Thyroid Labs back and concerned
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
I-131 is a very safe and effective treatment, if eye disease is a concern, prednisone can prevent an exacerbtation. If dosed correctly, the long-term outcome is known within 6 months.
Anti-thyroid meds are about 30-45% effective in achieving remission after 12-18 months of therapy -- this is the first line of treatment, but not commonly the "cure" of Graves Disease.
Surgery is a last resort and has potential complications that usually exceed those of the other options.
As for me, I am not sure RAI is the best option. I hate taking meds but I would rather do this than opt for the RAI or Surgery. I know surgery is more dangerous to the vocal cords, facial muscles etc, but I would rather have this than have my eyes popping out of my head. I am already having vision problems, spots, blurry, pressure, etc. If this is graves disease, I will be refusing RAI. Also, I am alergic to prednizone. This complicates the treatment for the eye condition.
Primary Dr increased my Inderal meds today,Put me on a dieretic and is scheduling me for a Stress Cardiolyte (sp) test.
Doctor, I think the site and service you are offering is great. Thank you so much for keeping us informed. I appreciate the work that you are doing.