3/21/12 TEST RESULTS - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Saturday, April 21, 2012

..:: Q & A ::..

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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The Q & A with Elaine Moore

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4/3/2012 2:17 PM

Joined: 4/3/2012

Posts: 3

3/21/12 TEST RESULTS

DEAR ELAINE,

MY 3/21/12 TEST RESULTS ARE AS FOLLOWS:

TSH 2.42

T4, FREE 1.2

T3 106

TSI 68% (DOWN FROM 131 ON 12/7/11)

I WAS ON PTU: 12.50 MG TWICE A WEEK & LEVO. 12.50 MG 6 TIME PER WEEK.

1) IS THIS TSI LEVEL OF 68% CONSIDERED NORMAL?

2) WHAT DO YOU SUGGEST ABOUT HOW TO CONTINUE WITH THE MEDICATION & WHEN TO RETEST?

3) DOES THE LEVO. TEND TO KEEP YOU AWAKE AT NIGHT?

THANK YOU FOR YOUR ADVICE; YOU HELP ME A LOT IN MANAGING THIS CONDITION (EVEN MY ENDOCTRONOLOGIST SAID THAT HE LEARNED).

RITA

4/3/2012 9:37 PM

Elaine

Joined: 8/1/2008

Posts: 3424

Re: 3/21/12 TEST RESULTS

Hi Rita,

TSI antibodies rarely fall as low as the levels seen in normal people (<2% activity). Your level of 68% is considered safe enough to stop meds since symptoms of hyperthyroidism typically occur when TSI levels reach 125%. Since you're on block and replace and are only on low doses and your levels are on the low side, one protocol is to first stop the PTU dose and continue on with the levothyroxine. This helps slow down your gland (since your gland doesn't have to make as much hormone). this helps lower TSI. Since your FT4 and T3 aren't high this tiny dose of levothyroxine would help provide more optimal levels for you. Some people then stay on levothyroxine indefinitely and some stay on replacement hormone for a year or so. Congratulations on your good progress. Best, Elaine

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