude of symptoms, so it's best to talk to your doctor as soon as possible to get the issue resolved.
So sorry for your loss.Thank you for your time.
My TGab was <20 (Ref <or=40) so that's negative, correct?
My TPO has been higher in the high 400's, she likes to do them every bloodwork.
I'm not on any thyroid meds.
The DHEA and cortisol did come back into mid range but the testosterone free (2.12) and total (69.2) are still raising. Same ref ranges. Is that an adernal issue? I'm 52 and postmensual so I doubt it PCOS.
Yes, I do take 3000 Vitamin D daily but can't get to stay up. But now I'm confused with a possible parathyroid issue, I read Vitamin D might make it worse.
Haven't had any more tests yet. Do you know of a reliable source to read about that. I saw Dr. Norman's site from Florida and he's all about surgery but not to bother with any more tests. Other sites say more tests are needed.
Dr is out of town. Hope she gets back tomorrow.
Sorry I haven't answered; I had a recent death in the family and haven't been able to be on the forum the past few days.
Are you currently on a thyroid replacement medication? If so, which one, what dosage and for how long have you been on it?
Aside from your Antibody tests, your thyroid levels don't look too bad, unless you're on replacement medication, then I'd say they might be too low.
Have you had Thyroglobulin Antibodies (TGab) done? Because you have elevated TSI, I'd lean toward your having Graves Disease, since TSI is the determining factor there. While TPOab can be elevated with Graves Disease, it's usually not very high. The high TPOab and TSI, indicates that you could possibly have both Graves Disease and Hashimoto's Thyroiditis.
The fact that your TPOab is as high as it is and your TSH on the high side of normal, with mid range FT3/FT4, I'd tend to say the Hashi might be dominant.
DHEA is an adrenal hormone and typically, declines with age.
Your vitamin D is very low in the range; are you supplementing that?
Have you had further tests to determine if there is a parathyroid issue? The parathyroids and the thyroid are not related, except for their location in the body. The parathyroids control calcium use.
Any help or suggestions welcome please.
I feel like I'm going crazy!
Thanks