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THE Q & A
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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.
Copying of any posts is prohibited without permissions.
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Notice: No notices today.
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| 4girls1boy |
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Joined: 3/17/2012
Posts: 1
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Hi Elaine,
I'm new to your board and would like to know what you think. I am 7 month post partum and recently found out that my TSH was low. The last pregnancy was a surrogate pregnancy and I was considering another surrogacy. That is how I found out about the low TSH. The labs that I had done at the RE indicated low TSH. Honestly, the only symptoms now looking back that I was having is hot flashes sometimes, and agitation (but I have four children that can do to me) and that is about it. I was stunned to hear this news. Today, I emailed my doctor asking her about two other tests and if its possible to have the Thyroid stimulating immunoglobulin (TSI) and Thyroid Receptor Antibodies (TRAb) tests done to test for the Graves.
My doctors response was-"Your labs for antibodies against thyroid came back high. Its a big possibility that you have graves disease. I am actually referring you to the specialist. I will let them decide if you need further tests"
Of course this resonse sent me into a whirlwind of emotions. I know its a possibility but I'm hoping for a much better outcome. I also have an appt for a thyroid scan on tuesday. With this info I'm wondering what your thoughts are. Thanks for reading and responding in advance.
These are my labs.
The first screening was 2/27/12-TSH was 0.012 range(0.45-4.50) and prolactin was 4.0
Second screening was 3/9/12-TSH was 0.018 range (0.45-4.50) and prolactin was 3.7
I repeated with my MD and a new lab-
3/12-TSH 0.03 (range 0.10 - 5.50)
Free T4 1.2 (range 0.8 - 1.7)
Prolactin 5 (range 3 - 30)
REPEAT
3/13-TSH 0.02 (range 0.10 - 5.50)
Free T4 1.0 (range 0.8 - 1.7)
Triiodothyronine - true,ser/plas,qn 124 (range 50 - 170)
TPO AB 625 (range < 35 -
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| Elaine |
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Joined: 8/1/2008
Posts: 3424
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Hi,
Although your TSH is low, your thyroid hormone levels are normal and not even on the high side. TSH is a pituitary hormone that helps regulate thyroid hormone levels. Normally, TSH is secreted in pulses throughout the day and it orders thyroid cells to grow and produce thyroid hormone. When thyroid hormone levels start to rise, the pituitary secretes less TSH to protect against hyperthyroidism.
At this point you'd be said to have subclinical hyperthyroidism (low TSH, normal thyroid hormone levels). Subclinical disorders aren't usually treated although they're watched. Most subclinical disorders resolve on their own. A low TSH doesn't cause symptoms but if you have symptoms from a slight rise in thyroid hormone levels, beta blockers are usually used to reduce them. Your thyroid antibodies suggest that your disorder is autoimmune, meaning subclinical Graves' disease. Your antibody levels aren't very high and they're consistent with what's seen in Graves' disease if they're TPO or thyroglobulin antibodies. 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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