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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...Antibody Test ResultsAntibody Test Results
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8/16/2013 12:41 PM
 

Hi Elaine,

As a follow up to my earlier post - The TRab results are

2.17 with range of 1.75. Dr's response was that I am slightly positive and that it was still important to control the thyroid gland.

I responded in somewhat agreement and proposed a BRT with addition of T4 and see if going to a dose of 1.25 or 2.5 plus the T4 would achieve what we are trying to achieve - remission. I doubt he will go for it but I also tried to use history that shows I cannot tolerate the higher mmi.

As I was typing this I got his response and he says I can manage the MMI as I see fit but he does not do combination therapy as it is considered outside the standards of practice.

What do I do now? This is so frustrating....

Thanks Elaine.

 
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8/17/2013 11:06 AM
 

Hi Cindee,

It would have been better if he'd ordered a TSI test. With the TRAb, you could primarily have blocking antibodies and have a high result.

I'd probably use the 0.625 dose during your trip and stop it when you get back. Then continue to have labs every 6-8 weeks to see if your levels remain low, requiring replacement hormone, or if FT4 starts to rise significantly you could resume the MMI. There's a good chance you're in remission. Best, Elaine


 
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