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drphophalia, Doctor
Category: Endocrinology
Satisfied Customers: 35464
Experience:  Do adrenal, thyroid and parathyroid surgery regularly.
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I have a question about my thyroid levels.

Customer Question

I have a question about my thyroid levels.
Submitted: 9 months ago.
Category: Endocrinology
Expert:  drphophalia replied 9 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  drphophalia replied 9 months ago.

Please post your question.

Customer: replied 9 months ago.
Hi Dr I will prepare my question.
Expert:  drphophalia replied 9 months ago.


Customer: replied 9 months ago.
I have for the past year had really bad hypothyroid symptoms....Mainly very low energy,..dry skin, ridges on fingernails, loss and thinning, feeling cold,....although no weight gain.So i decided to get a full thyroid panel a month ago and here are my levelsMt concerns below are with my tgab antibodies being really high.Everything else is in range but I don't think its right still.My gp says to wait for 3 months and test again,..but what is the point. Surely my symptoms are due to something below??THYROID FUNCTION:
Thyroid Stimulating Hormone - 2.46 ( range 0.2 - 4.2 )
Free Thyroxine - 14.58 ( range 12 - 22 )
Total T4 - 82.0 ( range 59 - 154 )
Free T3 - 4.19 ( range 3.1 - 6.8 )
*Thyroglobulin Antibody - 401.0 ( range 0 - 115 ui/ml ) HIGH!!
Thyroid Peroxidase - 23.0 ( range 0 -34 ui/ml )
Customer: replied 9 months ago.
My question isShould I get further testing for anything else that could cause these symptoms??/ B12,..VItamin D or iron levels also.I should also add that I am transgender and take Estrogen via injection and also cyproterone acetate 12.5mg
Customer: replied 9 months ago.
But no other medications.
Customer: replied 9 months ago.
I would like to try and lower these antibodies if possible, I think they are a cause of my symptoms.I don't think Hashimotos is common with elevated tgab only.Why would tgab be elevated only do you think?
Expert:  drphophalia replied 9 months ago.

Thyroid antibodies would raise occasionally without a specific cause. But it need periodic monitoring every three months with thyroid function tests, and may lead to hypothyroidism if raised persistently.

Your symptoms can be due to;

1) Side effects of your medications.

2) Deficiency disorders and as you mentioned anemia panel, B 12 should be done.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  drphophalia replied 9 months ago.

Thyroglobulin antibody is a response of our body immunity. It is under the interplay of immune system and autonomic nervous system. So bringing down the level by our efforts is difficult and there are no known definite measures. Keeping the TSH levels in the normal range is one of them. Following measures may be able to bring it down further;

1) Healthy life style.

2) Less consumption of alcohol.

3) No smoking.

4) Lot of fibers in diet in the form of fruits and vegetables.

5) Almonds

6) Wallnuts

7) Yoga

8) Meditations

9) Good physical activity.

10) Stress free life

11) Deep breathing exercises.

12) Avoid read meat.

13) Omega 3; Fish oil capsule and flaxseed oil capsule.

14) Ginkgo Biloba

15) Zinc 30 mg.

It is privilege assisting you.

Expert:  drphophalia replied 9 months ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.