do i have hashimoto's thyroiditis

[SALI74]

hello Dr,
   I received my blood result yesterday.
TSH 7.63mu/l  T4 1.1 ng/dl this is the first time that i have such result
cholesterol 182mg/dl...before 3 months my TSH was 3.917 uim/ml my cholesterol was 216mg/dl
my weight is 120lb it was 124lb before 3 monthes my hight is 5.6 inch all other blodd test result is normal
i did a good diet to lower my cholesterol level (fish, turky,chicken breast, vegetablsand everything fat free)
i do the bl est every 6 months and this is the first time that i have such reading ...my sister has hashimoto's thyroiditis...is this mean that i have it to and start taking medicin ..I'm so depressed...my doc said let wait 2 monthes and then do the test again...i feel i'm good but lately my hair is falling.., feal dizzy .and i was under stress lately...
i want to know is the diet I made  effect on my thyroid.
plz I give me your advise.
regards

[SALI74]

Hello Dr.Mark

     I did ultrasound for thyroid and here is my result.
the thyroid gland is normal in size,with thr right lobe measuring 3.1*1.4*1cm and the left lobe measuring 3*1.2*1cm.the thyroid echotexture is homogeneous.there is questionable solid nodule mid pole left lobe measuring 0.8*0.5cm.

impression: questionable nodule left lobe as above. correlate with nuclear thyroid function scan.



please Dr. what is that mean my family doctor said nothing to worry about and everything is normal. but i don't find the result normal...

thanks in advance

[SALI74]

Thank you Dr. Mark

[Mark Lupo, M.D.]

You have an elevated TSH and a sister with Hashi - you probably have Hashi, but would recommend TPO/Tg antibodies to confirm.  If positive, and TSH consistently elevated, would consider medications.