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THE Q & A

Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.

Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.


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 3/9/2012 11:07 AM
 

1/27/2012-tsh <0.01 ft4=1.5 anti thyroid antibodies=27.8

2/16/2012- ft3=5.3 ft4=2.1 tsh=<0.01 tsi=456%

i was just wondering if those were pretty high levels? i am currtently on 25mg of altenolol and 10mg of methimazole and have been on it for almost 3 weeks. i wont be seeing an endo until april 17 and wont get my levels checked again for a2 more weeks.

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 3/11/2012 10:24 PM
 

Hi,

Your primary thyroid hormones are T4 and to a lesser extent T3. They're best measured in their free form with free T4 (FT4) and FT3 levels. You have what's called T3 thyrotoxicosis in that your FT4 is normal and T3 is elevated. About 30% of Graves' patients have this. Since we have about 8 times as much FT4 as FT3, your thyroid status is usually based on your FT4 level. So you'd be said to have mild hyperthyroidism with T3 thyrotoxicosis.

The usual starting dose of mmi is 20 mg. You're on a lower dose to help prevent FT4 from falling too much. Since FT3 takes longer to fall than FT4, labs in 2 weeks will give a good idea if your FT4 is falling too much and by then FT3 should be close to being within range.

Your TSI is high, but you probably also have blocking TSH receptor antibodies that are preventing TSI from causing more severe hyperthyroidism. The TSI result confirms your diagnosis of GD and won't need to be rechecked anytime soon. The pituitary hormone TSH will stay low for a long time---while on meds, a low TSH doesn't mean that you're still hyperthyroid. Best, Elaine

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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.

 

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