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General MedicineGraves Disease
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Hi, there are two types of TED: the more common type, which is related to abnormal thyroid hormone levels and a less common, congestive autoimmune type of TED. The first type usually resolves when levels are brought into the normal range. The second type has an active and a resolution phase. This type is related to thyroid antibodies and immune system chemicals and it runs its own course. This type of TED can develop in hypothyroidism as well as hyperthyroidism. The antibodies that are seen in Hashimoto's thyroiditis, thyroglobulin and TPO antibodies, are also seen in Graves' disease. Your Hashimoto's thyroiditis can resolve and you can move into Graves' disease. This happens when your immune system also begins producing stimulating TSH receptor antibodies. Because you no longer need replacement hormone, you'd be considered as moving from Hashimoto's thyroiditis to Graves' disease. A test for TSI would help confirm this. DO's are excellent for treating Graves' disease. If your daughter's doctor is familiar with treating hyperthyroidism she should be able to treat you. It's good to find someone with experience.
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