What Does This Thyroid Function Report Indicate?

Posted on Mon, 17 Oct 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 17 Oct 2016 Answered on

Wed, 9 Nov 2016 Last reviewed on

Question : HI. I got tested for thyroid today. I am attaching my report. I need an advice whether i need to start medication or I can control it with exercises and lifestyle changes only. Thanks.

Answered by Dr. Minal Mohit (2 hours later)

Brief Answer:
subclinical hypothyroid.

Detailed Answer:
Dear XXXXX, the report is subclinical hypothyroidism. such patients need treatment in specific conditions.
1. pregnancy
2. children
3. symptomatic
4. family history
5. antibody positive
so if anything is positive please let me know.
regards!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Minal Mohit (21 minutes later)

Nothing from the list is positive. So, in my case, what steps do I need to take next? Is subclinical hypothyroid a matter of concern in general?

Answered by Dr. Minal Mohit (13 hours later)

Brief Answer:
not a concern but need follow up.

Detailed Answer:
dear XXXXX, as you said nothing is positive, i would like to emphasize have you done antibody tests. Please check your TPO and TGA antibodies. if they are also negative then weight loss and exercise is the answer to your query but if antibodies are positive , we need to start the treatment.
regards!

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Minal Mohit (28 hours later)

Hi doctor. AS suggested by you, I got tested for thyroid antibodies today and the results are as follows:
Anti Tg- 289 IU/ml
Anti TPO - 58.40 U/ml
AS you had told my earlier report was subclinical hypothyroidism. What can you say regarding the antibodies test? Do I need to start the treatment or medications? What does my antibodies test signify?

Answered by Dr. Minal Mohit (5 hours later)

Brief Answer:
you need to start the treatment.

Detailed Answer:
Dear XXXXX, as your antibody profile is positive, you must start the treatment. or at least keep a close 6 monthly follow up with TSH and fT4. if the values go up on subsequent reporting , you will have to start the treatment.
regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar