[jason]

@DrMariano 3307 wrote:

The presence of thyroid antibodies helps one arrive at the diagnosis, e.g. Hashimoto’s Thyroiditis.

However, they don’t necessary help determine whether or not to add thyroid hormone.

Hello Dr M,

Does the presence of high ANTI-TPO strongly suggest Hashimoto’s? Can there be other reason’s that these antibodies are high?

This was taken from old labwork of mine (2005).

ANTI-THYROGLOBULIN AB <2.0 (0.0-2.0)
ANTI-TPO ANTIBODY 3.7 (0.0-2.0)
FREE T4 1.3 (0.8-1.8)
T3, FREE 312 (230-420)
TSH, Ultra Sensitive 3.1 (0.40-5.50)

My doctor didn’t mention anything about Hashi’s or even that I was hypo after this test. Years later, I feel that it’s catching up to me. Over the last year I feel as if I’m a mess. I can’t concentrate, motivation is gone, always tired / fatigued. It is progressively getting worse.

I don’t have antibody information on any recent labwork however my current labs look like this:

TSH 5.6 (0.450-4.500)
REVERSE T3 328 (90-350)
T3, FREE 3.2 (2.0-4.4)
FREE T4 1.31 (0.82-1.77)

Could Hashi’s create problems with thyroid conversion, elevating RT3?

I apologize in advance to the OP as I did not mean to side track his thread.

[jason]

Small update to above post: Triiodothyronine, Free, Serum 3.2 (90-350)

Wow, can’t believe I missed this thread: http://www.definitivemind.com/forums/showthread.php?t=576

This definitely sheds some light on my situation. 10mcg of T3 twice a day (to lower RT3) doesn’t seem to be having any affect on me. I’m almost inclined to say that I’m feeling worse.

I feel so tired all day long. I can’t work. I can’t think straight. I feel like the living dead. I have no motivation and it is killing me psychologically, this isn’t me! I’ve always been a go getter. I’ve been self employed since the age of 21. Now I don’t even want to think about work. The days are uneventful. I’m a mess.

I’m so in the dark here. I’m worried that I won’t be able to get that back. I hope that this is all just a thyroid issue that I can overcome.

[Author]

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