Your TPO is high. This means you have autoimmune disease and your body is attacking your thyroid or functioning molecules. TPO is an enzyme your thyroid gland produces. When your body attacks these enzymes, your thyroid function decreases. Since you have elevated TPO, you likely have other autoimmune disease.
Your TSH is high. This means your brain perceives that your body isn’t getting enough thyroxin. Basically, your body’s telling your brain that it doesn’t have enough thyroxin to function. So your brain, the pituitary gland, then produces more TSH (thyroid stimulating hormone) to try to get the thyroid gland to produce more thyroxin.
Your Free T4 appears to be elevated. The numbers you show for FT3 and FT4 appear to be in different units than I found with an online search. You’ll need to post the ranges with them.
If T4 is high, it means either your thyroid gland is pumping out massive amounts of T4 thyroxin or you’re on a high dose of thyroid medication.
T4 is a long acting, mild form of thyroxin. T4 stays in the body fir about two weeks. T3 is a much more powerful (active) form of thyroxin that only lasts a few hours on the body. Your body regulates its energy by coordinating signals, hormones and enzymes from the pancreas, thyroid and adrenal glands.
T3 is produced by conversion of T4. A variety of cells in the body can convert, but it’s believed that conversion of T4 to T3 happens primarily in the gut, thyroid and liver. So if any of these organs are unhealthy, it can slow your thyroid function.
Thyroid function is sensitive to chemical and radiation exposure. Particularly, mercury can result in low T3 (due to production of high rT3), and bromine can also interfere with thyroxin, as it competes with iodine when your body produces thyroxin. All this stuff basically causes autoimmune disease.
If your T3 or T4 is high and your TSH is high, it means your body is producing plenty of thyroxin, but it isn’t getting into the cells. It’s likely that antibodies are binding up your thyroxin.
From what I’ve read, you can do a bunch of antibody tests and then compare them to your T3 and T4 by using ratios- this can help get a better idea of what’s really going on. However most docs don’t do this. I’m not sure why. It could be due to unreliable antibody testing, it could be due to lack of standards, it could be that this is not cost effective.
My feeling is that doing a million tests doesn’t tell you as much as your symptoms. Extensive testing is costly and time consuming. rT3 testing can sometimes get helpful. You can also get an understanding of how advanced your thyroid disease is by a thyroid ultrasound. Thus detects cysts andctelks you their sizes. The larger and more dense the cysts, the more advanced the disease.
Autoimmune disease is the source of most hypothyroidism. Thyroid medication does not treat autoimmune disease, and in fact, synthetic thyroid medication is known to worsen thyroid disease.