Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Thyroid meds
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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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Thyroid meds

Hi Dr. Lupo, thanks for answering my previous posts..I saw my ENT yesterday and he was very surprised that my pcp had not started me on thyroid meds to shrink the nodules...I have asked him several times about meds..thyroid reflex 0.31 (I have palps, hungry all the time, don't sleep well maybe get 4 hours of sleep)...what meds would recommend..antibody test was negative...ENT said if nodules grow he wants thyroid out...FNA came back benign, but concerned about 2.4x1.0 nodule in lower right pole...any recommendations as to meds/treatment...see ENT in 6 months..Thanks!
97953_tn?1193367871
No - with a TSH of 0.31, medication is not recommended as it would make you hyperthyroid and you already have symptoms of mild hyperthyroidism.  Would see an endocrinologist who does his/her own ultrasound to sort this out.  For a benign 2.4cm nodule, there is no clear surgery indication.  Would talk to the endocrinologist about an I-123 scan to see if this is a "hot" nodule making the TSH low-normal.
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
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