The Wellness Q&A with Elaine Moore

Welcome to the Wellness Q&A where members can ask Elaine Moore any health-related question. Moore is a medical writer and retired clinical laboratory scientist with over 30 years experience in immunology. Get started by selecting Member Questions. This is a question-and-answer forum, and each thread represents a member question or set of questions. The question will only appear once it's answered. Thank you for joining.


 


hypothyroid after hyperthyroid?
Last Post 04 May 2022 01:25 PM by Elaine Moore. 1 Replies.
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jeja@protonmail.comUser is Offline New Member New Member Posts:
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05 Apr 2022 09:06 AM
    Dear Elaine,

    You kindly helped me as I was battling Graves 4 years ago! I've been in remission since 3/19.

    Lately, I've been feeling fatigued and broke out in hives, which were a major issue during my hyperthyroidism. I did my labs, and while T3 and T4 are the same since my yearly check up in February, 2021, my TSH went from .7 to 2.9 (Ref: .45-4.5). (My peroxidase antibody is still >600 (ref: 0-34) )

    Should I be concerned about hypothyroidism and, if so, is there anything I can do to stop it. As with everyone, the last 3 years have been very stressful and I'm likely in pre-menopause.

    Thank you very much for this invaluable service you are offering to all of us!

    Jeja

    Elaine MooreUser is Offline Veteran Member Veteran Member Posts:3822
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    04 May 2022 01:25 PM
    Hi Jeja,
    About 20% of patients move spontaneously into hypothyroidism after remission. It doesn't sound like you're there since your FT4 and FT3 haven't changed. But TSH is the first to rise when things start changing. You could make sure you're not ingesting too many goitrogens like soy, broccoli, cauliflower, etc. Since your TPO antibodies are still high you might want to ask for a 25OH vitamin D level. Low levels are common in Graves' disease and are associated with high thyroid antibodies. Then keep an eye on your levels. If you do move into hypothyroidism it's treated with thyroid replacement hormone. It can also resolve on its own. Best to you, Elaine
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