Dear Elaine,

I do hope your health has continued to improve?
I'd really appreciate your amazing advice please.....I've been on treatment with Carbimazole for over 4.5 years, and wonder if I may have reached remission (so praying that be the case!)?

Latest blood test results are:


TRAb 1.7 ( < 3.1)
TSH 1.85 (0.27 - 4.2)
T4 14.2 (11.0-21.2)
T3 4.8 (3.1 -6.1 )

Previous TRAb in July 22 was 2.1 ( < 1.75).

I've been on 1.25mg Carbimazole for the past 6 months and before that was on 2.5mg for almost a year. Is that result definitely remission?!

Another question is, do I now stop Carbimazole? Hard to say exactly when my TRAb went below the upper threshold (I have read that staying on carb for 6 months after remission leads to most successful outcomes). Tricky!

Any advice you can offer would be most gratefully received 🙂 Thank you so much!

Hi Peaches,
Thank you. So far so good with my health. Traveling a lot while I can. Your labs show that you're in remission. If you want to be on the safe side you could take the low carb dose every 2nd or third day before stopping completely. But TRAb look good and you're secreting TSH normally and your FT4 is on the low side. You'd still want to have labs every 6 months to make sure you're not moving into mild hypothyroidism.
Best, Elaine