Are the below blood test common in Malaysia?
TRAB or TSI for Grave's
TPOab and TgAB for Hashi's


This post has been edited by pia7295: Jul 30 2019, 09:17 AM

unless you actually were thyrotoxic (hyperthyroid), i have no idea why any doctor (who's not a moneygrabber) would order a Graves test ... AND a Hashimoto's thyroiditis (which is HYPOthyroid) antibody screen

without going through the two screens, how once knows whether they are Grave’s or Hashimoto’s

How do you know whether you are Grave's , or Hashimoto's without this test?

without those antibody tests? the only thing you get is something called EMPIRICAL EVIDENCE
- Grave's hyperthyroidism is the most common, so if you're hyperthyroid you're likely to have it
- Hashimoto's is only a subset of HYPOthyroid autoimmune thyroiditis, but you only screen for it when you have a HYPOthyroid result you can't explain other than iodine-deficiency or iatrogenic (medicine- surgery- caused) causes

whether or not to find out Grave's or Hashimoto's, the REAL test that should tell you to go for either is T4/TSH (thyroid stimulating hormone) blood level test (which is so common, no one sends this one overseas). because that (other than clinical symptomatology) would guide someone to order a Grave's screen (for HYPERthyroid - high T4) or a Hashimoto's screen (for HYPOthyroid - low T4)

I was told, In Hashimoto's, you are hypo but can still get hyper flares. That's why when hyperthyroidism is suspected, antibodies testing has to be done to confirm which condition.

true, but hashi's hyperthyroidism (which is still rare, and even can be more subclinical) is inconsistent to the course with grave's hyperthyroidism (because hashi goes to hypo rather than persistent hyper with grave's). however, i guess private hospitals/labs packages would rather shoot for both tests rather than do the most obvious thing (still treat empirically, with more patient education of thyroid symptom monitoring).

So, this is the result of my antibodies test.


Do I on hashi or Grave ?
If I didn't take up this test, I wouldn't have known I 'm actually hashi.. and also grave...

This post has been edited by pia7295: Jul 30 2019, 09:16 AM

Look, whatever Hashi antibodies or Graves antibodies level at the time of testing are, the weightiest parameter for treatment remains the FreeT4 level and clinical symptomatology. And for the most part, unless radioactive iodine is considered, the medical treatment for hyperthyroidism will be enough. A discussion of whether it will be a Graves' course or a Hashi's course actually requires time (rather than just the antibody screen [which has their own reliability problems in interpretation]) and if need be, imaging (ultrasound, radiotracer uptake tests).

How I know I am hyperthyroidism? I was told maybe I having virus attack causing t4 Test to incresss...

thanks, anyway. This week I will meet up my new Endo and will discuss with him.

commonly is antibodies to attack. didn't hear about virus attack

I mean antibodies attack some bacteria. So is it possible?

The problem of thyroid disease is your own antibodies attack your own thyroid

But we don't know if it attack my thyroid or is it attacking bacteria. Got any cheap blood test to determine that?

A viral infection can cause thyroiditis (subacute). generally the viral fever is notable before symptoms of obvious thyroid dysfunction, but prevailing assumption thinks the thyroid effects less severe or prolonged to either be noticeable for a diagnosis. whether it is a trigger for chronic autoimmune thyroiditis is still speculative.

bacteria can also cause but exceedingly rare, and far more serious even though treatable (they are potentially fatal in a timeline much more compressed than thyroid cancer).