High Anti-TPO Levels: Thyroid Health and Hair Loss Concerns - Breast and Thyroid

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Blood test?


Doctor, I went to the dermatologist due to abnormal hair loss and graying hair, and I had blood tests for Anti-TPO (75.26 IU/mL) and Anti-Tg (47.18 IU/mL).
Other tests for T3, T4, and TSH were not performed.
The doctor suggested that I see a metabolic specialist for further evaluation.
I am still hesitant; based on these values, should I proceed with further testing immediately, or can I wait and observe for a while? Is my Anti-TPO level considered very high? (I found different reference ranges online, some indicating <5.6 IU/mL, others <34 IU/mL, and even <60 IU/mL).
Which reference range is more accurate? Could this indicate Hashimoto's thyroiditis? Is it related to my abnormal hair loss and graying hair? What additional tests would you recommend? Thank you.

Xiao Jing, 10~19 year old female. Ask Date: 2023/09/28

Dr. Yuan Tianmin reply Breast and Thyroid


Due to the incomplete examination, it is not possible to assess the issue you inquired about.
Please visit the metabolic medicine department to complete all necessary tests.

Reply Date: 2023/09/28

More Info


High levels of Anti-TPO (thyroid peroxidase antibodies) can indeed be a significant indicator of thyroid health, particularly in the context of autoimmune thyroid diseases such as Hashimoto's thyroiditis. Your reported Anti-TPO level of 75.26 IU/mL is indeed elevated, especially when considering that many laboratories define normal ranges as being below 34 IU/mL or even lower. This suggests that there is an autoimmune process affecting your thyroid gland, which could potentially lead to hypothyroidism if not monitored and managed appropriately.

The relationship between thyroid health and hair loss is well-established in medical literature. Hypothyroidism, which can occur as a result of Hashimoto's thyroiditis, is known to cause hair thinning and loss. This is due to the role that thyroid hormones play in the hair growth cycle. When thyroid hormone levels are low, hair follicles can enter a resting phase, leading to increased shedding and decreased hair growth. Additionally, autoimmune conditions can lead to changes in the hair follicles themselves, further contributing to hair loss.

Regarding your concerns about the connection between high Anti-TPO levels and your symptoms of hair loss and graying hair, it is plausible that these issues are interrelated. While graying hair is primarily influenced by genetics and age, autoimmune conditions can sometimes accelerate this process. The stress on the body caused by an autoimmune response may also contribute to hair loss, compounding the effects of thyroid dysfunction.

As for whether you should seek further testing immediately or if you can wait, it is generally advisable to follow your physician's recommendation to see a specialist in metabolism or endocrinology. They can provide a comprehensive evaluation of your thyroid function by testing TSH, T3, and T4 levels. These tests will help determine if your thyroid is functioning properly or if you are developing hypothyroidism, which would require treatment.

In terms of additional tests, your healthcare provider may suggest a thyroid ultrasound to assess the structure of your thyroid gland and check for nodules or other abnormalities. They may also consider checking for other autoimmune markers or conducting a complete blood count to rule out other causes of hair loss, such as anemia or nutritional deficiencies.

In summary, your elevated Anti-TPO levels warrant further investigation, particularly to assess your thyroid function and determine if you have an underlying autoimmune thyroid condition. Given the potential link between thyroid health and hair loss, addressing these concerns with a specialist is a prudent step. Monitoring your thyroid health and managing any autoimmune conditions can help mitigate the risk of hair loss and other related symptoms.

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