Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Post Thyroidectomy Fatigue
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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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Post Thyroidectomy Fatigue

I had total thyroidectomy 6-12-2012.  Doing well, as well as to be expected.  I fought fatigue prior to having removal, but now I have extreme wicked fatigue.  My levels are staying consistent and taking meds everyday at the same time with no food.  I am soooooooo over this fatigue and nothing seems to help, any suggestions would be greatly appreciated as I am just passed back and forth between doctors each blaming each other for what it is and what it is not.  I have had so many specialist appoinments (cardio, pulm, sleep, gi, pcp, neuro) and still cant get an answer besides "fatigue is not life threatening so you may have to just live with it".  Ahh, no I wont.  I am only 38 yo and I have 4 teenagers that I want to be active with.  This is causing MAJOR problems.  PLEASE HELP!
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If TSH in target range (this varies from person to person), then consider adding some T3 - usually 5mcg 1-2x/day with an appropriate decrease in T4.  Recent studies suggest that some (but not the majority) of patients who have had thyroidectomy may benefit from the combination of T4 and T3.
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
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