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initial hashimoto stage

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Thyroid Disorders
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travisco
New Member
Joined : Sep 2014
Posts : 15
Posted 5/22/2015 7:32 AM (GMT -6)
Thyroid panel (2 weeks ago):
TSH: <0.005 mIU/L (0.510-4.30),
Free T4: 45.5 pmol/L (12.5-21.0)

Antibody test results:
Thyrotropin receptor antibodies (TRAbs): negative (normal)
Thyroid Peroxidase Ab (TPOAb): L <5 IU/mL (5-34)
Thyroglobulin Ab (TgAb): H 217 IU/mL (10-115)
Thyroid stimulating immunoglobulin (TSI): <1% negative (normal)

Other tests:
Erythrocyte Sedimentation Rate: 4 mm/hr (1-10)

Hi all, I want to ask has anyone with Hashimoto experienced hyperthyroidism before, at the initial stages. I understand some people with Hashimoto experience a roller-coaster ride, with hypo to hyper and back. Whereas most people would be just hypo all the way.
I read somewhere that at the initial stage, the antibodies is attacking your thyroid, thus hormone leak into the blood and you become hyper. After some time when your thyroid has been damaged, you become hypo as your thyroid cant produce thyroid hormones.
To be honest, I rather be hyper than hypo and I'm afraid in the future i'll be hypo. Would the above results, be definite for Hashimoto.

Post Edited (travisco) : 5/22/2015 10:09:38 AM (GMT-6)

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hypoHashimoto
Veteran Member
Joined : Jul 2012
Posts : 785
Posted 5/22/2015 7:55 AM (GMT -6)
Hi,
While it is true that in it's early stages hashimoto can cause hyper then hypo, it is also true that hashimoto can cause constant hypER, in other words, hashi can cause both hypo and hyper.

And to be hypo causes less damage to your health than hyper, so hyper is more harsh to your body than hypothyroidism.

Your TSH is low, below range, and this combined with your ft4, indicate that you are hyperthyroid and need to be treated by anti thyroid medication or RAI.

It is also possible that you have nodules on your thyroid that leak hormones independently and that what is causing your hyper , so you need to get Ultrasound of your thyroid gland.

Best ,
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NiceCupOfTea
Elite Member
Joined : Jan 2010
Posts : 11009
Posted 5/22/2015 1:05 PM (GMT -6)
Don't normally check this board, but yes I had one blood test which showed I was hyper rather than hypo. I think my TSH was 0.1, but I don't remember it very well. I think my GP told me over the phone; I never got a letter or anything like that. But I do know that he prescribed me carbimazole - he's hasty like that. I never took the carbimazole and still ended up slowly going hypo - by early next year my TSH was 11.5. That persuaded me to go on levothyroxine and stay on it.

Oddly enough I don't remember feeling any different when I was hyper as opposed to hypo. Had no more energy, that's for sure. But maybe that's 'cos I was still suffering from the after-effects of tapering off Prednisolone and Oxycodone.

Absolutely no idea where I'm at now. I want another thyroid panel and I'm going to have to persuade the new GP that I haven't met to give me one: that'll be fun.

Edit: Sorry, it's not obvious from my post why I got a Hashimoto's diagnosis. It actually began with my GI, who ran a thyroid blood test in 2011. I didn't even know about this until he casually told me "oh, and your thyroid antibodies were through the roof and you'll almost certainly develop hypothyroidism in the future", or words to that effect. My Crohn's took yet another turn for the worse (after taking so many already) and for the next two years I forgot about it. In Feb 2013 I had surgery which put me in remission. Remembered what my GI had said, and brought it up with my GP. It was my GP who ended up diagnosing me.

Post Edited (NiceCupOfTea) : 5/22/2015 1:12:13 PM (GMT-6)

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hypoHashimoto
Veteran Member
Joined : Jul 2012
Posts : 785
Posted 5/23/2015 2:32 AM (GMT -6)
Hello NiceCupOfTea ,
You are welcome to visit our forum more often !
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