How do you determine if the patient has transient Hashimoto’s thyrotoxicosis or Graves’ disease if they present with a low TSH and elevated TPO or thyroglobulin antibodies? Is it based on if they have TSI production?

Dr. Amy Nett:  Yeah, I would probably test the … you want to look at TSI as well. But then you’re also going to see what that course looks like. So what happens to their thyroid function, so you’ll probably want to monitor that. It’s also going to depend on some extent, probably remember we said that in particular T3 is really high. That’s probably going to be Graves’, and you need to think about treating that a lot more aggressively than with Hashimoto’s thyrotoxicosis, where you don’t see the T3 and T4 getting quite that high.