Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Dr. Lupo
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Dr. Lupo

Hi Dr. Lupo,

I have a couple questions.  Does hypo or hyper thyroid cause swelling in your fingers?
I had hashimotos with multi nodular goiter with a TT in 2002.  Can I still have hashimotos and symptoms with negative antibodies since my TT?  What thyroid blood tests would you recommend to get a full picutre if my tsh is 1.37 and FreeT4 1.1 and I am having many hypo symptoms?
Thank you.
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Your levels are normal - the removal of the thyroid in your case resolved the autoimmune attack on the thyroid (hashimotos).  Unfortunately, symptoms of hypo are nonspecific and only about 30% of people with "classic symptoms" actually have thyroid dysfunction.  The swelling is not likely related with the normal TSH.  The only possible addition would be considering adding  a low dose of T3 (cytomel) to see how you do.  If the finger swelling continues, consider a rheumatologic evaluation as well --- not likely, but could be another type of autoimmune attack.
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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