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hashimoto's disease with multinodular goiter with tsh level of .27
I am confused why my ths is always low if I have hashimoto's. I have the antibodies. also have had a biopsy of several of my noduals which showed cells that they are not really able to tell if they are benign or caner. I am scheduled to have my thyroid removed in 1 month. They have not tested my parathyroid glands. Is this something that should be done before the surgery? Also why is my thyroid always hyper when I have hashimoto's disease?
Best Answer
Are they testing free T3 and free T4, the actual thyroid hormones, as well as TSH? TSH is a pituitary hormone and a very poor diagnostic of thyroid dysfunction. Have you had several TSH tests, each showing low values? If you ave FT3 and FT4 results, please post along with reference ranges.
The new doctor wants me to put my surgery on hold. He really believes it's my hormone levels are to low. Had my ovaries removed in December and put on premarin 0.625mg. I told him I was having these symptoms before my surgery, but they have got worse since my surgery. He feels I was in early menopause and when they removed my ovaries it made my symptoms that much worse. He switched me from Premarin to Estrotest and wants me to give him 2 months to make me feel better. he is also testing me for lymes disease, Rheumatoid arthrists and Lupus. He is also rechecking my TSH and T4. I will keep you posted.
The new doctor wants me to put my surgery on hold. He really believes it's my hormone levels are to low. Had my ovaries removed in December and put on premarin 0.625mg. I told him I was having these symptoms before my surgery, but they have got worse since my surgery. He feels I was in early menopause and when they removed my ovaries it made my symptoms that much worse. He switched me from Premarin to Estrotest and wants me to give him 2 months to make me feel better. he is also testing me for lymes disease, Rheumatoid arthrists and Lupus. He is also rechecking my TSH and T4. I will keep you posted.
Thanks for clarifying that...now I understand. Many of us, especially those with Hashi's, have many nodules. Depending on size and composition, they are often just monitored to verify that they remain "consistent with Hashi'". You are very lucky to have a family friend to turn to for advice...keep us posted on what he has to say.
No my PCP does not want to do anything. The ENT said it was up to me to either try medication or just have it removed since the FNA could not absoultely say that it is not cancer. My husbands works with many different doctors (he inserts pacemakers with the surgeons), alot of these MDs feel with all my symptoms and having so many noduals I should just have it removed. The doctor I'm seeing today is actually a surgeon who is a family friend. He's afraid I might have something else going on (connetive tissue disease) that is causing some of my symptoms. He is not convinded my thyroid needs removed. He wants to see all my test results and may send me for more testing for things other than my thyroid.
Let me make sure I'm interpreting correctly. Your PCP has recommended surgery? The ENT's report to your PCP recommended medication? What did the ENT tell you when you saw him? You probably saw him before the FNA results were available? Is your appointment tomorrow with an endo, and if so, did your PCP refer you for treatment?
On my CBC and AUTO DIF the only other abnormalities are my EOSIN, BASOPHILS and Platelet count are slightly high. They want to watch my Platelet cout becasue my mothers platelets started to go up around my age and she ended up with such a high platelet count whe had to be put on chemo drugs to try and reduce them. She eventually enede up with Lukemia. My ENT doctor suggested putting me on Syn throid for suppression or the thyroid and shrinkage of the masses, but my Family doctor didn't even mention this to me. just found out this when I picked up copies to take to my nes doctor tomorrow.
It's quite common in the early stages of Hashi's to swing back and forth from hypo to hyper. Since you say that your TSH is always low, I am assuming that it's your FT3 and/or FT4 that "go up and down"? It's also very common to have nodules with Hashi's. It's good that you are getting a second opinion. Do you have the results of any more tests? If so, please post with reference ranges, and we might be able to suggest questions for your new doctor.
I am not on any meds. I have hypo symptoms. They say they can not treat me with meds due to the fact that my levels go up and down .
Make sure your new endo is going to test FT3 and FT4 every time you have bloodwork. You should get into the habit of getting a printed copy of all lab results from your doctor (he's required to provide them to you upon request) so that you can keep them in your records and establish your own personal history that you can take with you to different doctors.
Are you on thyroid meds yet? Do you have either hypo or hyper symptoms? Your FNA was "inconclusive"?
Are you on thyroid meds yet? Do you have either hypo or hyper symptoms? Your FNA was "inconclusive"?
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