Tests to request for Hypothyroidism?
Thanks to this board, I am finally beginning to take charge of my thyroid education. I was diagnosed 10 years ago as hypothroid & have felt fine on 125 mcg of levothyroxine. Over the years, the dr.s have tried lowering my dose only to find that I crash pretty quickly. I have been on 112 mcg for about a month now & feeling hypo, but not as bad as in the past. My current dr. will only order the tsh test since he says that is the only one that matters. I followed the advice given on this board & contacted a local pharmacist to get a list of possible dr.s (ones that prescribe something besides levothyroxine) He was amazingly nice & helpful & I will hopefully have an appointment with a new dr. after the holidays. Since I don't have any current test results- last test in June & only the tsh- I was considering going to the local lab & getting a panel of tests to give the dr. something to look at. They offer pretty much everything & I have copied the most comprehensive thyroid test group they offer (only $269- I've been paying $90 from the same lab for just the tsh!). What do you think?
CWP + Complete Thyroid w/ Antibodies
Fasting Required: Yes 10-12 Hours
Results: 5-7 Business Days
CWP: #1 ordered test - year after year!
Over 50 individual laboratory tests to provide a thorough Biochemical assessment of your health, and includes the basic cardiovascular tests as well as diabetes testing:
Lipid panel (cholesterol, HDL, LDL, the risk ratio, triglycerides)
Complete Blood Count (CBC's)
Fluids and Electrolytes
Thyroid Panel w/TSH
Mineral and Bone
T3, Free: This test is used to evaluate thyroid function. It is primarily used to diagnose hyperthyroidism. It is also used to assess abnormal binding protein disorders and to monitor thyroid replacement and suppressive therapy.
T4, Free: This test is used to evaluate thyroid function in individuals who may have protein abnormalities that could affect total T4 levels. It is used to evaluate thyroid function and monitor replacement and suppressive therapy.
Total T3: Increased T3 often occurs in hyperthyroidism, but in approximately 5% of cases only T3 is elevated, “T3 toxicosis.”
Reverse T3: Reverse-T3 does not stimulate metabolism. It is produced as a way to help clear some T4 from the body.
Thyroid Peroxidase (TPO) Antibody: The TPO gene provides instructions for making an enzyme called thyroid peroxidase. This enzyme plays a central role in the function of the thyroid gland. Thyroid peroxidase assists the chemical reaction that adds iodine to a protein called thyroglobulin, a critical step in generating thyroid hormones. Thyroid hormones play an important role in regulating growth, brain development, and the rate of chemical reactions in the body (metabolism).
Thyroid Antithyroglobulin Antibody (TAA): The presence of autoantibodies to thyroglobulin can lead to the destruction of the thyroid gland. Such antibodies are more likely to appear after trauma to, or inflammation of, the thyroid gland.