
Hello, For Months Now I Have Been Having Strong Fatigue,

About hyperthyroidism;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
Hashimoto thyroiditis is an autoimmune disease taht means that your body produces antibodies ( AntiTPO or AntiTg) that destroy the thyroid gland.
When more than 80% of the gland is destroyed, it does not produce enough hormones and is manifedted with high TSH and low Ft4 and Ft3.
In your case the antibodies are negative and Ft4 is high not low.
There are 2 main pathologies that cause high Ft4; Graves disease and nodular goiter.
Graves' disease is an autoimmune disease that means that your body produces antibodies ( TSi) that stimulate the thyroid gland to produce Ft4 and in your case these antibodies are negative.
So you need a thyroid ultrasound to confirm.the nodular goiter.
Hope the information will help.
Best wishes.
Dr.Mirjeta


This would not explain my fatigue would it? So what comes next in terms of figuring out treatment or cause of fatigue (twitching at night I can live with)The fatigue is what concerns me the most and led to testing. It hasn’t resolved for months. Some days are great, others are horrible. Husband has noticed energy levels down and I sleep a lot more than ever.
About thyroid hormone result;
Detailed Answer:
Hi again,
The thyroid hormone result does not explain your concerns.
Positive ANA antibodies suggest for a rheumatologic autoimmune disease but a detailed history and physical examination would be of help to interpret it.
Regards,
Dr.Mirjeta

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