97953?1193367871
Mark Lupo, M.D.  
Male, 43
Sarasota, FL

Specialties: Thyroid Nodules, Thyroid Cancer


Thyroid & Endocrine Center of Florida
(941) 342-9750
Sarasota, FL
My Posts
Thyroid Ultrasound
Jun 06, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 4
This is a small nodule that is borderline for needing FNA biopsy. Risk of cancer for nodules in general is 5-10%. A nodule like this would not likely cause any symptoms.
Affect of Thyroid Cancer
Jun 06, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
yes - Graves can cause menstrual irregularities - call your doctor to report the dizzy/light-headed symptoms to confirm why that is occurring.
Confusing thyroid test
Jun 06, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 2
in most cases there would be no benefit from treatment with these levels but rechecking TSH along with TPO antibody may be reasonable
Could it be Thyroid related?
Jun 06, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
This is not likely all thyroid related - would make sure TSH is normal and consider a rheumatology evaluation.
Somebody help........please
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 3
A low TSH usually means hyperthyroidism -- 15% of hyper patients do gain weight. Depending on the situation, you may need treatment -- especially if TSH <0.1 and T4/T3 are elevated or you have hyper symptoms (you listed mixed symptoms). Consider an endocrine consult or second opinion so you have a better understanding of what is going on with the low TSH...
How do you perceive this ?
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 2
The high TSH means HYPOthyroidism. We rarely use combination PTU and thyroxine. At this point looks like staying off the PTU and treating with eltroxin (w/ or w/o cytomel) is most appropriate to bring TSH back to normal. See an endocrinologist if there is still trouble normalizing the numbers.
Does this Indicate Hypothyroidism
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
No - this is normal. slightly low T3 levels cannot be used to diagnose hypothyroidism -- we rely on TSH for this (and T4).
Looking for answers and correct treatment
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
Our practice is limited to thyroid and parathyroid, which can cause bone loss but the best next step for you probably is a general endocrinologist or rheumatologist for the osteoporosis workup.
thyroid priblems
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
Sounds like hypothyroidism due to hashimoto's - key with the ultrasound will be to confirm those "holes" are areas of inflammation -- so see a thyroid specializing endocrinologist.
TSH 13.06 to 0.026 in 2 months
Jun 01, 2013 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum - 1
It depends - most of the time it is chronic hypothyroidism and most likely the initial dose was simply too high.