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ADVANCES IN GRAVES' DISEASE

GRAVES' DISEASE: A PRACTICAL GUIDE

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Archived Forum 2: 2008-2013

HomeHomeDiscussionsDiscussionsQ&A 8/2008 - 10...Q&A 8/2008 - 10...Hyperthyroidism and TEDHyperthyroidism and TED
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10/14/2013 12:12 AM
 
Hello Elaine,

I was diagnosed overactive in Feb 2013. I am on 10mg of carbimazole and my bloods read as of 3 oct 13 TSH less than 0.05 (0.4-5.5) Serum Free T4 14.1 (11.5-22.7) Serum Free Triiodothyronine 4.9(3.5-6.5. I had an antibodies test done in march which stated the following :_ TBI )TSH RECEPtor)11.2 U/L. TPO 11 kIU/L. I don't know if this is ok. My blood pressure and heart rate have always been normal to low. I haven't seen my doctor just phone consults who says I am ok.. My endo was very unhelpful. I went in with a list of ailments and he just said if I had a problem to see my doctor. My doctor has said he is not a thyroid specialist. I have since been reassigned another endo but don't see him until Dec. I am awaiting an appointment with an opthamologist in nov. Any advice on my progress would be great as I feel im in no mans land at the moment and that all im doing is taking drugs with no explanation. Kind regards Nicola
 
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10/14/2013 4:14 PM
 

Hi Nicola,

Ideally, you'd be on a lower dose of carbimazole, more like 5 mg. You want to be on the lowest dose needed to keep your FT4 near the high end of the reference range. Your antibody tests at the time of diagnosis confirmed Graves' disease as the cause of your hyperthyroidism.

The goal is to lower your dose of meds over time always with the goal of keeping FT4 near the high end of the range. A low TSH while on meds is expected and doesn't mean that you're still hyperthyroid. Having FT4 and FT3 levels that are too low for your body's needs can trigger thyroid eye disease. Take care, Elaine


 
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