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Avatar universal

Can TPO ever fluctuate??

Hello- Please help.  I'm so confused.  I'm 48 years old, have exercised all my life, ate healthy. Can the thyroid's TPO test show high because the thryroid was compromised due to dental problems?  What I'm trying to ask is can the thryoid bounce back from a high TPO result? For 6 months I went to a dentist, dental surgeon, endodontist, and finally a periodontist to find out what exactly was wrong with my constant pain in my tooth.  After numerous root canals and antibiotic, about 10 in those 6 months the periodontist told me what was wrong.  Keep in mind I floss and brush regularly....
After this ordeal which was stressful and with all the antibiotics I was on now I'm showing signs of hypothyroidism.  Can my thyroid bounce back after a month or two and become better by itself???
I really don't want to take synthroid for the rest of my life if I don't have too.
I'm 128lbs (same as high school), 5'5" walk/run 20 miles a week and very active.  I have no signs of hypo other then tired with 4 children.  My hair and skin is healthy also.
I'm really scared and don't know who to turn too.  My doctor said I have to take the medicine or I'll be sick.  She won't listen to me and won't think of Armour.  I was to get my adrenal glands checked and my progesterone checked but she isn't calling.  If feel so lost.  I know two people on synthroid and they can't even walk 1 mile, can't lose weight and have hair loss....
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Avatar universal
I'd definitely discuss the LBBB with your doctor before starting meds...and make sure she hears your concerns.  When I started levo, I asked my PCP specifically about taking the levo with my Wolff-Parkinson-White syndrome (a congenital "miswiring" of the heart).  She assured me that there was absolutely no problem, and she was dead wrong.  

It's especially important to discuss this with her before you start taking any meds with T3 in them (NatureThroid is a combination T3/T4 med).  T3 and heart issues often do not mix.  

I don't know much about LBBB, but would want to discuss it with both the doctor prescribing levo and your cardiologist, if you have one.
Helpful - 0
Avatar universal
Thank you. I've read my post to my friend who is losing her hair and feels miserable on synthroid even though her levels are fine and she is going for blood work thanks to all your information.
I called the Dr. and spoke to the nurse to ask if I can take the Free T3 blood work with the progesterone test this week. And also if she had any objections for me trying the NatureThroid first even though she is against it.  I will see what response I get.
If its ok I will post the FT3 level to see what your thoughts are and let you know what I decided.  
Thank you from the bottom of my heart for all your information and support.  It's been a great help.
Oh I do have a Left Branch Bundle Block that I was born with.  Forgot to mention this because all the doctors seem to think nothing of it.  Does this interfere with synthroid and the heart category?  I actually sky dived a few times in the last ten years and was told I can keep doing so if I wanted too even with the LBBB.  But I'm not sure if the synthroid will pose any dangers.
Helpful - 0
Avatar universal
Well, I'm sure almost everything happens SOMETIME, like spontaneous remission of antibodies, but I've never heard of it, and I really wouldn't hold my breath.

Yes, it is inevitable.  However, sometimes antibodies are present for years or even decades before thyroid function is compromised enough to cause symptoms.  On the other hand, it can go like gangbusters.

FT4 will go up and down in the early stages of Hashi's.  The thyroid doesn't just quit working on a nice, even straight-line slope.  Instead, it works in fits and starts...some days too little, some too much.  

Vitamin D might help you feel better, but it's not going to cure your Hashi's.

Most of us start out on synthetics.  They're arguably the easiest to control IF they work for you.  The "natural" thyroid products have had a very tough past year.  Armour was reformulated, causing it not to work for people who had done extremely well on it for years.  That prompted people to flock to other dessicated brands, which caused a shortage (nationwide) in them.  It was a mess, and some people are still trying to recover from it.  

Your doctor seems to be doing the right things.  50 mcg is a reasonable start if you are under fifty and have no other health issues (especially heart arrythmia).  Also, she's retesting in about four weeks, which is good timing when your dose is new or being adjusted.  Ask her to order FT3 also to establish your history.  Many doctors don't like to order FT3 (it's a constant issue on the forum), but should do so upon patient request.

I'd still encourage you to research both sides of the "when to start meds" issue.
Helpful - 0
Avatar universal
I just received mail from the Dr.  She has a prescription for synthroid .05mg 1 po q am on empty stomach.

She wants me to go for a progesterone lab work now.
April the 3rd week Tsh +Free T4 labwork.

Helpful - 0
Avatar universal
So it's inevitable that I will definitely have problems down the road?  Are there any stories where the thyroid went back to normal anywhere??  Without meds. I guess I'm in denial.  My doctor is adamant about taking synthroid now. Oh my FT4 was 1.13  on 3/1. So it went up as my TSH came down a few weeks later.
No doctors appt yet she wants to order the synthroid then do more lab work in July with a follow up then.
I'm just torn between Natural (NatureThroid or Armour) and Synthetic at this point. Or just wait till July without taking any meds.  I wonder if my Vitamin D goes up will my thyroid heal. Just a thought.
Thank you gollarra I appreciate your replies.  I'll let you know what happens.
Helpful - 0
Avatar universal
Sigh..
Helpful - 0

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