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Dr Basu
Dr Basu, Experienced Specialist
Category: Endocrinology
Satisfied Customers: 29282
Experience:  I have special training and certification in Diabetes management for last 10 yrs.
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I would like to speak to endocrinologist regarding my anti

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I would like to speak to endocrinologist regarding my anti tpo results please.
Assistant: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes my own gp. I am taking thyroxine.
Assistant: Anything else in your medical history you think the doctor should know?
Customer: I have just been tested for coeliac disease with a positive anti transglutaminase.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

What is your TPO level?

What is your question?

Customer: replied 4 months ago.
My tpo most recent was 153
My first in 2014 was 267 I was started on thyroxine after this as my tsh was abnormal as well. I have recently been unwell and then retested my tpo.

Your TPO level is still moderately high although your level has improved since 2014.

High TPO level suggests ongoing autoimmune thyroiditis.

This can result in gradual destruction of the healthy thyroid gland follicles requiring the higher dose of thyroxine over time.

Your TSH level should be kept below 2 closer to 1 by increasing dose of thyroxine for adequate thyroid hormone supplementation.

Inadequate thyroid hormone in your body will cause fatigue, constipation, leg swelling usually.

Positive tissue transglutaminase antibody is also seen with people with TPO level or autoimmune thyroiditis.

Hence you likely have celiac disease as well.

Customer: replied 4 months ago.
My sister has Hashimotos and I want to know where I also have it.

Autoimmune thyroiditis is also known as Hashimoto's disease. Hence you also have it.

Customer: replied 4 months ago.
I am suffering with chronic fatigue, foggy brain, painful feet? And have had excessive weight gain also.
Customer: replied 4 months ago.
My doctor has referred to me to a gastroenterologist for a biopsy to confirm the coeliac disease.

Ok that is appropriate to see a gastroenterologist to confirm celiac disease.

Your current symptoms can also be caused by celiac disease.

Gluten free diet often improves the symptoms.

However, your thyroxine dose may also need to be adjusted.

Chronic fatigue, foggy brain can also be cause by low thyroid hormone from hashimoto's.

Customer: replied 4 months ago.
My most recent thyroid function tests are normal so how will this be managed in the future?
Regular thyroid function tests or by my symptoms?
And how Can I get an official diagnosis of Hashimotos as my gp seems reluctant to give me one.

Your thyroid function should be checked every 3 to 6 months or when your symptoms worsen.

Your TSH level should be kept between 1-2.

You will need to see a thyroid specialist for official hashimoto's diagnosis.

Best wishes

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