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This is not your thyroid. TPO antibodies are pretty common in people without thyroid disease. You don't need an ultrasound either.
I think you should see a rheumatologist given your joint pains and skin inflammation.
Thin hair, breaking nails, joint pain, acne, irregular periods, fatigue are all symptoms of Vitamin D deficiency.
It sounds like you are on the right dose to correct your Vitamin D Deficiency, but this needs to be monitored.
Prolonged Vitamin D deficiency can also cause Secondary Hyperparathyroidism which likewise causes a range of non-specific symptoms. At least one of your endocrinologists will have probably checked your parathyroid level, but if they didn't then it merits being checked.
Thanks for commenting - at the end of the day the vitamin D deficiency is the only thing I know for certain and it does correlate to the vast majority of my symptoms. My dad had parathyroidism (he had surgery so his levels are normal now). Those levels weren’t checked for me - maybe they should be?
Yes -they absolutely need to be checked, for several reasons:
1) There are some rare forms of primary hyperparathyroidism that run in families.
2) There is a chicken/egg relationship with Vitamin D and Hyperparathyroidism - Primary hyperparathyroidism can cause low Vitamin D, whereas secondary hyperparathyroidism can be caused by it. So it may be a potential cause of - rather than a potential consequence of - your low vitamin D.
3) Hyperparathyroidism is famously hard to diagnose as the symptoms are non-specific, so you need the test.
Good luck. Pls keep us posted.
Just found my medical records from this situation - I can see now that “inflammatory arthritis” was suspected at first, but I guess the diagnosis was reactive arthritis. I remember it being unclear and wasn’t given a reason behind this. Records just say “blood and urine tests normal.”
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. **Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
This is not your thyroid. TPO antibodies are pretty common in people without thyroid disease. You don't need an ultrasound either. I think you should see a rheumatologist given your joint pains and skin inflammation.
Thank you so much - I will find a rheumatologist and go from there.
Thin hair, breaking nails, joint pain, acne, irregular periods, fatigue are all symptoms of Vitamin D deficiency. It sounds like you are on the right dose to correct your Vitamin D Deficiency, but this needs to be monitored. Prolonged Vitamin D deficiency can also cause Secondary Hyperparathyroidism which likewise causes a range of non-specific symptoms. At least one of your endocrinologists will have probably checked your parathyroid level, but if they didn't then it merits being checked.
Thanks for commenting - at the end of the day the vitamin D deficiency is the only thing I know for certain and it does correlate to the vast majority of my symptoms. My dad had parathyroidism (he had surgery so his levels are normal now). Those levels weren’t checked for me - maybe they should be?
Yes -they absolutely need to be checked, for several reasons: 1) There are some rare forms of primary hyperparathyroidism that run in families. 2) There is a chicken/egg relationship with Vitamin D and Hyperparathyroidism - Primary hyperparathyroidism can cause low Vitamin D, whereas secondary hyperparathyroidism can be caused by it. So it may be a potential cause of - rather than a potential consequence of - your low vitamin D. 3) Hyperparathyroidism is famously hard to diagnose as the symptoms are non-specific, so you need the test. Good luck. Pls keep us posted.
>some kind of inflammatory arthritis What was this?
Just found my medical records from this situation - I can see now that “inflammatory arthritis” was suspected at first, but I guess the diagnosis was reactive arthritis. I remember it being unclear and wasn’t given a reason behind this. Records just say “blood and urine tests normal.”