"Normal" TSH but nodules & symptoms

[sick]

I had TSH which was (if I remember correctly) 1.5, and an ultrasound which showed multiple nodules in both lobes (one particularly large when can be seen & felt).  My weight has been going up since last year (3 sizes jeans!)even though I eat properly & exercise, my face is puffy, I have trouble sleeping, my hands, feet & lesser extent body get very cold almost all of the time, and feel very fatigued even after sleep. Even with a normal TSH, could I still be hypothyroid or have Hashimoto's?  Will a biopsy shed more light as to what's going on?  Thank you.

[Mark Lupo, M.D.]

The thyroid function is normal (TSH 1.5) so the weight gain is not likely thyroid related.  The nodules need FNA biopsy (as 5-10% of nodules are cancer) but the nodules usually do not cause thyroid function problems, so would not explain weight gain, etc.  You could have Hashimotos and testing antibodies is reasonable.

[ciaobellaxoxo]

That sounds like a lot of the symptoms I started with and I have Hashimoto and a goiter with multiple nodules.  You need to have your Dr do a blood test on your thyroid antibodies. And your t4 if he hasn't done so already. Good luck!

[Deb5842]

I have a multi nodule goiter , with solid mass, and my TSH levels are normal also.
My doctor hasnt done an antibody test, and the endocrinologist said she doesnt need to do it , they just want me to have an FNB which im afraid to do , because I read you can go hyper after having that done.
My sister has graves disease.
I was wondering are these nodules/solid mass going to eventually turn into a thyroid problem later in life? Will I most deffinelty have graves disease or a hypo thyroid prob?
Doctor.. have you in all your prac ever seen anyone with a goiter and multi nodules live thier life with NO thyroid disease present at all ? Or do they eventually turn into a thyroid prob later?

Thank you
Debbie

[sick]

Yes, I'm having a FNA biopsy especially because all of the nodules are solid (which is scarey to me because I keep reading that most malignant nodules ARE solid)--can anyone shed any light on this from personal experience please???  And my reg doc will not order any other thyroid tests other than the TSH at this time [not very smart--I don't think I'll be seeing him anymore!] But I am having biopsy with an endocrine surgeon & I'll be seeing an endocrinologist soon who will hopefully run more tests.  Thank you.