Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Sandy..... The TSH would flucuate because that is in response to how strongly your thyroid is calling out for hormones.... You have been diagnosed with Hashimoto's- right? The levels also fluctuate with that.... Your frees are showing low, as well as the TSH--- . How are YOU feeling? symptomatic wise? ThyroFeisty(Feisty)Proud Group co-ownerwww.thyrophoenix.comI like pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals. Sir Winston ChurchillBritish politician (1874 - 1965) Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Sandy..... The TSH would flucuate because that is in response to how strongly your thyroid is calling out for hormones.... You have been diagnosed with Hashimoto's- right? The levels also fluctuate with that.... Your frees are showing low, as well as the TSH--- . How are YOU feeling? symptomatic wise? ThyroFeisty(Feisty)Proud Group co-ownerwww.thyrophoenix.comI like pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals. Sir Winston ChurchillBritish politician (1874 - 1965) Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Sandy..... The TSH would flucuate because that is in response to how strongly your thyroid is calling out for hormones.... You have been diagnosed with Hashimoto's- right? The levels also fluctuate with that.... Your frees are showing low, as well as the TSH--- . How are YOU feeling? symptomatic wise? ThyroFeisty(Feisty)Proud Group co-ownerwww.thyrophoenix.comI like pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals. Sir Winston ChurchillBritish politician (1874 - 1965) Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 I have not had the pleasure of being diagnosed with anything. I basically think the medical community is a bunch of ... well, I will not say what I am thinking. haha. I am most frustrated with this. There was NO doctor comment about these recent labs, I was just mailed the results. So I am once again trying to be my own health advocate and find some answers that can possibly set me on the path to enjoying whatever remains of this life that I have been granted. Suffice it to say I am feeling quite down about this and the lack of answers/diagnosis and knowledgeable treatment plan. These past two weeks have been spent with my being tired and without energy and pretty much staying close to home. The last couple days I have had bouts of weak feeling in my upper arms. I periodically go through spells with noticeable heart palps. My allergies have become much more noticeable in the last year. I lost 110 pounds as the result of gastric bypass in December 2003 and then my weight loss came to a screeching halt last January which just happens to be when I started seeing the higher TSH numbers. My TSH has been steadily climbing over the past year as you can see from my labs listed below. I have had about a 10 pound regain in the last couple months that I should not have had. My history includes a hysterectomy in 1980 because of horrid PMS. I cannot live without estrogen replacement because the hot flashes are nasty, draining, and life altering. I have felt like crap since about 1993 and finally had to quit my job in 1995. I have had my fatigue and body pain diagnosed as fibromyalgia. I have an old lab report from 1999 that my Rheumatologist ran and my TSH was 2.7 back then. So, I am not sure that I believe this TSH result from this most current lab work because it is so different from what I have seen in quite some time. Combine that with my extra fatigue, heart palps, and general not feeling well. My endocrinologist has only tested my thyroid level (T4) once and that was back in 1991 (I finally found his old sheet in my records and I was supposedly normal, but we all know that can mean nothing). I am looking into the saliva tests that Dr. Shames talks about in his most recent book. It sounds like a good starting place for me. Sandy -- Re: Labs back - Finally!! Sandy..... The TSH would flucuate because that is in response to how strongly your thyroid is calling out for hormones.... You have been diagnosed with Hashimoto's- right? The levels also fluctuate with that.... Your frees are showing low, as well as the TSH--- . How are YOU feeling? symptomatic wise? ThyroFeisty(Feisty)Proud Group co-ownerwww.thyrophoenix.comI like pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals. Sir Winston ChurchillBritish politician (1874 - 1965) Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 I have not had the pleasure of being diagnosed with anything. I basically think the medical community is a bunch of ... well, I will not say what I am thinking. haha. I am most frustrated with this. There was NO doctor comment about these recent labs, I was just mailed the results. So I am once again trying to be my own health advocate and find some answers that can possibly set me on the path to enjoying whatever remains of this life that I have been granted. Suffice it to say I am feeling quite down about this and the lack of answers/diagnosis and knowledgeable treatment plan. These past two weeks have been spent with my being tired and without energy and pretty much staying close to home. The last couple days I have had bouts of weak feeling in my upper arms. I periodically go through spells with noticeable heart palps. My allergies have become much more noticeable in the last year. I lost 110 pounds as the result of gastric bypass in December 2003 and then my weight loss came to a screeching halt last January which just happens to be when I started seeing the higher TSH numbers. My TSH has been steadily climbing over the past year as you can see from my labs listed below. I have had about a 10 pound regain in the last couple months that I should not have had. My history includes a hysterectomy in 1980 because of horrid PMS. I cannot live without estrogen replacement because the hot flashes are nasty, draining, and life altering. I have felt like crap since about 1993 and finally had to quit my job in 1995. I have had my fatigue and body pain diagnosed as fibromyalgia. I have an old lab report from 1999 that my Rheumatologist ran and my TSH was 2.7 back then. So, I am not sure that I believe this TSH result from this most current lab work because it is so different from what I have seen in quite some time. Combine that with my extra fatigue, heart palps, and general not feeling well. My endocrinologist has only tested my thyroid level (T4) once and that was back in 1991 (I finally found his old sheet in my records and I was supposedly normal, but we all know that can mean nothing). I am looking into the saliva tests that Dr. Shames talks about in his most recent book. It sounds like a good starting place for me. Sandy -- Re: Labs back - Finally!! Sandy..... The TSH would flucuate because that is in response to how strongly your thyroid is calling out for hormones.... You have been diagnosed with Hashimoto's- right? The levels also fluctuate with that.... Your frees are showing low, as well as the TSH--- . How are YOU feeling? symptomatic wise? ThyroFeisty(Feisty)Proud Group co-ownerwww.thyrophoenix.comI like pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals. Sir Winston ChurchillBritish politician (1874 - 1965) Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do "reflex" testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. Labs back - Finally!! Okay, I need some help understanding these. I will start with a history of my TSH labs to give you a frame of reference: December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) July 25, 2005 TSH, high sensitivity 4.38 April 4, 2005 TSH, high sensitivity 3.47 November 19, 2004, TSH high sensitivity 2.72 December 2, 2003, TSH (this was my pre-op labs) 2.7 January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. The rest of the labs from January 3 are as follows: T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies Selenium 150 (range 110-160) Copper 1198 (range 490-1840) My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). So - HELP!! Thank you so very much for lending your experience to this attempt on my part to understand this stuff. Sandy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ slkscb@... ~ Open RNY 12/8/03, 150 cm, Barix Clinics, 303/290 day of surgery/195 current/ goal is to be HEALTHY. Emergency appendectomy 11/1/04, Gallbladder 1/12/05. "Know your labs and track your trends." AZ Grads join us at: http://health.groups.yahoo.com/group/AZGRADSOFWLS/ Check out my gastric bypass journal at www.acdlady.com/WLS_1 for many educational links. My OH profile is at http://www.obesityhelp.com/morbidobesity/profile.phtml?N=M1062876220 I am not affiliated with the medical profession except as a proactive WLS post-op. "Trust your own instinct. Your mistakes might as well be your own, instead of someone else’s." – Wilder Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Thanks for that information. This is such a learning process. So this particular lab is good news for me. Sandy > > The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do " reflex " testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. > > > > Labs back - Finally!! > > > Okay, I need some help understanding these. > > I will start with a history of my TSH labs to give you a frame of reference: > > 1.. December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) > 2.. October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) > 3.. July 25, 2005 TSH, high sensitivity 4.38 > 4.. April 4, 2005 TSH, high sensitivity 3.47 > 5.. November 19, 2004, TSH high sensitivity 2.72 > 6.. December 2, 2003, TSH (this was my pre-op labs) 2.7 > January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. > > The rest of the labs from January 3 are as follows: > > T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) > T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) > Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies > Selenium 150 (range 110-160) > Copper 1198 (range 490-1840) > > My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. > > Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. > > I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). > > So - HELP!! > > Thank you so very much for lending your experience to this attempt on my part to understand this stuff. > > Sandy Quote
Guest guest Posted January 13, 2006 Report Posted January 13, 2006 Thanks for that information. This is such a learning process. So this particular lab is good news for me. Sandy > > The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do " reflex " testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. > > > > Labs back - Finally!! > > > Okay, I need some help understanding these. > > I will start with a history of my TSH labs to give you a frame of reference: > > 1.. December 5, 2005 TSH, high sensitivity 5.09H (range 0.45 - 4.50) > 2.. October 14, 2005 TSH, high sensitivity 3.66 (range same and will be unless noted otherwise) > 3.. July 25, 2005 TSH, high sensitivity 4.38 > 4.. April 4, 2005 TSH, high sensitivity 3.47 > 5.. November 19, 2004, TSH high sensitivity 2.72 > 6.. December 2, 2003, TSH (this was my pre-op labs) 2.7 > January 3, 2006, TSH, high sensitivity 1.94 <---------- This strikes me as very odd given my history and I can only assume a lab error. I will say that it is the ONLY TSH lab listed that was non-fasting, but that should not have affected the lab. > > The rest of the labs from January 3 are as follows: > > T4 Free Non-dialysis 1.0 (range 0.8 - 2.1) > T3 Free Non-dialysis 2.1 (range 1.8 - 5.4) > Microsomal TPO-Ab 17 (range <35) <------ This is what he ordered to check for antibodies > Selenium 150 (range 110-160) > Copper 1198 (range 490-1840) > > My doctor just had his nurse mail this to me and there were no recommendations beyond what he had mentioned in his office the end of December about trying me out on a low dose of thyroid meds to see if we could get my thyroid going again. His thought was my large weight loss via gastric bypass had confused my thyroid. > > Okay, my thought is that my thyroid is acting up; this TSH lab is a fluke; and my history of fatigue, low energy, inability to hold down a job (resigned in 1995), fibromyalgia, Type II Diabetes, increase in allergy symptoms over the past year are all indicators that my body is not functioning properly. Obviously my goal is to attempt to find a doctor more familiar with thyroid and willing to think outside standard labs. > > I don't completely understand the labs yet, but if I remember from other discussions on here correctly my Free T4 is way low and my Free T3 is on the low side. My doctor did not agree with my request to check the Free T4 and the antibodies, but he did order them (although I am not sure the Microsomal is the correct thing). > > So - HELP!! > > Thank you so very much for lending your experience to this attempt on my part to understand this stuff. > > Sandy Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 > > The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do " reflex " testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. > > > This is because the TPo test is considered a total..meaning if the number is with in range any other antibody testing would also be in range.If it is above then they test to see which one is out of range.. TPO is also now considered and inflammatory marker..meaning it will rise with inflammation. Kats3boys Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 > > The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do " reflex " testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. > > > This is because the TPo test is considered a total..meaning if the number is with in range any other antibody testing would also be in range.If it is above then they test to see which one is out of range.. TPO is also now considered and inflammatory marker..meaning it will rise with inflammation. Kats3boys Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 > > The antimicrosomal antibody is another name for the antithyroidperoxidase antibody, so, yes, this is correct, but, he didn't order the other antibody test for antithyroglobulin, which is the other major one for this. Evidently, they do " reflex " testing, i.e., if one is low, then they don't test for the other one. I have high #s for both of these antibodies. > > > This is because the TPo test is considered a total..meaning if the number is with in range any other antibody testing would also be in range.If it is above then they test to see which one is out of range.. TPO is also now considered and inflammatory marker..meaning it will rise with inflammation. Kats3boys Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 But some people have high #s for one and not for the other, so I don't see the logic in not running both of them. Some people have high #s for the antithyroglobulin, but not for the antithyroidperoxidase, and vice versa. IMO, both should be run, regardless of how low the other one is. Mine were in the thousands for both of these. To tell you the truth, I have been suspecting more and more that I have had both Grave's and Hashi's all along, but haven't had the other thyroid antibodies testing done, like the TRab and such. My weight loss and anxiety went for so many yrs, that I can't help but suspect Grave's. I know the initial thing on Hashi's can be hyperthyroid, but usually not for such a long period of time. Oh for a good doctor way back when, so that I would have been treated properly. It gets so complicated AND expensive. Re: Labs back - Finally!! > > > > > The antimicrosomal antibody is another name for the > antithyroidperoxidase antibody, so, yes, this is correct, but, he > didn't order the other antibody test for antithyroglobulin, which is > the other major one for this. Evidently, they do " reflex " testing, > i.e., if one is low, then they don't test for the other one. I have > high #s for both of these antibodies. > > > > > > > This is because the TPo test is considered a total..meaning if the > number is with in range any other antibody testing would also be in > range.If it is above then they test to see which one is out of range.. > TPO is also now considered and inflammatory marker..meaning it will > rise with inflammation. > > Kats3boys Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 But some people have high #s for one and not for the other, so I don't see the logic in not running both of them. Some people have high #s for the antithyroglobulin, but not for the antithyroidperoxidase, and vice versa. IMO, both should be run, regardless of how low the other one is. Mine were in the thousands for both of these. To tell you the truth, I have been suspecting more and more that I have had both Grave's and Hashi's all along, but haven't had the other thyroid antibodies testing done, like the TRab and such. My weight loss and anxiety went for so many yrs, that I can't help but suspect Grave's. I know the initial thing on Hashi's can be hyperthyroid, but usually not for such a long period of time. Oh for a good doctor way back when, so that I would have been treated properly. It gets so complicated AND expensive. Re: Labs back - Finally!! > > > > > The antimicrosomal antibody is another name for the > antithyroidperoxidase antibody, so, yes, this is correct, but, he > didn't order the other antibody test for antithyroglobulin, which is > the other major one for this. Evidently, they do " reflex " testing, > i.e., if one is low, then they don't test for the other one. I have > high #s for both of these antibodies. > > > > > > > This is because the TPo test is considered a total..meaning if the > number is with in range any other antibody testing would also be in > range.If it is above then they test to see which one is out of range.. > TPO is also now considered and inflammatory marker..meaning it will > rise with inflammation. > > Kats3boys Quote
Guest guest Posted January 14, 2006 Report Posted January 14, 2006 But some people have high #s for one and not for the other, so I don't see the logic in not running both of them. Some people have high #s for the antithyroglobulin, but not for the antithyroidperoxidase, and vice versa. IMO, both should be run, regardless of how low the other one is. Mine were in the thousands for both of these. To tell you the truth, I have been suspecting more and more that I have had both Grave's and Hashi's all along, but haven't had the other thyroid antibodies testing done, like the TRab and such. My weight loss and anxiety went for so many yrs, that I can't help but suspect Grave's. I know the initial thing on Hashi's can be hyperthyroid, but usually not for such a long period of time. Oh for a good doctor way back when, so that I would have been treated properly. It gets so complicated AND expensive. Re: Labs back - Finally!! > > > > > The antimicrosomal antibody is another name for the > antithyroidperoxidase antibody, so, yes, this is correct, but, he > didn't order the other antibody test for antithyroglobulin, which is > the other major one for this. Evidently, they do " reflex " testing, > i.e., if one is low, then they don't test for the other one. I have > high #s for both of these antibodies. > > > > > > > This is because the TPo test is considered a total..meaning if the > number is with in range any other antibody testing would also be in > range.If it is above then they test to see which one is out of range.. > TPO is also now considered and inflammatory marker..meaning it will > rise with inflammation. > > Kats3boys Quote
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