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4852898 tn?1360039862

Antibody Questions

S_9
Good morning

I just wanted to get some input on my antibodies, I'm confused with what it means and if they point to a certain diagnosis of Graves or Hashi's or not/both. There are no endo's where I live and I'm not sure if traveling to see one would do any good or not. I've been diagnosed with Graves. Currently I am seeing a physician specialist and he thinks I'm in range and fine. I don't feel it. Ultrasound was fine, and RAIU percentage was only slightly lower than normal. Ranges are in brackets.

On 7/6/12 my hTRAb (instead of TSI) was <1.0 (1300 (<60) and my TgAb was 70 (<60).

I was hyper at the first test and hypo at the second. My levels have been slowly heading back to normal ranges since.
On 24/1/13 my TSH was 2.76 (0.50 - 4.00), my FT4 was 15.6 (10.0 - 19.0), and my FT3 was 5.0 (3.5 - 6.5).

I still feel bad, worse than I was a few months ago. Does this sound like I'm still slightly hypo? I am getting an MRI for pain at the base of my skull soon, but I have some strange cracking I didn't have before - in my neck and when I stretch my shoulders back, in the centre of my chest as well. I know muscle and joint pain can be caused by thyroid problems, but this has come on more in the last couple of months.

I'm also wondering about my RA factor. On 7/6/12 it was 10.3 (0.0 - 14.0). Is this normal or could it indicate undiagnosed RA or something else? Would the thyroid problems cause this to be high?
Best Answer
Avatar universal
Let me clarify:  Rules of thumb for where levels should be are as follows:

FT4 - around midrange
FT3 - upper half to upper third of range

My point was that S_9's FT4 is a tad higher than midrange, not above range.

When lab ranges vary (and they do lab to lab and country to country), we cannot compare raw numbers, but have to figure each as a percentage of the lab's range in order to compare them.

In the above your lab/my lab scenario, S_9's FT4 is at 62% of range, Red's is 55% of range...a significant difference.

So, the labs may be twins, but they're twins from separate mothers.

S_9, even though you can't see your doctor until late April, could you go in for lab work earlier to see if the downward trend in your FT3 and FT4 is continuing?  Perhaps your PCP would order FT3, FT4 and TSH???  
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649848 tn?1534633700
COMMUNITY LEADER
I'm not going to comment on your thyroid status; I'll leave that for goolarra.  However, if you're  having sharp pains on your right side, you should ask to get your gall bladder checked.  I had those for years, and they turned out to gall bladder attacks....... unrelated to thyroid.
Helpful - 0
4852898 tn?1360039862
S_9
I could have linked back to it, but if I figured if it was me helping some person, I would rather not have to load more pages just to remember what I was up to.
Thank you for coming back to me :)

The endo I saw suggested I go back to the physician I've been seeing and ask him if I should try going off the meds to see if I relapse back into hyper territory or settle down. I'm still on the one 5mg carbimazole a day.

Is it not normal for FT3 to be that low compared to FT4?

I have been having some headaches, neck and back pain, stomach aches, jumpy feelings in my chest (not sure if this is heart or reflux), fatigue. Probably better than I have been, but still enough to make me want a nap around mid-afternoon to relieve it all a little.
I've seen a chiropractor a few times, x-rays I had show my cervical spine is straight, not concave (I think that's the right word for it) as it should be. And I have minor s-curves in the thoracic. She has given me exercises and a headache diary to start.
One last thing haha - my GP has put me on Nexium for some sharp pains I've been having on my right side, though it hasn't helped. Someone else on here mentioned non-coeliac gluten sensitivity and to try the gluten free diet, I may give that a go.

Apparently since my whole endocrine system is fine now, I need to look into other avenues to get my body back to normal operation!
Helpful - 0
Avatar universal
I should also clarify that it's very good that you brought up this thread.  It's YOUR thread, so we have all your history to read back on.  It gets confusing only when someone pulls up an old thread of someone else's and adds to it.  Sometimes, it's hard to keep track of who you're talking to!  
Helpful - 0
Avatar universal
Your FT4 is well up into range.  Midrange (50%) is the target for FT4, and yours is a little on the high side at 79%.  However, considering how high your FT4 is, your FT3 is actually a little on the low side.  67+% is the target for FT3, and you're at 60%.

How are you feeling, and what are your meds currently?

Helpful - 0
4852898 tn?1360039862
S_9
Sorry for bumping up an old thread, just thought it would be easier.

Labs done 24/4/13:
TSH 1.84 (0.5 - 4.0)
FT4 17.1 (10.0 - 19.0)
FT3 5.3 (3.5 - 6.5)

I did get my August ones that were missing, there were two. I forget what they were, can post tomorrow if needed, but as suspected they were in between and almost in range.
I have seen an endo, she said my issues are not related to my thyroid or any other hormones. Suggested I see a gastroenterologist, which I will also have to travel to see. No luck with the MRI, GP or specialist will not send me to get one.
Helpful - 0
4852898 tn?1360039862
S_9
I'm on the waiting list for cancellations at the specialist. I have a form for a panel now, and can get another if I ask, yes. If I still haven't gotten into the specialist towards the end of March, I'll get the panel done then and bump this back up with the results.
Helpful - 0
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