97953?1193367871
Mark Lupo, M.D.  
Male, 39
Sarasota - FL

Specialties: Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound


Thyroid & Endocrine Center of Florida
(941) 342-9750
5741 Bee Ridge Road, Suite 500
Sarasota - FL
Pain in the Neck
Dec 11, 2009 05:27AM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
Would talk to your surgeon about that, typically they are not removed. But if they are the clear cause of pain, it may be worth considering.
Extremely painful feet
Dec 11, 2009 05:26AM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
Thyroid imbalance can influence the nerves. It is best to keep TSH in range (0.5-2.5) and also continue to look for other more common causes by seeing a neurologist.
Is this normal?
Dec 10, 2009 06:08PM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
Would see an endocrinologist for general evaluation including cortisol (adrenal) testing. Certainly making sure the TSH, T4 and calcium levels are normal would be part of that.
Small dose of Levothyroid
Dec 10, 2009 06:07PM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
A TSH of 4, even w/ Hashi (high TPO) does not require treatment. Usually TSH >10 requires definite treatment. So if not tolerating meds, then consider a trial w/o. However a high(ish) TSH may promote goiter growth....this is one consideration in deciding on treatment.
Help! I have felt miserable for months
Dec 10, 2009 06:06PM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
The TSH levels look okay. Would consider non-thyroid causes - perhaps a rheumatology evaluation Thyroid consideration would be combo T4/T3 treatment (ie, add cytomel) but this only helps 10-15% of patients in our experience.
Why do I have high TSH levels but no thyroid problem?
Dec 10, 2009 06:04PM in the Thyroid Cancer, Nodules & Hyperthyroidism Expert Forum
The high TSH means HYPOthyroidism. This may be part of the overweight problem. Would test TPO antibodies as w/ this family history, it is likely Hashimoto's despite the "normal" thyroid on ultrasound. Treatment is with levothyroxine to bring the TSH back to the 0.5-2.5 range.