T4 FREE,CALCULATED 2.30 (1.20-3.22) |
T4, TOTAL 7.5 (3.8-12.0)
T3 UPTAKE 30.6 (22.0-37.O)
TSH 2.10 (0.40-5.50)
T4 FREE 1.2 (0.8-1.8)
T3 TOTAL 122 (60-181)
THYROGLOBULIN AB 2.0 (0.0-2.0)
THYROID PEROXIDASE AB 46.0 (0.0-2.0)
Her Total T3, and her Free T4 are mid-range, and not where I woudl think they would cause a problem. Total T4 is a littel below midrange, but only by a hair. Most docs, even agressive ones would shy away from treating someone with these labs. BUT...
Thyroid Peroxydase Antibodies are high. These antibodies attack the very mechnism that the thyroid gland uses to manufacture thyroid hormone. This means that the thyroid glan'd ability to make T4 and T3 will diminish over time, and this DOES warrant treatment. This can be a source of symptoms even if T3 and T4 levels are good.
Thyroglobulin antibodies attack the proteins that bind to thyroid hormones to store them in the thyroid gland and in the bloodstream. This causes Free T3 and Free T4 levels to rise as the antibodies destroy the proteins, and might be the reason that Total T4 is slightly lower than mid range, but Free T4 is slightly above midrange.
My advice: If the doctor wont' treat now, it is just a matter of time before labs deteriorate to the point where treatment will be necessary. Getting to a good doc who understands the course of autoimmune thyroid diseases would be beneficial.
Meanwhile, she can help herself by making sure she is getting plenty of Selenium (up to 200mcg a day). Selenium has been shown to lower antibody levels, so it may help reduce her symptoms, and improve the other labs in the process.