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Hyperthyroid due to Nodule

In May 2010, my family doctor sent me to an endocrinologist after blood tests showed decreasing TSH and I had had some symptoms of hyperthyroidism for several months prior.   The endocrinologist found a nodule, and did a scan which indicated it was hot.  He also ran the antibodies test for Graves which came back negative.

Listed below are my lab results (2 different labs) and medications:

LAB RANGE:   TSH   0.34 – 4.82  mU / L
Mar 6.10    TSH - .01

LAB RANGE:   TSH   0.38 – 5.5  mU / L  T4 – 10.5 – 20.0 pmol / L
Mar 15.10  TSH -  <.06;   T4 – 21.6

10mg Methimazole; 80 mg Propranolol
Jul 5.10    TSH – 4;    T4 - 13.9  
Sep 6.10   TSH 7.2;    T4 - 15.69  

5 mg Methimazole ; 80 mg Propranolol
Feb 4.11   TSH 2.5;    T4 - 15.3

5 mg Methimazole; 40 mg Propranolol
May 14.11  TSH – 1.7,   T4 not tested

I have now been taken off the Methimazole, and am weaning off the Propranolol (I see the cardiologist in Nov) and wanted to know what the likelihood is that the medication will have permanently prevented the nodule from becoming active again and if there is a time frame -  i.e.: if my symptoms don’t return for 3 months, can I be reasonably assured the problem is solved permanently?  Thank you for your assistance.
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Avatar universal
what is the size of your nodule?
Helpful - 0
Avatar universal
I am dealing with the same thing.  Hot nodule and hyper symptoms.  Currently on a beta blocker for palps while trying to figure out what I want to do.  

Did your doctor indicate that methimazole might stop the nodule from over producing in the future?  Or just while you are on the methimazole?  

The only options I have been given is radioactive iodine or removing all or half of my thyroid.  I dont see those as being good options as the thyroid controls so much!  I am researching alternatives.  
Helpful - 0
499534 tn?1328704178
Nothing is ever easy or promised with Thyroid disease. Were you tested for Hashimoto's as well when you were tested for Graves? Sometimes people with Hashi's will start out with hyper swings from nodules and inflammation. Just a thought.
I also cannot understand why your doctor is checking TSH only on the last test. Free T4 and Free T3 are the active levels of thyroid hormone in the body. TSH is a pituitary function test and should not be the only test used. It should be used in conjuction with at least the Free T4.
If it IS a hot nodule that keeps troubling you in the future, there are other alternatives to get rid of it for good. Removal and shrinkage of nodule.
Helpful - 0
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