Hyperthyroidism to hypothyroidism

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Hi .

Anyone can help and similar results

Docs untill now didn't diagonose with anything says all fine

My thyroid tpo anti body is 102

4 july result at this time did thyroid uptake scan came 1% not over active

Ft3 12.9 pg/ml ref 1.8-4.6

Ft4 4.57 ng/dl ref 0.93-1.70

Tsh 0.01 miu/ml ref 0.27-4.2

7 august result

Ft3 3.2 pg/ml ref 1.8-4.6

Ft4 1.43 ng/dl ref 0.93-1.70

Tsh 0.01 miu/ml ref .27-4.20

5 sep result

Tsh is 6.69 miu/ml ref .24-4.2

Ft3 2.6 pg/ml ref 1.8-4.6

Ft4 1.05 ng/dl ref 0.93-1.70

My lastest ultra sound result as below

Averaged size thyriod gland with increased vascularity as described above? Thyroiditis for clinal lab. Correlation and further evaluation by FNAC if clinically indicated to exclude any other possibilities.


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  • Posted

    Looks like you have Hashimoto's Thyroiditis disease, hence the high TPO antibodies and your ultrasound results.  It is an autoimmune disease in which your immune system goes haywire and attacks your thyroid and destroys it, as it mistakes it for something foreign.  If your thyroid is destroyed enough, Hashimoto's causes hypothyroidism.  It is actually normal in the beginning stages of Hashimoto's for your thyroid to bounce from hyperthyroidism to hypothyroidism before settling to hypo.  The most common medication that it is used to treat hypothyroidism is Levothyroxine.  It provides the T4 your body needs to help maintain your thyroid levels. This will most likely need to be taken for life.  Only the hypothyroidism is treated and not the autoimmune disease itself.  This is because medication such as presnidone used for lupus and other autoimmune diseases causes does more harm to the body then the Hashimoto's itself.   But.. there are ways to help calm down the immune system yourself, to help slow down the attack on your thyroid.  This includes cutting out all processed foods, sugars and gluten.  Also, stay away from pesticides and herbicides, ect.. Stress is also a big trigger and also make sure your getting enough sleep and excercise too.  Hypothyroidism is actually very common these days and is easily treatable.  You will be able to lead a healthy, normal life.  Did you doctor give you medication yet?  If you are symptomatic, then it is time to start the medication.  You should asked to be referred an endocrinologist, which are doctors who specialize in thyroid disorders, as it seems that regular family doctors are not the most reliable in treating hypothyroidism.  Symptoms from hypothyroidism include.. dry skin, dry and breaking hair, weight gain, feeling cold all the time, constipation, brittle nails, digestive issues, irritability, depression, anxiety, slow heart rate, low libido, high cholesterol, muscle aches and/or weakness, impaired memory..ect.  If you are not symptomatic yet, most doctors will wait to treat you for the hypothyroidism, but if you are symptomatic, then, like I mentioned earlier, it's time to start medication.   Best wishes...

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    • Posted

      Yea i have all those symptoms you have mentioned. I forced doc to give me levo 25 mg . Though i consulted two doc and they said its subclinical its normal. One endo told me to go phyciatrrist and i have anxiety. I have been facing cold intolerance for 5 yeara except the phase of hyperthyroidism i had. And i have delayed gastric emptying issues as well. Most of the time bloated and gas. Burps alot. I got endoscopy which came all negative. Except small haitus hernia 1cm and doc told its normal to have hernia of this size. So my all symptoms are of hypothyroidism. But my levels were always been normal as per doc but small flactuations into subclinical hypothyroidism seen two times.

      After 5 years i had done details all above test. I don't know if reverse ft3 test is done here in middle east or not.

      Thanks for your advice guys i am taking levo now. Will continue for month then will repeat my test. But so far i have seen my body temperature improved.

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  • Posted

    Hi Youkon, a few things that may shed some light on things for you.

    As thyroid disease progresses, the thyroid gland can "sputter", as it tries to regulate. This results in alternating between hyper and hypothyroidism. This sputtering usually occurs as thyroid disease becomes more advanced, and can be followed by severe hypothyroidism.

    Keep an eye in your symptoms, because as thyroid disease advances, symptoms may increase in a  disproportionately larger amount compared to decrease in blood levels. That is, you may be experiencing advanced hypothyroid symptoms long before your blood tests show hypothyroid.

    Radioactive iodine uptake tests are said to have minimal risks, and are compared to the amount of radioactive exposure from an xray. It is believed that the radioactive iodine 123 is excreted through urine in 24-48 hours following testing. However, radioactive iodine is known to cause damage to the thyroid gland, so the more radioactive iodine that's absorbed, the more damage it can do. This is why the uptake test is not always the best choice for hypothyroid, but is of less concern for hyper patients. I would also be wary of radioactive testing because the radio isotope goes through the entire body, kidneys, etc before it's released. And radioactivity does have a half life, meaning it takes time to become inert.  I have worked with radioactive isotopes, gone to radiation safety training, etc. The information I've found about this test does not reflect the properties of radioactive isotopes. So I can only guess that all these medical sites explaining radioactive testing are dumbing it down while also minimizing the potential risks. My feeling is that if you're at risk for thyroid disease of any sort, DONT make it worse by radiation exposure, which is known to cause thyroid disease!

    My point us that the exposure to radioactive iodine for testing or other purposes can actually damage your thyroid gland and worsen hypothyroid disease. As the cells die off over time, you would see this in decreased thyroid function.

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    • Posted

      Thanks Catherine . Radio active was given becuase doc didnt knew if i had hyperthyroidism or its inflammation .but my doc told me the tpo levels are very common peole have in 1000 mine are in 100 only. They didnt say i have hashimoto but i believe i do have this problem by knowing my symptoms and the antibody test and ultrasound.

      But docs says all reports are ok nothing serious. I consulted two endo already. Trying to find good endo in middle east

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