I had a blood screening done just to check the status of my health and a TSH was among the tests I ordered. It came back high at 9.06. I thought this meant Hypothyroid. I also felt stress on one lobe like a goiter. I was cold, fatigued and under stress, my pulse was 70. I then had blood testing done with an Endocrinologist, he said I had a small goiter. I called for my tesults and his nurse said my TPO was at 168, but she couldn't find my TSH, so I'm awaiting the report. That was on the 19th and I began taking kelp supplements on the 19th, about 1 mg daily, plus selenium 200mcg and tyrosine 250mcg, and 600mg pantothenic acid. The nurse expressed my gland needed suppressed which is confusing with a previous TSH a month earlier of 9.06. The suggested dosage for the high TPO was 50mcg of Synthroid. I'm feeling much better, have no palpitations, sleep well and feel normal again.