Please insert the reference ranges for each of the tests. usually they appear in parentheses or somewhat nearby.
Granves test is TSI, which was curiously not taken even though she previously had Graves?
The TgAb and TPOab, are tests for antibodies for Hashimoto's. I would like to see the ranges. If one or the other or both, are above the top of the range, it is suspect for Hashimoto's. which ultimately sooner or later results in low (Hypo) thyroid.
Following is the latest post that I have copied and pasted to this original thread.
Test results: can someone help make sense of them?
Gonsan
So my wife has had her test results in, all are apparently within normal ranges except one, which the doc notes said wasnt a cause for concern because my wife has been prevoously diagnosed with graves disease (although she had only 1 course of treatment and has never had any medication since, she is currently NOT taking any medication)
Ft4 - 16.8
Tt4 - 93.9
Tsh - 1.71
Ft3 - 4.72
Tgab - 35.300
Tpoab - 41.6
Thanks for any help/recommendations!
Test results and associated reference ranges vary from lab to lab, so we need for you to post the ranges that go with these results, as shown on the lab report.
"Radioactive iodine (RAI) therapy for hyperthyroidism is safe and definitive, although, post-treatment hypothyroidism and the need for life-long thyroxine are to be expected."*
*Banzal S, Singhai A, Asaraf J, Tiwary D C, Sharma P, Jain P. Radioactive iodine therapy for hyperthyroidism: Our experience. Thyroid Res Pract 2013;10:96-9
In answer to your questions, yes and yes. Many people with hypothyroidism, regardless of the cause, will rationalize their symptoms as being due to something else and not even mention them to the doctor. Even though symptoms are the most important indicator of thyroid status, most doctors will do the minimum testing and if results are within the so-called "normal" range, will say that there is no thyroid problem. There are many issues with this current standard of care for potential hypothyroidism, starting with over-reliance on TSH as the predominant diagnostic and the use of "Reference Range Endocrinology" to evaluate test results. These two practices result in the terrible situation that exists currently where even the ATA has recognized that up to 60 % of the population with thyroid problems are unaware. In addition two surveys have shown that even when diagnosed and treated per current practice, a majority of thyroid patients are not satisfied with their treatment. So hypothyroidism is an enormous problem.
There are many sources I could provide you for info on hypothyroidism, but for a comprehensive review I suggest reading at least the first two pages of the following link, and more, if you want to get into the discussion and scientific evidence for all that is recommended. Note especially Suggestion no. 4 on page 2, for a list of tests that should be done. As a start I think you should at least test for Free T4 and Free T3 (not the same as Total T4 and Total T3), along with TSH and . In addition I recommend Vitamin D, B12 and ferritin.
http://www.thyroiduk.org.uk/tuk/TUK_PDFs/diagnosis_and_treatment_of_hypothyroidism_issue_1.pdf
Once test results are available, please post them, along with reference ranges, and we will be glad to help interpret and advise further, in order to get the max benefit from the doctor appointment. We can tell you in general what to expect from the doctor, and what you should discuss, to try and get the most help from the doctor.