Your test results definitely indicate that you're hyper and they also indicate that you have Hashimoto's, according to the TPOab, though TPOab can be slightly elevated with Graves. I'd still want the TSI test done to confirm Graves, since TSI is the definitive test.
The medication won't do you any good if you don't take it on a regular basis. If the tapazole made you ill, your doctor could have prescribed propylthiouracil (PTU) instead to see how that would work.
Tapazole can be taken, either with or without food, so if you were taking it without food when it made you sick, you should have tried it with food to see if that would help. The thing is to be consistent every time you take the med - if you take it with food, do it all the time; or without food all the time and at the same time of day...
The RAIU is radioactive iodine and to my knowledge is not the type that will convert to additional thyroid hormones.
Hi there... We need to have more information in order to give you the best advice.
First off, we need to know your exact TSH, Free T4 and Free T3 levels, along with the reference ranges... I know you did give the one Free T3 at 6.7, with a range of 2.6-5.7... yes, that's quite high and does indicate hyperthyroidism, though not necessarily Graves Disease.
Although Graves is said to be the # 1 cause of hyperthyroidism, hyperthyroidism is also, common in early stages of Hashimoto's Thyroiditis, even though Hashimoto's is, typically, associated with hypothyroidism. It's not unusual for the thyroid to "dump" large quantities of thyroid hormones prior to one going hypo, with Hashimoto's...
It's also not unusual for one to have nodules that leak thyroid hormone, independently of the thyroid... a thyroid ultrasound can determine whether you have nodules or not. If you haven't had one, you should ask your endo to order one. An ultrasound will also show characteristics that can further indicate thyroidititis.
Blood tests to determine whether one has Hashimoto's are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb). Both are needed, since some of us have one or the other and some of us have both.
You heard right, that the definitive test for Graves Disease is the Thyroid Stimulating Immunoglobulin (TSI) test. The thing about TSI is that the result is, typically, read as a percentage and one is considered not to have Graves Disease unless the percentage is over 140% or something like that (labs may vary). The thing is, that if one doesn't have Graves, TSI should be negative...
It "is" also possible for one to have, both, Hashimoto's and Graves, at the same time, with one or the other being dominant at any given time...
Your symptoms, including the high blood pressure, are certainly those of hyperthyroidism. You just need to have your doctor find the correct cause.