Aa
ablation then nodule?
Im 28 years old, had RAI 6 years ago d/t hashimotos. Havent had one good year since! Now since january they increased by Levo to 100 mcg and again today my TsH is 6.5. Upon examination MD found a small nodule told me not to worry after I had a Ultrasound and increased by levo to 125 mcg. Should I be more concerned here?! I have every symptom of hypothyroidism straight down to abnormal menses, excessive weight gain, excessive sweating but very intolerant to cold. Anyone with this experience or input on what I should do? Im thinking about justgoing to an endocrinologist to make myself feefeel better .
COMMUNITY LEADER
Not sure if nodules are "common" after ablation, but I"m sure they aren't unheard of. If they have no unusual characteristics, they aren't anything to worry about. I've got multiple nodules on my thyroid.
When you ask for T3/T4 testing, be sure to specify that you want FREE T3 and FREE T4. Those are not the same as the total T3 and total T4 that a lot of doctors order.
Will look forward to seeing labs w/ranges when you get them.
When you ask for T3/T4 testing, be sure to specify that you want FREE T3 and FREE T4. Those are not the same as the total T3 and total T4 that a lot of doctors order.
Will look forward to seeing labs w/ranges when you get them.
I think I was just more concerned because ive alreafy had an ablation. Are nodules common even after the ablation? He did not check my t3 or 4 so thats something I can check into as well. Im working on getting copies of my lab work now. Thank you for your input!
COMMUNITY LEADER
Many of us have nodules on your thyroid and, typically, they are nothing to worry about. If you've had an ultrasound, which didn't show any unusual characteristics or anything, I'd agree with your doctor that it's nothing to worry about.
Are you being tested for anything, other than TSH? You should be getting tested for Free T3 and Free T4, every time you have a TSH test. If you have those results, please post them, along with reference ranges, which vary lab to lab and have to be posted with results.
It takes 4-6 weeks for a dosage change to reach full potential, so if you were just increased yesterday, your new dosage won't have had a chance to have any effect yet.
Your symptoms do indicate hypo, so once we see your FT3 and FT4 levels, we will be better able to assess your situation. It's possible that you aren't converting the FT4 to FT3 adequately.
Do be aware that not all endocrinologists are good thyroid doctors, as many specialize in diabetes. I've no doubt that an endo would tell you the same thing, regarding your nodule.
Are you being tested for anything, other than TSH? You should be getting tested for Free T3 and Free T4, every time you have a TSH test. If you have those results, please post them, along with reference ranges, which vary lab to lab and have to be posted with results.
It takes 4-6 weeks for a dosage change to reach full potential, so if you were just increased yesterday, your new dosage won't have had a chance to have any effect yet.
Your symptoms do indicate hypo, so once we see your FT3 and FT4 levels, we will be better able to assess your situation. It's possible that you aren't converting the FT4 to FT3 adequately.
Do be aware that not all endocrinologists are good thyroid doctors, as many specialize in diabetes. I've no doubt that an endo would tell you the same thing, regarding your nodule.
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