Thank you. I am having surgery on Thursday. Do I have to accept thst I eill put on weight and thst I will feel tired? For how long? Forever? Is it impossible to lose weight agter thyroidectomy? Is it safe if they say they need to keep me on the hyper side to keep thelignancy chances low? Thank you again.
There is a risk of local invasion and distant metastasis, but this is uncommon. The current guidelines for biopsy of a nodule >1cm showing PTC (meaning a 98% risk of cancer) is total thyroidectomy. Most patients do well with surgery -- the key is to work with a high-volume thyroid surgeon (more than 30 per year) to avoid surgical complications. After surgery it may take 2-4 months to balance thyroid levels, but the vast majority of patients do well w/ levothyroxine replacement.