Need help understand Thyroid Antibodies profile

[vepirip]

I recently had a thyroid test done and I've got the results back but not any news from the doctor yet. I'm trying to understand what I'm looking at. Here are my results:

Thyroglobulin Ab 0.15  
Thyroid Peroxidase Ab 398 UNITS

[vepirip]

The only vitamin B12 I'm getting is from my main daily multi-vitamin. I've never had any tests in the low range. I'll definitely ask about the Free T3 test. Thanks alot!

[vepirip]

This is from my most recent B12 test back in June of 2015. The symptoms started a bit before then.

Vitamin B-12 1143 pg/mL Standard range: 211 - 946 pg/mL
Folate 18.2 ng/mL Standard Range: >3.0 ng/mL

I checked and I don't appear to have had a Free T3 test done. At least not one that was logged into my digital portal.

[Barb135]

What is your actual Vitamin B12 level?  Just because B12 is in the "normal" range doesn't mean it's "fine"...  While the tingling sensation "can" be related to thyroid conditions, your FT4 is more than 50% of the range, which is higher than most of us find we needed it... I'd take a closer look at the vitamin B12 level.  Too low levels of vitamin B12 can also cause tingling sensations in the feet, legs, hands and other parts of the body.  If not treated, these can become permanent and progressive.  

You "do" need to have a Free T3 test, as Free T3 is the hormone that's actually used by individual cells and better correlates with symptoms than, either, Free T4 or TSH, which is a pituitary hormone, not a thyroid hormone.  It's possible you aren't converting the Free T4 to the usable Free T3.

There's no need to eliminate dairy from your diet unless you are intolerant or sensitive to it.

[Emily443]

You have hashimoto's. You also need to check your Free T3. Free T4 and Free T3 are more important than TSH. Also check your vitamin D and  Ferritin level. Get on a healthy diet, selenium can bring down TPO antibodies to some extent. Take L-selenomethionine form of selenium ( talk to your doctor about the dosage), a good quality mutltivitamin and fish oil. Clean up your gut, eat lots of fermented food and a probioics to re-establish the flora in your tummy. L-glutamine can help you to repair your gut to some extent. Try to cut off dairy products, sugar and white flour. Tingling sensations are related to thyroid problem. Find a good functional medicine doctor. http://www.*************************/ this site can help you to find a good doctor.

[Barb135]

Your TPOab would be the basis for a diagnosis of Hashimoto's Thyroiditis, which is an autoimmune thyroid condition, in which the body sees the thyroid as foreign and produces antibodies to destroy its function.

Are the antibody tests the only tests that were ordered?  What prompted those tests?  If you have other thyroid test results, such as Free T3, Free T4 and TSH, please post them, along with their corresponding reference ranges, since ranges vary lab to lab and have to come from your own report.

What, if any, symptoms are you having?

[vepirip]

TSH 2.2 MICRO IU/ML with reference: 0.40 - 4.00 MICRO IU/ML
T4,Free(Direct) 1.46 NG/DL with reference: 0.80 - 1.80 NG/DL

These are the two other tests that came back. I have tingling sensations that I have been taking gabapentin for. They occur only while resting and mostly in my legs but have been in my hands, back, and neck. So far my head MRI, top of spine MRI, B12, diabetes, magnesium, EMG, etc have all come back fine. I'm currently scheduled to get an iron blood check done soon.