Guest guest Posted January 5, 2006 Report Share Posted January 5, 2006 Here's my 2 cents. She has Hashi's. Her TSH is flat out too high.. Once on replacement hormone it should be around 1.0 or less, anything under 2.0 is suspect. The lab is using outdated ranges, they were change three years ago to .3 to 3.0 and there is now on going discussion to lower the high end of the range down to 2.5 which then would put her outside of range.... For someone with Hashi's the TSH should be approaching zero, the suppress gland activity and therefore reduce the trigger to the antibody activity which, according to these labs is still very high... there is no 'was'... she has Hashi's. The tested the Free T4, that doesn't look bad, but we also know that the antibodies can skew tests..... If we also had the Free T3 value we'd have a better idea if her body is converting... but converting or not.... I'm not liking the level of the TSH.. If it were me... I'd want the Free T3 checked as well, and if that was not at the top end of it's range I'd want an increase in dosage for sure..... IMHO, of course. Topper ()"Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body. But rather to skid in sideways, chocolate in hand, body thoroughly used up, totally worn out and screaming "WOO-HOO what a ride!" On Thu, 5 Jan 2006 17:26:54 -0600 " Cody" writes: I am forwarding this to you all. Its from my younger sister who is on .88 synthetic thyroid. Included is the opinion of 2 docs.... what do you all think? Oh and I didn't ask, but I bet she took her thyroid that am....... Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2006 Report Share Posted January 5, 2006 Here's my 2 cents. She has Hashi's. Her TSH is flat out too high.. Once on replacement hormone it should be around 1.0 or less, anything under 2.0 is suspect. The lab is using outdated ranges, they were change three years ago to .3 to 3.0 and there is now on going discussion to lower the high end of the range down to 2.5 which then would put her outside of range.... For someone with Hashi's the TSH should be approaching zero, the suppress gland activity and therefore reduce the trigger to the antibody activity which, according to these labs is still very high... there is no 'was'... she has Hashi's. The tested the Free T4, that doesn't look bad, but we also know that the antibodies can skew tests..... If we also had the Free T3 value we'd have a better idea if her body is converting... but converting or not.... I'm not liking the level of the TSH.. If it were me... I'd want the Free T3 checked as well, and if that was not at the top end of it's range I'd want an increase in dosage for sure..... IMHO, of course. Topper ()"Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body. But rather to skid in sideways, chocolate in hand, body thoroughly used up, totally worn out and screaming "WOO-HOO what a ride!" On Thu, 5 Jan 2006 17:26:54 -0600 " Cody" writes: I am forwarding this to you all. Its from my younger sister who is on .88 synthetic thyroid. Included is the opinion of 2 docs.... what do you all think? Oh and I didn't ask, but I bet she took her thyroid that am....... Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2006 Report Share Posted January 5, 2006 Here's my 2 cents. She has Hashi's. Her TSH is flat out too high.. Once on replacement hormone it should be around 1.0 or less, anything under 2.0 is suspect. The lab is using outdated ranges, they were change three years ago to .3 to 3.0 and there is now on going discussion to lower the high end of the range down to 2.5 which then would put her outside of range.... For someone with Hashi's the TSH should be approaching zero, the suppress gland activity and therefore reduce the trigger to the antibody activity which, according to these labs is still very high... there is no 'was'... she has Hashi's. The tested the Free T4, that doesn't look bad, but we also know that the antibodies can skew tests..... If we also had the Free T3 value we'd have a better idea if her body is converting... but converting or not.... I'm not liking the level of the TSH.. If it were me... I'd want the Free T3 checked as well, and if that was not at the top end of it's range I'd want an increase in dosage for sure..... IMHO, of course. Topper ()"Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body. But rather to skid in sideways, chocolate in hand, body thoroughly used up, totally worn out and screaming "WOO-HOO what a ride!" On Thu, 5 Jan 2006 17:26:54 -0600 " Cody" writes: I am forwarding this to you all. Its from my younger sister who is on .88 synthetic thyroid. Included is the opinion of 2 docs.... what do you all think? Oh and I didn't ask, but I bet she took her thyroid that am....... Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 Hashimoto's In The Past? God, I wish it were in the past. I pray to God to please spare me from ever meeting this doctor and that he/she may be brought up before his/her State Board of Medical Examiners on this sbjct alone. HAD? Holy $#!T! HAS!!! Tell your sister to RUN from this doctor and whoever else tells her this line of crap. Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 Hashimoto's In The Past? God, I wish it were in the past. I pray to God to please spare me from ever meeting this doctor and that he/she may be brought up before his/her State Board of Medical Examiners on this sbjct alone. HAD? Holy $#!T! HAS!!! Tell your sister to RUN from this doctor and whoever else tells her this line of crap. Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 Hashimoto's In The Past? God, I wish it were in the past. I pray to God to please spare me from ever meeting this doctor and that he/she may be brought up before his/her State Board of Medical Examiners on this sbjct alone. HAD? Holy $#!T! HAS!!! Tell your sister to RUN from this doctor and whoever else tells her this line of crap. Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 That's pretty much what I told her. We are also on my baby sister's case to get her thyroid tested for Hashimotos. There are 4 of us girls and two have Hashi's and one claims she probably had Graves...but I bet she was just on the hyper end of the Hash swing when they caught it, she also had a goiter, they turned her radioactive. And I would bet anything, that my father had thyroid problems. I think my mother's thyroid is because of old age... she is 75 and just recently got put on thyroid hormones. C. Thyroid Here are my results . It appears I to have or had Hashimoto's depends on the dr. you talk to. If "A" (for abnormal, reactive, or positive), "H" (for high), or "L" (for low) is displayed in the "Flag" column, the test result is outside the usual range. Minor abnormalities of test results are not unusual and are likely to represent individual or lab variations. Abnormalities are subject to the interpretation of your health care practitioner. Test: TSH [84443B] Order Number: 31388845 Quantity: 1 Sample: Date Collected: 12/30/2005 3:24 PM Result Status: Final result Resulted Date: 12/31/2005 11:34 PM Provider Status: Reviewed Component Results Component Value Flag Low High Unit TSH 2.6 0.2 5.5 uIU/mL If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers Component Results Component Value Flag Low High Unit T4 FREE 1.3 0.8 1.7 ng/dL Component Results Component Value Flag Low High Unit TPO AB >1000 <35 IU/mL Notes Dear Ms. LaFrance,Your test shows you may have had Hashimoto's thyroiditis in thepast. Your tsh and ft4 are normal. Please continue levothyroid0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Cheregarding this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 Oh I did.... I told her to do the research and that she STILL HAS Hashimoto's.... Idiot doctors!!!!! C. Re: Fw: Thyroid Hashimoto's In The Past? God, I wish it were in the past. I pray to God to please spare me from ever meeting this doctor and that he/she may be brought up before his/her State Board of Medical Examiners on this sbjct alone. HAD? Holy $#!T! HAS!!! Tell your sister to RUN from this doctor and whoever else tells her this line of crap. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 > > Component Results > > Component Value Flag Low High Unit > TSH 2.6 0.2 5.5 uIU/mL > > > If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers > > Component Results > > Component Value Flag Low High Unit > T4 FREE 1.3 0.8 1.7 ng/dL > > > Component Results > > Component Value Flag Low High Unit > TPO AB >1000 <35 IU/mL > > > Notes > Dear Ms. LaFrance, > Your test shows you may have had Hashimoto's thyroiditis in the > past. Your tsh and ft4 are normal. Please continue levothyroid > 0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Che > regarding this. > Unless these bloodtests were in the past, and they have run a current TPO test with results <35..then she has active Hashi's. Her T4 and TSH are within range and do not look that bad ( T4) but how is she feeling? As a general rule those with Hashi's should have a suppressed TSH of less than 1..this will help lower the antibodies and slow thyroid destruction..with her labs there is room to to increase Synthroid which should decrease TSH and raise the T4 with out raising the T4 too high. As a general rule those who test positive for Hashi's should be on what is considered a full replacement dose, a suppressive dose of Synthroid..not just enough to lower numbers..the general rule for replacement dose is 1mcg per lb of wieght..so unless your sister is 88lbs she is on too low of a strength. The Merck Manual and a few other physician resource books all state this..if you read my post a few days ago I copied part of it out. You need to give your sister a copy that she can bring to her doctor and ask why the doc is not doing this? Kats3boys Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 > > Component Results > > Component Value Flag Low High Unit > TSH 2.6 0.2 5.5 uIU/mL > > > If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers > > Component Results > > Component Value Flag Low High Unit > T4 FREE 1.3 0.8 1.7 ng/dL > > > Component Results > > Component Value Flag Low High Unit > TPO AB >1000 <35 IU/mL > > > Notes > Dear Ms. LaFrance, > Your test shows you may have had Hashimoto's thyroiditis in the > past. Your tsh and ft4 are normal. Please continue levothyroid > 0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Che > regarding this. > Unless these bloodtests were in the past, and they have run a current TPO test with results <35..then she has active Hashi's. Her T4 and TSH are within range and do not look that bad ( T4) but how is she feeling? As a general rule those with Hashi's should have a suppressed TSH of less than 1..this will help lower the antibodies and slow thyroid destruction..with her labs there is room to to increase Synthroid which should decrease TSH and raise the T4 with out raising the T4 too high. As a general rule those who test positive for Hashi's should be on what is considered a full replacement dose, a suppressive dose of Synthroid..not just enough to lower numbers..the general rule for replacement dose is 1mcg per lb of wieght..so unless your sister is 88lbs she is on too low of a strength. The Merck Manual and a few other physician resource books all state this..if you read my post a few days ago I copied part of it out. You need to give your sister a copy that she can bring to her doctor and ask why the doc is not doing this? Kats3boys Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2006 Report Share Posted January 6, 2006 > > Component Results > > Component Value Flag Low High Unit > TSH 2.6 0.2 5.5 uIU/mL > > > If you have any questions about this lab test result, please contact your health care practitioner's office. See our facility directory for departments and phone numbers > > Component Results > > Component Value Flag Low High Unit > T4 FREE 1.3 0.8 1.7 ng/dL > > > Component Results > > Component Value Flag Low High Unit > TPO AB >1000 <35 IU/mL > > > Notes > Dear Ms. LaFrance, > Your test shows you may have had Hashimoto's thyroiditis in the > past. Your tsh and ft4 are normal. Please continue levothyroid > 0.088mg 1 tablet per day. I spoke to Endocrinologist Dr. Che > regarding this. > Unless these bloodtests were in the past, and they have run a current TPO test with results <35..then she has active Hashi's. Her T4 and TSH are within range and do not look that bad ( T4) but how is she feeling? As a general rule those with Hashi's should have a suppressed TSH of less than 1..this will help lower the antibodies and slow thyroid destruction..with her labs there is room to to increase Synthroid which should decrease TSH and raise the T4 with out raising the T4 too high. As a general rule those who test positive for Hashi's should be on what is considered a full replacement dose, a suppressive dose of Synthroid..not just enough to lower numbers..the general rule for replacement dose is 1mcg per lb of wieght..so unless your sister is 88lbs she is on too low of a strength. The Merck Manual and a few other physician resource books all state this..if you read my post a few days ago I copied part of it out. You need to give your sister a copy that she can bring to her doctor and ask why the doc is not doing this? Kats3boys Quote Link to comment Share on other sites More sharing options...
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