Hashimoto's or something else?

[psulions21]

Hello, I first went to a doctor in aug 08 unable to take the symptoms below  and have been trying to get an answer to what is going on. None of the doctors I have gone to have been able to give me an answer. I don’t know which direction to go anymore. These symptoms are seriously affecting my day to day life.  I have had ultrasounds done and it indicated a possible mass in the isthmas area and a cold nodule.  Neither endocrinologist nor the ENT I have gone to felt any mass or nodules. The first endo said he doesn’t think it is my thyroid but possibly a blood disorder such as cancer of the blood. The second said Hashimoto’s. I just don’t’ know what to believe or what to do next.
Bloodwork from aug and sept 08

Blood tests a little abnormal
Chloride (high)   110    ref 98-108  mmol/L
Total Protein  (low)  6.2 r   ef 6.5-8.2  g/dL
Bilirubin Total (low)  0.6   ref 1.0-1.5  mg/dL
%SAT (low)  17 –    ref 20-55  %
Microalbumin, Random Urine (high)  2.0    ref 0-1.7  mg?dL
Vitimin D 25-Hydrox (low)  25.4    ref 32-100  ng/mL

Thyroid tests
Free T4 1st .81   2nd  .80 3rd  .78 ref .71-1.85  ng/dL
TSH 1st  2.238   2nd 1.53    ref .46-4.98 uIU/mL
Thyroglobulin AB 1st  30 2nd 23    ref 0-40  IU/mL
Thyroid Peroxidase AB 1st 77 2nd 58   ref 0-34  IU/mL

I will post my symptoms below.

[Mark Lupo, M.D.]

You have Hashimoto's w/ current normal thyroid function.  A trial of low dose levothyroxine may possibly help, but would not expect this to explain all the symptoms.

If there is nodule, it is best evaluated and possibly'd FNA biopsied under ultrasound guidance.  The lack of being able to feel it really does not matter.

Not sure what the low %SAT refers to - would ask you doctor about possible explanations.  It is not likely related to thyroid.

[psulions21]

Thank you so much for confirming. It feels so much better to have 2 doctors now tell me the same thing after all of the headaches, the guessing, and worrying I have gone through after the last 6 months now just trying to find out why I have been feeling like this.

[psulions21]

Symptoms
family history of thyroid disease
eyesight has changed dramatically in the past 6 months
hair falls out
no sex drive
eyes feel gritty and dry
recurrent sinus infections
experienced vertigo on a few occasions
some lightheadedness
severe menstrual cramps
gaining weight inappropriately (40+pounds in 4 1/2 years)
I'm unable to lose weight with diet/exercise
feel cold all the time
feel fatigued, exhausted
Feeling run down, sluggish, lethargic
puffiness and swelling around the eyes and face
pains, aches in joints, hands and feet
I have developed carpal-tunnel syndrome, and it's getting worse
irregular menstrual cycles (longer, or heavier, or more frequent)
feel depressed
feel very irritable and moody
have difficulty concentrating
have more feelings of sadness
seem to be losing interest in normal daily activities
more forgetful lately