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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Diagnosed With Graves Disease. Energy Level Dropped. TPO Antibodies 592. Suggest?

Hello, I was diagnosed with Graves Disease 6 years ago. Over the past couple of months my energy level has dropped to the point where it is difficult to get out of bed each day. I had my blood work done in Nov 2012, my doctor said my thyroid levels were within normal range except for my TPO antibodies: 592 normal range 0-30. Please help
Tue, 25 Jun 2013
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General & Family Physician,  's  Response
Hi,

Graves' disease is usually characterized by Heat intolerance, Sweating of hands,
Muscle weakness, Weight loss, Anxiety, Palpitations, Diarrhea along with a diffuse goitre and eye signs. Treatment depends on age and size of goitre.

Younger patients with small goitres and mild case - 18-month course antithyroid drugs is usually recommended.
Older patients with small goitres - same as above or radioiodine therapy (preferably when euthyroid).
Large goitres or moderate-to-severe cases - antithyroid drugs until euthyroid, then surgery or radioiodine therapy.

Hope it helps!
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Had Diagnosed With Graves Disease. Energy Level Dropped. TPO Antibodies 592. Suggest?

Hi, Graves disease is usually characterized by Heat intolerance, Sweating of hands, Muscle weakness, Weight loss, Anxiety, Palpitations, Diarrhea along with a diffuse goitre and eye signs. Treatment depends on age and size of goitre. Younger patients with small goitres and mild case - 18-month course antithyroid drugs is usually recommended. Older patients with small goitres - same as above or radioiodine therapy (preferably when euthyroid). Large goitres or moderate-to-severe cases - antithyroid drugs until euthyroid, then surgery or radioiodine therapy. Hope it helps!