Hashimoto's Thyroiditis — anti-TPO Case Study

F, age band 35–44, Canada. Anonymized 12-month tracking on the Anti-Thyroid Peroxidase (anti-TPO) Antibody (IU/mL). One patient's documented experience — not a predictor of any other patient's outcome.

Case snapshot
Patient profile
F, age band 35–44, Canada
Outcome scale
anti-TPO (lower is better)

Twelve-month tracking of anti-TPO antibody levels and TSH for a Canadian patient with Hashimoto's thyroiditis following a Wharton's Jelly MSC autoimmune protocol in Istanbul.

Important

Antibody decline is a surrogate marker, not a clinical endpoint. Hashimoto's progression and remission patterns are heterogeneous. This case is one patient's experience and is not a predictor of any other patient's outcome.

anti-TPO timeline

Anti-TPO antibody titre is a serological marker for autoimmune thyroiditis. Levels above ~35 IU/mL are typically considered positive. Antibody decline does not by itself prove disease modification but is a tracked surrogate marker.

612Baseline488Day 90341Day 180287Day 365anti-TPO
Timepointanti-TPOΔ vs baseline
Baseline612
Day 90488-124
Day 180341-271
Day 365287-325
Baseline presentation

Hashimoto's thyroiditis on stable levothyroxine replacement, 7 years since diagnosis. Persistent fatigue and cold intolerance despite euthyroid TSH. Baseline anti-TPO 612 IU/mL.

Protocol delivered

Intravenous Wharton's Jelly MSCs across two infusions, structured autoimmune workup including thyroid panel (TSH, free T4, free T3), anti-TPO, anti-TG, hsCRP, ESR, vitamin D and B12. Levothyroxine continued at baseline dose with home endocrinology oversight.

Structured follow-up

Anti-TPO re-tested at Days 90, 180 and 365 by the home endocrinologist. TSH remained within reference range throughout. Patient self-reported reduced fatigue at Day 90 and improved cold tolerance at Day 180.

Adverse events observed

None reported through Day 365.

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