Anti Thyroid Antibodies

[Newcomb]

My Thyroglobulin Ab is 2.6 IU/mL and my Anti-Microsomal is 440 IU/mL ... what does that mean other than high?  My TSH is 4.384

[gimel]

You certainly have symptoms that can be related to being hypothyroid.  Even though you are taking the 150mg per day of Armour Thyroid, you need to know what your Free T4 and Free T3 (not the same as Total T4 and Total 3).  And you need to make sure they test for those every time you go in for tests.  I would also request a test of Reverse T3 to determine if that is an issue or not.  

Since hypo patients are so frequently too ow in the ranges for Vitamin D, B12 and ferritin, I would get those done also and then supplement as needed to optimize.  D should be about 50 min., and B12 in the upper end of the range, and ferritin should be about 70 min.

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results, and especially not TSH.  TSH is basically a useless test when already taking thyroid med.  

So you need to find out if the doctor is willing to treat clinically as described.  If not, then you will need to find a good thyroid doctor that will do so.

[Newcomb]

Hair loss, tired, can't lose weight, constipation, cold, mood swings.  I'm on Armor 150 mg a day.

[gimel]

Symptoms?  Med dosage?

[Newcomb]

I should have noted that these are my stats while I am already on thyroid medicine!  

[gimel]

Those two tests are for the antibodies of Hashimoto's Thyroiditis.  Ant-microsomal is just one of many names for the same test, which is Thyroid Peroxidase antibodies.   Being above range is an indication of having Hashi's.  The TSH test is affected by so many things that it is only an indicator, to be considered along with more important indicators such as symptoms and also levels of the biologically active thyroid hormones, Free T4 and Free T3 (not the same as Total T4 and Total T3).  You should be tested for both every time you go in for tests.  

Having a positive test for Hashi's and the TSH being in the high end of its range likely means you are in the early stages of Hashi's.  Hashi's is an autoimmune system disorder with which the body erroneously identifies the thyroid gland as foreign to the body and produces antibodies to attack and eventually destroy the gland.  This takes an extended period of time, during which the output of the gland is diminished and replacement thyroid med is required.  

So, before going any further please tell us about any symptoms you have.