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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
a look and wait see approach
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.
a look and wait see approach
by redwoman, Dec 03, 2008 12:58PM
I have been given the look and wait see approach for over 9 years. I have been hyperthyroid ever since, now I have had a radioactive iodine for my nodules and goiter, now I am a little hypothyroid and the doctors have not given any thyroid meds. I have been feeling terrible forever. My recent labs were 2.18 for TSH and .67 for my T4. Help me if you can. What should I do now?? Feeling the symptoms of both the hypo and hyper from time to time.
Doctor's Answer
by Mark Lupo, M.D., Dec 03, 2008 06:35PM
, Dec 03, 2008 06:35PM
The levels look fairly normal but the T4 is a little low-normal. If there is a fluctuation between hyper and hypo (evidenced by a true change in TSH from low to high) then another I-131 treatment or surgical removal would be a definitive way of addressing the problem -- resulting in permanent hypothyroidism requiring levothyroxine.
Member Comments (3)
by redwoman, Dec 03, 2008 08:05PM
To: Dr. Lupo
What is a I-131 treatment?? Is it normal after radioactive iodine treatment to be hypothyroid??
by Mark Lupo, M.D., Dec 06, 2008 05:36PM
, Dec 06, 2008 05:36PM
I-131 is radioactive iodine -- usually results in hypothyroidism.
