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Dr. Anil
Dr. Anil, Doctor (MD)
Category: Health
Satisfied Customers: 8801
Experience:  M.B.B.S.M.D with over 30 years of experience in this medical field.
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I just got these test results. Can you tell me what they may

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I just got these test results. Can you tell me what they may or may not indicate?

TPO AB <3.0
T3 123
Free T4 1.0
TSH .2

C-Reactive Protein .2

HGBA1C 5.6
Estimated Average Glucose 113
Cortisol 19.1
Insulin 12


What are your current symptoms?

Any medical history?

Are you taking any medications?

Since how long have you been suffering from?




Customer: replied 3 years ago.

I have been suffering from hemorrhoids and an anal fissure for 14 months and have had little help from my doctor so I am going to go to a nutritionist. He asked for these blood tests to be taken. My doctor pushed back, but I insisted. I will also be getting cholesterol tests, that she couldn't order.


The numbers that seem out of normal range from what I can tell are the TSH and Insulin.


Can you advise?

Thanks for providing more information.


TPO AB <3.0 (<9.0 IU/mL)
T3 123 (100 - 200 ng/dL)
Free T4 1.0 (0.7-1.8 ng/dL)

TSH .2 (0.4 - 4.0 mIU/L )

C-Reactive Protein .2 (0-1.0mg/dL)

HGBA1C 5.6 (Less than 5.7%)
Estimated Average Glucose 113
Cortisol 19.1
(6 - 23 mcg/dL).
Insulin 12 (5-20 mcU/mL)


Normal range can vary from lab to lab.

As per your reports,your Serum TSH levels is lower than normal range and suggests thyroid dysfunction.

So a clinical correlation of your blood work findings with your current symptoms should be considered by your doctor.

And you should make an appointment with your doctor in next few days.

As you are suffering from haemorrhoids and anal fissure for few months with little relief so you need to consult a colorectal specialist for ano-rectal examination for further management.

Constipation,straining during bowel movement can be contributing factors in haemorrhoids and anal fissure.

So eat fibre rich diet,take Metamucil on a daily basis, drink plenty of water (8-10 glasses per day).

moist towelettes or wet toilet paper .
Avoid alcohol, spicy food, fat rich food.
Avoid straining during Bowel movement .
Eat more fruits, vegetables and whole grains.
Avoid long periods of standing or sitting.
Even sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
Do regular exercises .



I hope this helps.
If you have any further query then feel free to ask.
Positive feedback and bonus are highly appreciated.
Thank you.

Customer: replied 3 years ago.

I have seen a colorectal specialist - I am using Diltizem to relax the muscle - which is helping some. I also had a botox shot a month ago and it made things worse. This is why I am looking outside for other options. I have lost over 20 pounds since January, quite frankly because I am afraid to eat. I am following the suggestions you gave above already. Basically, my current diet is fruits, vegetables and quinoa. I am taking Metamucil at night before bed, with a tablespoon or two of olive oil to help things move smoothly. I have also tried all kinds of supplements. The one that is helping the most with inflammation and pain is a turmeric and curcumin pill. Systemically, though, something is clearly not right.

What type of dysfunction does the TSH indicate?



Thanks for the follow-up.
A TSH of 0.2 is more likely due to an issue with the thyroid- hyperthyroidism which can be a contributing factor in weight loss although there are other possibilities.
At age 54 -such low serum TSH probability leans towards benign nodules which over-secrete thyroid hormone or very early mild graves disease, versus hashimotos.
There are other less common Pituitary causes which are mild could include normal processes such as reaction to critical illness.
So further a consultation from an Endocrinologist should be considered in your case.

I hope this helps.
If you have any further query then feel free to ask.
Positive feedback and bonus are highly appreciated.
Thank you.
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