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Thyroid

My mother in law is 82 and has been on levothyroxine forever her doctor took her off in 11/14,,Her TSH  level is 0.270..She does have 3 goiters in which one is leaning her trachea. Also there are cyst on the goiters..Should I get a second opinion?? She had thyroid surgery 51 years ago and can't remember whether there were goiters removed or her right thyroid... We have always been under the assumption (by her) that her right thyroid was removed..
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Avatar universal
Now that you've posted the reference range, I can see that's total T4, not FREE T4.  Her T4 was quite high back then.  I can see why her doctor wanted to decrease her meds.

Thyroglobulin (TG) is the protein precursor of the thyroid hormones.  It can be used as a marker for the recurrence of thyroid cancer, if the original cancer raised thyroglobulin prior to surgery or RAI (radioactive iodine ablation).  RIA  (radioimmunoassay) is the method the lab used to test Tg

Thyroglobulin antibodies (TGab) are a marker for Hashimoto's thyroiditis, but TGab can also be somewhat elevated with other autoimmune diseases as well.

I think it would be a very good idea to request more blood work to she where here levels are now that she's stopped meds.  
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Avatar universal
T4 says Thyroxine (T4) (00149) Range- 4.5-12.0.  Nothing I see references FREE...I AM GOING TO REQUEST BLOOD WORK BECAUSE HE SAID FOR HER TO COME BACK IN APRIL..THE LABS WERE DRAWN 10/14..WHAT IS THYROGLIBULUN WITH ANTI-TG and TG-RIA
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Avatar universal
Has she had any follow up blood work since stopping meds?  Her FREE T3, FREE T4 and TSH should be tested about four weeks after discontinuing.

Lack of energy and depression are both hypo symptoms.  TSH is a pituitary hormone and should never be used alone to manage meds.  

Ask her doctor to follow up with the three tests I indicated.  If he won't, definitely get a second opinion.

Do you have the reference range on her T4 of 11.2, and does it indicate that it's FREE T4 (FT4)?  

I don't understand "I posted under comments..."
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Avatar universal
I posted under comments...
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Avatar universal
Well she was taking .75 BUT he slowly within 2 yrs moved her to a .25  and yes that was her levels while taking...T3 uptake 28 &T4 is 11.2...BUT she has no energy and seems more depressed..
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Avatar universal
How much levo had she been taking?  Was her TSH 0.270 while still on meds or after discontinuing?  If the latter, how long after discontinuing?  Was anything else tested?  FREE T3 or FREE T4?

How does she feel after stopping meds?

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