Thyroid Results

[NY11219]

Can someone help explain these Thyroid results

*Thyroid Peroxidase Autoantibody 70 IU/mL 0 - 35 IU/mL

*Thyroglobulin 33.2 ng/mL 0.0 - 55.0 ng/mL

*Thyroglobulin Antibody 31 IU/mL 0 - 20 IU/mL

[Barb135]

Your FT4 is only slightly low of the recommended mid range and your FT3 is just about right...

Do you have symptoms of, either, hyper or hypothyroidism?

[NY11219]

Cold intolerance
Heat intolerance
Brittle nails
Extremely dry skin
Thin hair with mild hair loss
Weight gain
Muscle soreness
Joint pain
Constipation (1-2 times a week)
Bloating with feeling of being full even after drinking a little water.
Neck pain that isnt attributed to sore throat (similar feeling to the biopsy except much milder).
Waking up (probably more than a dozen times) in the middle of the night.
Inability to sweat, except underarms

Thats about all I can think of at this moment.

[Barb135]

Hi there...

Can you please the actual results and reference ranges for the FT3 and FT4?  Just because they're in the normal range, doesn't mean they're "normal" for you.  

Vitamin D of 30 is way too low... You're taking 4 vitamin D pills/day - what dosage are each of those pills?  Vitamin D deficiency can cause a lot of hypo-like symptoms.

Yes, as I noted the elevated antibodies are indicative of Hashimoto's.  The nodules makes that diagnosis more probable.

[NY11219]

March 2
Free T4: 1.2 (range 0.8-1.8 ng/dL)
Free T3: 3.6 (range 2.3-4.2 pg/mL)
--------------------------------------------
January 28
Total T3: 177 (range 87-190 ng/dL)
Free T4: 0.80 (range 0.60-1.50 ng/dL)

[Barb135]

Both your Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb) are slightly elevated... This is indicative of Hashimoto's Thyroiditis, however, these antibodies can also be present in small amounts in other autoimmune conditions, as well.  

In addition, the presence of Thyroglobulin can skew Thyroglobulin Antibody tests and even though your Thyroglobulin level is not over range, it's present.
Have you had a thyroid ultrasound to check for nodules or other unusual characteristics on your thyroid?

Have you  had other thyroid tests, such as Free T3, Free T4 and TSH determine actual thyroid function?  If so, please post those test results, along with the corresponding reference ranges, since ranges vary lab to lab and have to come from your report.

Do you have symptoms of, either, hyper or hypothyroidism?  If so, which ones?  Are you currently taking any type of thyroid hormone or anti-thyroid medication?  If so, what medication, dosage and how long have you been on it?

[NY11219]

Hello again Barb.

My labs for TSH came back abnormal the first time (.41) and then normal the next time (.64).

My FT3 and FT4 came back normal as well.

The only odd part about my blood work, other than the antibody results, is the vitamin D. It was 30, then 2 weeks later, it dropped down to 20. How my body decided to use that much Vitamin D in such a short time, Ill have no clue. Ive also been taking 4k vitamin d3 per day for more than a year and it still doesnt budge higher than 30, but thats a topic for another day.

I spoke to a consult online and they said the Antibody results, coupled with the multiple nodules, may point to hashimotos.

I have 4 nodules and only one of them was biopsy (3.2cm, up from 3.0 in a matter of a week) and that result came back as a nontoxic hypoochoic solid nodule (benign).

the other three were in the 1.1 - 1.5 cm range and those were not biopsy.