As pessoas deste fórum frequentemente mencionam o termo "Painel Tireoidiano Completo".
Alguém pode explicar quais testes isso inclui? Obrigado?
Not sure.. but I do know that like 95% of people only need the TSH test to diagnose hypothyrodism. I believe a lot of people read unreliable sorces on the internet such as hypothyroidmom or isabel wentz and believe every word they say. But if you read reliable sorces such as NCBI studies and from the US National Libaray of medicine national istitutes of health, then it explains that only the TSH test is needed, perhap the T4 is okay too sometimes. The only time other test are needed, such as the T3, is if the patient has a Hypothalamic and or Pituitary disease, which is very rare. Here's a great study done, as an example of the many others you can find. https:// www. ncbi. nlm. nih. gov/ pnd/ articles/ PMC5321289 I put spaces in the address in hopes the post goes through.. Hope this helps..
Obrigado, Melissa, eu sei que tenho hipotireoidismo e estou tomando os remédios com níveis "normais", mas ainda apresento sintomas. Então, eu estava me perguntando se o "painel completo" poderia detectar algo mais.
Not that I know of or have ever read. Perhaps look into getting tested for deficiencies in things such as, Vitamin D, Vitamin B12, magnesium, your iron levels..ect. Hypothyroidism can cause our bodies to lack essensial vitamins and minerals, which can make us feel pretty crappy. Also.. I find that depression, even if only mild, can cause a lot of the same symptoms as hypothyroidism. I have mild depression myself, and it's difficult to get through the day sometimes. If your on Levothyoxine, it may just not be for you. Levothyroxine, in my opinion, is pretty close to what our own bodies make, but can still have side effects. Mostly all the side effects I'm reading on the pamplet are from being overmedicated, or from being sensitive to the extra additives in levothyroxine. So, being you are in the normal range, which I think most of us would agree, is anything below 2.00, the perhaps you should look for an alternative treatment. I have not done much research into alternative treatments, as levo works good for me, but there are many others who have great advice and suggestions that I'm sure will be around soon to give you some advice..
Obrigado, Melissa, vamos ver o que os outros têm a adicionar.
Desculpe.
Meu endocrinologista escreveu para meu médico de família para aconselhá-lo a solicitar TSH, T3 e T4, além dos anticorpos da tireoide, juntos, pois não adianta fazer apenas o TSH sozinho!
O TSH pode variar ao longo do dia também!
Muitas vezes, o TSH tem que ser repetido para obter o quadro real.
O problema é que os médicos avaliam com base em relatórios no papel em vez de sintomas e sinais!!!!
xxx
Yes.. TSH can change different times of the day and also vary from race, age and gender. I agree with you on that, as for the other test, why would you even need to keep checking for antibodies? Once there, they are always there. I could see if these test are ordered for a first time, to look for a diagnosis, not for maintenance.. but hey, to each there own..
Como entendo de vários médicos e pacientes com distúrbio da tireoide, os anticorpos são monitorados para ver se estão aumentando ou diminuindo.
O TSH é considerado por vários endocrinologistas como não confiável, pois não mede a função da hipófise que controla a produção do TSH, por isso o T3 e o T4 devem ser feitos em conjunto com o TSH.
É uma boa ideia verificar também os anas e o ebv.
It doesn't matter if antibodies are rising or decreasing, as the antibody levels do not indicate the severity of symptoms, nor will they increase or decrease with levothyroxine. I could see if you are trying a new diet, selenium or something of the sort, in hopes to slow down the destruction of the thyroid, but that would be the only reason. I myself have talked to several endo's and when I asked for my T3 to be tested, not knowing it wasn't necessary at the time, he laughed at me. So, I went home and studied. I read all I could from websites that are authentic, not hypothyroidmom, izabella wentz or stop the thyroid madness, websites that are just set up to make money on people who are sick and looking to just feel normal again. Even the American Thyroid Association say's that only test needed is TSH. Although they do claim that T4 may be helpful too, which I agre, as I get my T4 tested sometimes too.. As for T3 and antibodies.. no. I will never change my mind. I have seen it with my own eye's, from medical books that medical students use to study for school and through all my research. Sorry.. I just don't believe everything I read on the internet, and that's okay.. It's okay to disagree. I appreciate your opinion.. Best wishes to you..