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363) Sheila  Female
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Thursday, August 31, 2017 09:09 AM

I was diagnosed with Graves 12 years ago and am being treated with Synthroid, yet I keep alternating between hyper and hypo thyroid states. I have both antiTPO and antithyroglobin antibodies. Does that mean I have both Graves and Hashi antibodies?

barb Thursday, August 31, 2017 11:40 AM
Many Graves' patients have both sets of antibodies; I do. What you should check are your TSI antibodies. If those are high, then your TSH can be lower than it should be, regardless of your Synthroid dose. You can NOT dose by TSH. You cannot fluctuate between hyper and hypo if you have no gland. It's just your TSH fluctuating due to fluctuating antibodies.

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