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Dx of Graves but I think it should be Hashimoto's

I was recently diagnosed with Graves. I think its Hashimoto's and I am seeking another opinion.

Blood test on 9/30:
Tsh- 0.02
T3 free- 255
T3 total- 111
T4 free-1
T4 total- 6.5
TSI- 394

After 1 week of Paleo diet ran new tests on 11/7/16

TSH- 31.93
T3 free- 176
T3 total- 83
T4 free- 0.7
T4 total- 4.3
TSI- 250

Quest Diagnostics normal ranges
TSH- 0.04 to 4.50
T3 free- 210 to 440
T3 total- 76 to 181
T4 free- 0.8 to 1.8
T4 total- 4.5 to 12.0
TSI- <140

The Endocrinologist wants to put me on Armor Thyroid 60mg. I don't know if I should start taking it or wait to get another opinion. I am currently breastfeeding and also don't know if this is ok to take while nursing.  
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Avatar universal
My thyroglobulin antibodies were 1
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Your TSI indicates Graves Disease, however, it would seem that we might need more information.  Are you taking anti-thyroid medication or have you had a thyroidectomy?  Even though your TSH is very low, so are your Free T3 and Free T4...

Graves Disease is associated with hyperthyroidism and low thyroid hormones, such as you have are associated with hypothyroidism...

Have you been tested for Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb)?  Those are the antibodies used to diagnose Hashimoto's, though they can be present in small amounts in those with Graves Disease, as well.

Please give us more background information.
Helpful - 0
1 Comments
My thyroid peroxidase antibodies were >900. I have always been hypothyroid. I have done nothing in this past month for treatment other than switching my diet to paleo and adding vitamin D3 and Shatavari root supplements. At the time of the test in September, I was only 3 weeks off of my 50mcg Levothyroxine. So it was still in my system. I hope this information helps...
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