First Blood Work after Surgery - Doctor What do you Think.

[CatieC]

I am a 49 year old female, being treated for Hypothyroidism for at least 10 years and taking 75 mcg Synthroid. Jan 08 my primary doctor found a nodule on the right side. I had an US and FNA which came back inconclusive. The slides were sent to Memorial Sloan Kettering in New York and they could not rule out Pap Cancer. On 3/25/08 I had a partial thyroidectomy. The pathology states Follicular Adenoma arising in a background of marked chronic lymphocytic thyroiditis, with hurthle cell changes, consistent with Hashimoto.

I have been on my usual 75 mcg of Synthroid since my surgery. I just had my first blood tests run and here are the results:

TSH, 3rd generation - 1.15 (0.40-4.50)
T4, Free - 1.6 (0.8-1.8)
T3, Total - 109 (60-181)
Thyroid Peroxidase AB - 224 (< or = 35)

My endo told me I have Hashimoto's and will retest in 6 months. She did not increase my dosage of Synthroid.

Doctor what is your opinion on my blood results. Should I be tested in 6 months or sooner. I am cold most of the time (especially my finger tips), my hair is thinning, I have night sweats and mood swings.

Thank you so much for your time.

[Mark Lupo, M.D.]

You have hashimotos with currently normal thyroid function on 75mcg.

However with the recent surgery, your dose may need to be changed -- usually would retest 2-3 (ie, not 6) months after surgery to confirm this....