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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Question regarding RAI
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
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.
Question regarding RAI
by Andi313, Sep 03, 2007 11:33AM
Hi everyone,
I am new to the board. I am 43 years old and was referred to an endo in March of this year by my primary due to mild hyperactive thryroid. I was diagnosed with perimenopause and believed the hot flashes and sweating was due to that condition vs. the thyroid. I also had difficutly sleeping.
Boy was I wrong. When I went back to get my levels rechecked (3mos), my endo advised that my levels were not even on the chart. He recommended RAI (done 7/9/07) to get it under control quicker and I agreed. Unfortunately, I have had adverse reactions to beta blockers he and my primary have put me on for symptom relief and to protect my heart (never had racing heart) and went off the last one 5 days ago.
My primary checked my levels again last week and I am still hyperactive. He will explain in detail at next weeks visit. Does anyone know when I can expect to go underactive or when I will even know if the RAI will work? I am concerned about possible heart issues from being overactive.
I am new to the board. I am 43 years old and was referred to an endo in March of this year by my primary due to mild hyperactive thryroid. I was diagnosed with perimenopause and believed the hot flashes and sweating was due to that condition vs. the thyroid. I also had difficutly sleeping.
Boy was I wrong. When I went back to get my levels rechecked (3mos), my endo advised that my levels were not even on the chart. He recommended RAI (done 7/9/07) to get it under control quicker and I agreed. Unfortunately, I have had adverse reactions to beta blockers he and my primary have put me on for symptom relief and to protect my heart (never had racing heart) and went off the last one 5 days ago.
My primary checked my levels again last week and I am still hyperactive. He will explain in detail at next weeks visit. Does anyone know when I can expect to go underactive or when I will even know if the RAI will work? I am concerned about possible heart issues from being overactive.
Doctor's Answer
by Mark Lupo, M.D., Sep 04, 2007 06:08AM
, Sep 04, 2007 06:08AM
It may take more time for the RAI to work -- sometimes up to 6 months, the average is about 6-12 weeks. There are many types of beta-blockers but I imagine your doctors have already tried a variety of them to see if the side-effects can be avoided.
My primary has advised that TSH is the last to come into alignment and I should not get discouraged that the RAI did not work yet.
My endo has indicated the shortness of breath I am experiencing may be the thryoid vs the Coreg. I had my labs taken again last week and see my endo tomorrow to discuss. I am anxious to go off the beta blocker and start feeling better.
Thank you for your response.