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Thyroid Test Result.

Hi...recently i went for my Health screeninig test.my thyroid test was,
  
Thyroid Studies      Result        Reference
        T3                 2.35          (0.92 - 2.79 nmol/L)
        Free T4         13.72         (11.50 - 22.70 pmol/L)
        TSH              3.520         (0.350 - 5.500 mlU/L)
        Anti-Tg          38.4           (0.0 - 34.0      lU/mL)
        Anti-TPO       499.3         (0.0 - 12.0      lU/mL)
  
Iam not taking any medicine regarding thyroid,but physically i have a lot of other symptoms.
I would like to know that According to your Experience and knowledge.is there any Thyoid problem with me?
                                                         Thanks.
11 Responses
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314892 tn?1264623903
I am glad you are getting treatment. You shouldn't have any side effects, especially since you are starting out on a low dose. This may be all you need right now. I noticed a difference in about a week with a higher level of energy. Nothing huge, I just felt a bit more with it.
Make sure to get your levels measured in 6 weeks, or whatever your doc recommended. Over time, you may need a higher dose, depending on what your thyroid decides to do.
Take it in the morning on an empty stomach and don't eat for at least 1/2 hour. Also do not take any supplements, esp iron or calcium, for 4 hours before or after. They can bind the drug and make less available to your body.

Good luck and good health!

Kitty
Helpful - 0
Avatar universal
Recently i went to Endocrinologist and he suggested EUTHYROX 25ug....whats ur Experience/knowledge.
Helpful - 0
314892 tn?1264623903
Glad you are getting answers. Sometimes it helps just to at least know what is going on.
And you are very welcome- anytime.
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Avatar universal
Iam very thankful to u and the Graves Lady Specially Dr.Lupo,i have no wording to explain that how much you are helping me to diagnose my disease.......May God Bless u
Helpful - 0
314892 tn?1264623903
It looks like Dr. Lupo does believe your levels/symptoms are due to your thyroid. He knows better than most PCP' s since he is trained in Endocrinology. Looks like he agrees with the reference I posted above.
Helpful - 0
314892 tn?1264623903
Hey- I just saw your post to Dr. Lupo. I see he suggested you see an endo, says you have early hypothyrodism and suggests a trial of meds.  That is what a few of us were suggesting her. Glad you got the opinion of the expert.

Kitty
Helpful - 0
314892 tn?1264623903
You still need to pass these results by your doctor
. If you want some great reference regarding the reference range and it's implications, you can message me. They are from reputable medical journals.

Journal of Clinical Endocrinology and Metabolism 2005:

"They go on to state that "ambulatory patients with a serum TSH >2.5 mU/liter, when confirmed by repeat TSH measurement made after 3–4 wk, may be in the early stages of thyroid failure, especially if TPOAb is detected."

There exist many references similar to this one. There are also references that state the opposite. We can't let only one viewpoint be expressed here.

Kitty
Helpful - 0
Avatar universal
JatMunda, just some information for you.

Thyroid levels are the prevailing diagnose for treatment and autoimmune (antibodies) thyroid is reflected in levels. Antibody test just confirms what levels already relate.

Antibodies are not curable nor treatable - there is nothing that can be done about them.  Its the thyroid that is treated from the damages done by the antibodies. Antibody presence or absence does not change the diagnosis or the expected efficacy of treatment. Hashi Antibodies with normal levels relates that you are not active Hashi yet, but might become active Hashi in the future via levels.
Thyroglobulin antibodies are not specific for confirming a diagnosis of autoimmune thyroid disease. There are antibodies that are specific to Hashi.

"Still, antibody presence or absence does not change the diagnosis of subclinical hypothyroidism (which is based on serum TSH measurements) or the expected efficacy of treatment."
US Government Guidlines

Also, thyroid antibodies wax and wan (fluctuate up and down) "Thyroid antibodies may remain positive for years, and do not provide an indication of whether the person has normal or abnormal thyroid function. Furthermore, some patients with Hashimoto's disease may have negative levels of circulating antibodies, and conversely, patients with positive levels of thyroid antibodies may never develop thyroid disease during their lifetime."  mythyroid

"People with chronic thyroiditis,other thyroid diseases, other autoimmune disorders such as Sjögren syndrome, lupus, rheumatoid arthritis, and pernicious anemia  and people may have  no evidence of disease, are sometimes positive for antibodies. Therefore, thyroid levels are the prevailing diagnose." medicinenet

"Currently, there is no treatment capable of stopping the autoimmune process leading to Hashimoto's thyroiditis.
Presence of these antibodies is not enough for a diagnosis of Hashimoto’s thyroiditis, since a certain percent of women in the population have these antibodies."
Johns Hopkins Autoimmune Disease Research Center

AACE recommends TSH levels between 5 and 10 ccIU/mL in conjunction with goiter or positive anti-thyroid peroxidase antibodies (or both) for treatment because they  have the highest rates of progression to overt hypothyroidism, which is very rare. JatMunda, I believe your TSH of  3.520 does not fall within this criterion.        

Good Luck and Merry Christmas!
Helpful - 0
Avatar universal
Your last two numbers indicate you are producing autoantibodies against your thyroid. I would definitely follow up with a doctor, especially if you're having symptoms as well.
Helpful - 0
314892 tn?1264623903
Have you shown these results to a doctor yet?
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Avatar universal
Your thyroid levels are within Labs range and do not suggest thyroid condition nor autoimmune thyroid. Others will probably disagree.  However we are not the doctor, are we(?)  Trust your doctor, s/he is the one with the long expensive medical education.

Good Luck and Merry Christmas!
Helpful - 0
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