Hi, thanks for your time. I went to the doctor because I thought I had enlarged lymph nodes/viral infection, but it turns out it was my thyroid, which is tender. Nurse practitioner ran TSH only, which was 1.9, but felt nodules so she sent me for an ultrasound. That showed three nodules in one lobe, one in the other, all seemed benign, but "upper normal" thyroid. However an uptake scan was recommended. That showed slightly increased uptake of 16% at 4 hours, and increased uptake of 35% at 24 hours. I am going to an endocrinologist soon but I am wondering about your take on possible dx. The scan said thyroiditis/Graves was indicated but I have the normal TSH. No other thyroid bloodwork recently, I have to wait for that (have asked for it sooner). I think the uptake was diffuse, it said "no focal defect."
I am cold all the time, but sometimes more than others. I sometimes have light periods, just recently, but not always, and go through anxious periods and I had a few weeks where I was hungry all the time, eating at 10 am. The past few days, no appetite really, and I feel heavier. I also have RA and Raynauds. Weakness in my thighs has bothered me a lot recently, since my second son was born about 20 months ago. At that time thyroid panel was run (TSH, T4, T3 uptake and FTI) and was all normal. TSH tested often these past few years, always between .7 and 1.9. . I have had episodes of shedding hair, postpartum, both at 6 months and around 10, and before methotrexate for RA (hair loss has continued, but in spells. Hair is THIN). Pulse often seems high, restless, hard to focus.
My father has empty sella syndrome and takes 1.75 synthroid (maybe unrelated to empty sella?) plus hydrocortisone (apparently related to empty sella). He has been on synthroid since he was about 40, went from .25 up to 1.75 across time. The adrenal issues came after that.
I had an MRI about 1.5 years ago for another reason that showed normal pituitary at that angle.