encrinologistt dismisses very high anti-tg from thyroid blood result

[simone1023]

hi all,well went to see encrinologist today,totally amazed how a anti-tg which should be reading 115 max,is reading 713 and then told this is normal.is this right people?why put 115 if it means nothing

[gimel]

Hashimoto's Thyroiditis usually gradually diminishes output of the thyroid gland, causing lower levels of Free T4 and FreeT3, and resultant higher TSH.  Sometimes the Hashi's causes nodules that leak hormone faster than normal, causing your thyroid hormone levels to be higher than would be expected.  Your ultrasound was reported to show no nodules, but did show leakage.  So with the leakage occurring, the usual approach of prescribing thyroid med adequate to suppress TSH and keep it from overstimulating the gland, to stop the resultant inflammation of the gland, does not appear an alternative.  So you may have to ask the doctor to consider a small dose of antithyroid med, enough to offset the effect of the high FT4, and see if that improves your symptoms.  

For the prostate I expect that the doctor ran a Prostate Specific antigen (PSA) test.  That test would not detect an enlarged prostate gland.  The doctor will have to do a digital exam to "feel" the prostate to determine if it is enlarged.  If so, there are medications to help slow/stop the growth.  

[gimel]

What are a couple more tests going to show that is different from what already knows?   Sounds like that doctor did no know what to do so just wants to push you off to the Endocrinologist.  That might not be a bad thing.  Surely she should know more about what to do for you.  

Did the doctor have anything to say about the possibility of an enlarged prostate gland?

[simone1023]

my doctor is scared of doing anything,when she first saw my tg hypoglobulin reading just didnt understand,told to see encrinologist.she said hagimotos very common nothing to worry about.should i be worryedif i definately have hagimotos?i didnt mention enlarged prostate gland,will do next time i see her,was phone conversation.i did have blood test for prostate,was told all ok

[simone1023]

she said t4 is little high,wants to see if reading is same

[simone1023]

seeing encrinologist on saturday,i think he should put me on tablets,after seeing aultrasound and blood tests

[gimel]

Seems to me that your Thyroglobulin antibodies test showed Hashimoto's Thyroiditis, which would account for inflamed/swollen thyroid, and related leakage.  As a result your FT4 is significantly over the range, but fortunately your body is not over-converting to FT3.  If it were me I would ask the doctor about that being the scenario and if so, what does he propose to do to eliminate the excess thyroid hormone from the leakage, which is likely causing most of your symptoms.   I think it will be very instructive to find out his plan of action.

In addition, your symptoms of "urinating constantly,with also cant go when bladder full" sound like a problem with an enlarged prostate gland.  So you need to ask about that as well

[simone1023]

my doctor wants me to have another couple of blood tests tsh4 and t3,think thats what she said.a encrinologist she knows will see me after results.dr said could be just panic attacks.i am more confused than ever now

[gimel]

aultrasound showing very swollen thyroid,blames all on betablokers
simone1023
well some nice man on here suggested had hagimotos,ultrasound confirmed hagimotos,yet second encrinologist is saying everything from high tg thyroglobin and swollen thyroid is all down to my high dosage of betablokers.i am more confused than ever now,please someone help
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Nothing I have read confirms the Endocrinologist's opinion about the betablockers causing your problems, and that would certainly not account for the high level of thyroglobulin antibodies which indicated Hashimoto's.   Did the ultrasound test show nodules on your thyroid gland?

Your bio indicates you are male.  Is that correct?  

[simone1023]

hi, the ultrasound showed no nodules,report stated i have swollen thyroid and leakage coming from thyroid

[simone1023]

yes i am male 51

[Rios8234]

That's unfortunate your (positive) lab work has been dismissed that way.  I had positive antibodies as well, also dismissed by doc because my TSH was "high normal".  Still haven't got an "official" Hashi diagnosis but treat myself as if I do.  

Not knowing your symptoms, hard to say if it sounds like you do have hypo and/or Hashi but from what lab work you have shared, there's a good bet you do have an autoimmune disorder.  Even if you can't get treatment for your thyroid directly...it would be a good idea to "treat" yourself for autoimmune disorder, such as autoimmune diet and selenium.  I've had good results with this coupled with treatment for hypothyroidism (after switching docs!).

[gimel]

Doesn't really add up does it?  I suspect that there were other tests done for TSH and Free T4  that were in range, so the doctor decided nothing further was required at this time.   That is wrong if you are having hypo symptoms.  So please tell us about any symptoms you have, and also please post any other test results and  reference ranges shown on the lab report.  

[simone1023]

hi there,symptons i have are,become extremely nervous to point of scared going into shops.have pressure down left side of head.burning on top of head,confusion with tremors on head.blurred vision.urinating constantly,with also cant go when bladder full.fulll report is as follows;;ft3;4.94/ft4;26.01 /tsh,1.24/anti-tpo 6.00/ anti-tg 713.10/ thyroglobulin tg 33.12  .this is full report,doctor told me report was to complex and vertually sayed i had hyperthyroidism.please help arwwser,thank you for your time

[gimel]

Please give us the reference ranges shown on the lab report for those test results.  

[simone1023]

ft3 result 4.94/ref;3.1-6.8/ft4 result 26.01/ref 12-22/tsh 1.24/ref;euthyroid;0.27;hypothyroid 7;hyperthyroid0.15  pth 23.63/ref;15-65  anti-tpo 5.00/ref;34/anti-tg 713.10/ref;115 thyroglobulin tg 33.12/ref;1.4-78

[gimel]

Your Thyroglobulin antibodies test result indicates Hashimoto's Thyroiditis.  With Hashi's the autoimmune system erroneously identifies the thyroid gland as foreign to the body and produces antibodies to attack and eventually destroy the gland.  As this proceeds, the output of thyroid hormone is reduced, causing the TSH level to rise in a vain attempt to stimulate more production of thyroid hormone.  In your case, your FT4 is above range, and your TSH is relatively low.  That makes me think that the destruction of your thyroid gland has caused nodules to form on the gland.  Those nodules can leak thyroid hormone faster than normal, resulting in test results like yours.  So, it would be a good idea to get an ultrasound test of your thyroid gland to check for nodules.  If those are present then the doctor could give you antithyroid medicine as needed to offset the high level of thyroid hormone.   In extreme cases another option that is sometimes used is a thyroidectomy, followed by taking replacement thyroid med.  

Based on your symptoms, I expect that there are other issues as well, so it would be a good idea to see a good  Endocrinologist that is more knowledgeable than the first one.

[simone1023]

can i ask,are you a doctor

[gimel]

No, I am not a doctor.  I am just a hypothyroid patient for most of my life, and I have been researching hypothyroidism for the last 6 years in order to better help other Forum members.  

[simone1023]

well you could have hit the nail on the head  i am finding it difficult to swallow food,just wont go down,thaNks fOr help