I'm a 59 yr old male who has been Paleo for more than 2 years and for the most part have been doing fine. However, over the last couple of months, I started having a feeling like food was stuck in my throat and some tenderness near my Adam's apple. Went in for a Dr's visit and my thyroid was definitely tender, so the Dr. ordered a Thyroid panel. Got a call today saying that my thyroid is inflamed (their words) and that I should go see a thyroid Dr. I have a copy of my report, but am not sure how to read it. So any insights appreciated.
The report has TSH+Free T4; CBC with Differential/Platelet; Comp. Metabolic Panel; Thyroid Antibodies; Thyroxine; T3 Uptake; Triiodothyronine; and Sedimentation Rate-Westergren. I have posted some of the results that I have seen other's post, plus I posted a couple of items that showed up high. If I should list anything else, let me know.
Test 1: TSH+Free T4
TSH: 2.200 uIU/ml (range: .450-4.500) T4, Free (Direct): 1.38 ng/dL (range: .82-1.77)
Test 2: CBC (Too many items to list, but everything seems to be within range)
Test 3: Comp. Metabolic Panel (mot things in range, but listed a couple that were high)
Glucose, Serum: 90 mg/dL (range: 65-99) BUN: 27 mg/dL (this was flagged as high. Range: 6-24) Creatine, Serum: 1.15 mg/dL (range:.76-1.27) BUN/Creatine Ratio: 23 (flagged as high. Range: 9-20) Calcium, Serum: 10.3 mg/dL (flagged as high. Range: 8.7-10.2)
Test 4: Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab: 60 IU/mL (flagged as high. Range: 0-34) Antithyroglobulin Ab: <20 IU/ml (range: 0-40)
Test 5: Thyroxine (T4)
Thyroxine (T4): 9.3 ug/dL (range: 4.5-12.0)
Test 6: T3 Uptake
T3 Uptake: 30% (range: 24-39)
Test 7: Triiodothyronine (T3)
Triiodothyronine: 90 ng/dL (range: 71-180)
Test 8: Sedimentation Rate
Sedimentation Rate-Westergren 6mm/hr (range: 0-30)
Am setting up an appointment with a Thyroid Dr. that my Dr. recommended. But in the meantime, does any have any comments/insights--and could my diet be contributing to any of this.
asked byjstern (109)
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on March 23, 2013
at 09:24 PM
It's probably a TPO/FT3 issue. I'd get that TPO retested and ask for FT3. From your T3, it's probably low. You do have some other issues. ESR is a bit too high.
Your creatinine and BUN are high. You could have been dehydrated, especially since your ratio is high. But I'd get that retested and if BUN is still around 25, then I'd restrict protein to about 80% of your body weight in kologram. Your cratinine and GFR are suboptimal, especially if you weigh less than 160 lbs. or so. Getting that retested will show if the high numbers were due to dehydration.
on March 09, 2013
at 05:05 PM
Are your T3 and T4 numbers free or total? Total numbers aren't very useful, but if those are free numbers, I would say that your T3 is too low, T4 is fine if you're not on medication, and I'd keep an eye on the TPO. What have been recent results of your iron/ferritin tests? That can affect your thyroid. I too would suggest looking more into goitrogenic foods- they might be contributing to the inflammation. Eliminate some of those foods and see if the inflammation goes down.
Thyroid problems are incredibly complex to hack, in my opinion. It can feel like going down the rabbit hole. But if you don't address any thyroid problems, it just makes things worse and harder to correct. I've found endos incredibly flip and unhelpful in this area. I spent 5 years with thyroid issues. Endos blew my numbers off and told me my symptoms were not thyroid related. I ended up having thyroid cancer. I asked for all my test results for the 5 years and after doing my research, I found a number of red flags (including Hashimotos) that were ignored. A functional doctor is your best bet for thyroid problems, or an integrative doctor if you can't find a functional doctor. Do your own research- stopthethryoidmadness.com and Mary Shomon are two good resources.
on February 26, 2013
at 05:02 AM
A tender thyroid is pretty textbook thyroiditis. Usu self limiting and normally see an initial two week hyperthyroid period followed by hypo. It resolves on its own although sometimes px are given thyroxine to alleviate hypo sx while they wait it out. Still if u have a constrictive feeling don't wait around. Thyroid doc will most likely do radionuclide uptake test and based in the results may do an FNA for the purposes f determining if it is a malignant. Don't mean to alarm u since based on ur sx it almost certainly is not but still u should seek print follow up
on February 26, 2013
at 01:25 AM
Are you using sea salt instead of regular salt? We don't have enough iodine available anymore in the foods we eat. The soils and the like are overworked. So, while some paleo folks recommend sea salt, it typically does not have enough iodine in it to keep our thyroids healthy. I'd switch to iodized salt, or find some other way to supplement iodine (sea food, obviously, kelp, etc.)
on January 28, 2013
at 09:44 PM
Your thyroid test results aren't alarming at all. TPO of 60 is a concern but I've seen TPO values of over 1,000. I suspect you will need to go to an endocrinologist to get a more direct look at your thyroid.
As for diet, I think iodine and selenium are key components to a healthy thyroid. Selenium is easily found in foods, not so with iodine (supplementation is needed). I suggest you read Perfect Health Diet (Jaminet) to learn more.