Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Thyroid Function Test Result Indicate?
Question: I am taking thyroxine tablet 100mg , and few month ago i lost my 9 month baby before delivery due to high blood pressure . after 4 month i am having thyroid symptoms like dry skin and weight gain so my gynecologist suggest me to take thyroxine 100 mg , not my weight in control and also my grand reducing , please help me on my report : my TSH is 370.90 , T3 is 29.76 and T4 is :1.55 , also my ANTI MICROSOMAL ANTIBODY (AMA) > 600 ,ANTI THYROGLOBULIN ANTIBODY (ATG) : 298 .
It be great help to me if you suggest me something
It be great help to me if you suggest me something
Brief Answer:
Overt Hypothyroidism.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
You are suffering from Overt Autoimmune Hypothyroidism and your TSH levels are extreme high.
You would require a strict control of Thyroid before you plan to conceive.
With this range of Thyroid there is extremely high risk of pregnancy loss.
Moreover your high BP might be because of that only.
I would treat with 100 micrograms Thyroxine for a week and adding up 25 micrograms every week to reach a dose of 150 micrograms per day.
You would require to carry on with 150 micrograms per day dose for next 6 weeks followed by a repeat TSH.
I would also recommend you to take treatment from an Endocrinologist or a Physician and not Gynecologist for this matter.
I hope it helps.
If you have any further query, please ask me.
Stay Healthy.
Overt Hypothyroidism.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
You are suffering from Overt Autoimmune Hypothyroidism and your TSH levels are extreme high.
You would require a strict control of Thyroid before you plan to conceive.
With this range of Thyroid there is extremely high risk of pregnancy loss.
Moreover your high BP might be because of that only.
I would treat with 100 micrograms Thyroxine for a week and adding up 25 micrograms every week to reach a dose of 150 micrograms per day.
You would require to carry on with 150 micrograms per day dose for next 6 weeks followed by a repeat TSH.
I would also recommend you to take treatment from an Endocrinologist or a Physician and not Gynecologist for this matter.
I hope it helps.
If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply .
Please advise on my complete report attached . what is meaning of ANTI MICROSOMAL ANTIBODY (AMA) is > 600 ,ANTI THYROGLOBULIN ANTIBODY (ATG) : 298 , also FREE TRIIODOTHYRONINE (FT3) is 1.86 & FREE THYROXINE (FT4) is 0.75 , this report i taken because i just want know how my body behave against me & what need to be done to work properly .
Also i went many time my physician however he only talk about harmon replacement therapy but i have seen some patient totally cure after six month and not taking thyroxine table anymore , but some patient taking tablet 50 mg for 6 year and more , but i just wanted to know how to diagnose my pituitary gland start working properly and start generating T3 and T4 naturally?? .
Yesterday i get my new vitamin report VITAMIN B-12 is 158 , 25-OH VITAMIN D (TOTAL) is 8.78 , please advice on same also if possible for you ( any medicine and how many days to take medicine )
Please advice on my complete report attached including ATA , ATG , FT3 , FT4 , T3 , T4 .
All endocrinologist on this portal , i request all to suggest on same .
Thanks in advanced
Please advise on my complete report attached . what is meaning of ANTI MICROSOMAL ANTIBODY (AMA) is > 600 ,ANTI THYROGLOBULIN ANTIBODY (ATG) : 298 , also FREE TRIIODOTHYRONINE (FT3) is 1.86 & FREE THYROXINE (FT4) is 0.75 , this report i taken because i just want know how my body behave against me & what need to be done to work properly .
Also i went many time my physician however he only talk about harmon replacement therapy but i have seen some patient totally cure after six month and not taking thyroxine table anymore , but some patient taking tablet 50 mg for 6 year and more , but i just wanted to know how to diagnose my pituitary gland start working properly and start generating T3 and T4 naturally?? .
Yesterday i get my new vitamin report VITAMIN B-12 is 158 , 25-OH VITAMIN D (TOTAL) is 8.78 , please advice on same also if possible for you ( any medicine and how many days to take medicine )
Please advice on my complete report attached including ATA , ATG , FT3 , FT4 , T3 , T4 .
All endocrinologist on this portal , i request all to suggest on same .
Thanks in advanced
Brief Answer:
Autoimmune Hypothyroidism
Detailed Answer:
I have mentioned the term "Autoimmune" Hypothyroidism. Your antibodies for thyroid are positive, this means that you have Autoimmune disease. You are most likely to require thyroxine supplement for your whole life.
People who require short course only are those, who don't have Autoimmune hypothyroidism. They might have developed transient hypothyroidism due to some illness or viral infection. Once there thyroid recovers from this, they won't require any further treatment.
As far as Vitamin B12 and Vitamin D levels are concerned, they are low in your case. You can go ahead with the supplementation.
If you have any further query, please ask me, i would be glad to answer.
Autoimmune Hypothyroidism
Detailed Answer:
I have mentioned the term "Autoimmune" Hypothyroidism. Your antibodies for thyroid are positive, this means that you have Autoimmune disease. You are most likely to require thyroxine supplement for your whole life.
People who require short course only are those, who don't have Autoimmune hypothyroidism. They might have developed transient hypothyroidism due to some illness or viral infection. Once there thyroid recovers from this, they won't require any further treatment.
As far as Vitamin B12 and Vitamin D levels are concerned, they are low in your case. You can go ahead with the supplementation.
If you have any further query, please ask me, i would be glad to answer.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Again thanks for answers .
I will continue with thyroxine table 150 mg for 6 week and then again take report of TSH further and let me see .
Please advise on FT3 , FT4 report , what is report mean in my case ?
Also please advice on vitamin B12 , vitamin D tablet and dose , one local doctor (MBBS ) advice me to take omega-3 fatty acids , Neurobion forte , calcimax forte tablets for two week , please advise on supplement , also what food to take for high b12 and vitamin d ( note : i am vegetarian ) .
-Thanks again
XXXXX
I will continue with thyroxine table 150 mg for 6 week and then again take report of TSH further and let me see .
Please advise on FT3 , FT4 report , what is report mean in my case ?
Also please advice on vitamin B12 , vitamin D tablet and dose , one local doctor (MBBS ) advice me to take omega-3 fatty acids , Neurobion forte , calcimax forte tablets for two week , please advise on supplement , also what food to take for high b12 and vitamin d ( note : i am vegetarian ) .
-Thanks again
XXXXX
Brief Answer:
Take supplements
Detailed Answer:
Hi, FT3 and FT4 encompass thyroid hormone regulatory system. The rise in TSH will lead to fall in FT3 and FT4 and vice versa.
You can start with the supplementation's adviced by your doctor. Apart from that, you can take once a week Vitamin D3 60 K supplement.
The foods rich in Vitamin B12 are mostly the animal based non vegetarian products. You can get Vitamin B12 from some nutritional yeasts, as well as from fortified cereals and soy milk.
As far as Vitamin D is concerned, sun light exposure is very helpful. The vegetarian products with high Vitamin D are Mushrooms, fish oils (omega 3 fatty acid).
If you have any further query, please ask me.
Take supplements
Detailed Answer:
Hi, FT3 and FT4 encompass thyroid hormone regulatory system. The rise in TSH will lead to fall in FT3 and FT4 and vice versa.
You can start with the supplementation's adviced by your doctor. Apart from that, you can take once a week Vitamin D3 60 K supplement.
The foods rich in Vitamin B12 are mostly the animal based non vegetarian products. You can get Vitamin B12 from some nutritional yeasts, as well as from fortified cereals and soy milk.
As far as Vitamin D is concerned, sun light exposure is very helpful. The vegetarian products with high Vitamin D are Mushrooms, fish oils (omega 3 fatty acid).
If you have any further query, please ask me.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
