Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 That 262 # appears to be an xtra test he did, namely the FREE amt of T3 in your blood---at least that's what seems logical on this # to me. You have very high antibodies on that one substance used to create thyroid hormone (TPO), obviously, but I don't think that he should have ruled out Grave's Disease yet, at least not this soon, as it seems to me that you should not have any of the TSI at all. I say this because the fact that you have a " 1 " instead of a " 0 " could possibly mean something here that may be part of the " tidal wave " back and forth. I'm hoping that he keeps a close eye on your thyroid hormones, once he implements the Tapazole, so that you don't go too low here. Hashi's has a big tendency to do the skitz swings. Labs from Endo >I don't know for sure what I need to post but will start with the > basics done on 3/13: > > T3 Total: 305.3 - ref: 80-200 (On 02/21 MD did test showing it was 262 > with a ref of 60-181ng/DL) > T4 Free: 2.87 - ref: 0.93-1.70 > TSH: 0.005 - ref: 0.27-4.20 > Endo note says okay to start Tapazole 10mg - Ablation would be best > Thyroperoxidase AB: >1000 - ref: <35 Endo has note on this sheet TSI > (P) hashimoto > > Thyroid Stim lg <1.0 - ref: 0.0-1.3 Endo note says No graves > > What else do you need to know? > Aundrea Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2008 Report Share Posted March 22, 2008 Hi Aundrea, The TSI test is a stimulation test, not an antibody count. What it tells us is how much a gland will be stimulated to make T4 & T3 by stimulating TRab antibodies. Your test shows that your TSI antibody level is not high enough to cause hypERthyroidism. Thyroid Stim lg <1.0 - ref: 0.0-1.3 So your doctor is right --- you have hypERthyroidism from another cause other than Graves disease. Did you say you had a sore throat lately? Sometimes a thyroid can be inflammed due to a virus, causing a large release of thyroid hormone, and that condition can't be treated with ATDs. Hashimotos rarely comes with pain. Since you are very hypERthyroid with almost no stimulating antibodies, I'm wondering if you have something like Silent thyroiditis (no pain) or Subacute thyroiditis (with pain) which can also be accompanied by TPOab and TGab. See if either of these might fit your situation: Silent thyroiditis is inflammation of the thyroid gland that involves alternating hyperthyroidism and hypothyroidism followed by recovery. Causes: The cause of this type of thyroiditis is unknown. The disease affects women more often than men and usually develops in people between age 13 and 80. Also known as: Lymphocytic thyroiditis; Subacute lymphocytic thyroiditis; Painless thyroiditis Subacute thyroiditis: involves inflammation of the thyroid gland that usually follows an upper respiratory infection and then subsides. The most prominent feature of subacute thyroiditis is gradual or sudden onset of pain in the region of the thyroid gland. Painful enlargement of the thyroid gland may persist for weeks or months. The condition is sometimes associated with fever. Hoarseness or difficulty swallowing may also develop. Symptoms of thyroid hormone excess (hyperthyroidism) such as nervousness, rapid heart rate, and heat intolerance may be present early in the disease. Later, symptoms of too little thyroid hormone (hypothyroidism) such as fatigue, constipation, or cold intolerance may occur. Eventually, thyroid gland function returns to normal. Symptoms The initial symptoms are those of hyperthyroidism (overactivity of the thyroid gland), and may last for 3 months or less. Later symptoms may be more characteristic of an underactive thyroid (including fatigue, cold intolerance) until the thyroid recovers. Symptoms are usually mild, and *may* include: Fatigue Frequent bowel movements Heat intolerance Increased appetite Increased sweating Irritability Muscle cramps Menstrual irregularities Nervousness, restlessness Palpitations Weakness Weight loss Treatment is based on symptoms. Beta-blockers relieve rapid heart rate and excessive sweating. (ATDs do not help since the cause is from excess hormone release, not production) > > I don't know for sure what I need to post but will start with the > basics done on 3/13: > > T3 Total: 305.3 - ref: 80-200 (On 02/21 MD did test showing it was 262 > with a ref of 60-181ng/DL) > T4 Free: 2.87 - ref: 0.93-1.70 > TSH: 0.005 - ref: 0.27-4.20 > Endo note says okay to start Tapazole 10mg - Ablation would be best > Thyroperoxidase AB: >1000 - ref: <35 Endo has note on this sheet TSI > (P) hashimoto > > Thyroid Stim lg <1.0 - ref: 0.0-1.3 Endo note says No graves > > What else do you need to know? > Aundrea > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.