97953?1193367871
Mark Lupo, M.D.  
Male, 41
Sarasota, FL

Specialties: Thyroid Nodules, Thyroid Cancer


Thyroid & Endocrine Center of Florida
(941) 342-9750
3050 Bee Ridge Road
Sarasota, FL
My Posts
hypothyroidism
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
You may eventually need an increase to 50 or 75 µg. The target TSH in the setting would likely be 0.5-2.5. I anticipate you will need a dose increase to achieve this.
coming off and going back on meds?
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
It is somewhat unusual to be asked to stop the medication for a week and then go back on the same dose. You may want to discuss this more with your doctor or consider an endocrinology consult.
Hypothyroidism and infertility
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
With proper regulation of TSH with levothyroxine, the fertility rate and miscarriage rate is greatly improved in patients with Hashimoto's.
partial vs total - question for dr lupo
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
A total thyroidectomy is recommended for the tumor greater than 1 cm to decrease recurrence rate and improve survival.
Graves & TSI
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
Your labs are most consistent with Hashimoto's thyroiditis and not Graves' disease. A TSI level that is in the normal reference range suggests against Graves' disease. Your thyroid antibodies are positive and your TSH is in the high normal range, this is consistent with early hypothyroidism due to Hashimoto's.
Pregnant post thyroidectomy
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
The most important lab would be a TSH which should be In the low normal range during pregnancy. The thyroglobulin antibody level is not predictive in of itself, but the trend in antibody level over time is helpful in assessing the thyroid cancer status. Regarding the struma ovarii, it is sometimes difficult to make a diagnosis of normal versus malignant t...
Undetected Thyroglobulin
Feb 04, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
You were probably given the higher dose due to the lymph node involvement. I would think that a negative stimulated thyroglobulin is likely a reassuring prognostic indicator in your case. I would not anticipate the need for more radioactive iodine in the future.
Ultrasound results for Nodule, expat in France
Feb 03, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
This is a nodule within the Isthmus of the thyroid itself. It is not in the thyroglossal duct biopsy is probably appropriate. Based on the description. Biopsy is probably appropriate. A biopsy prior to the consult can be helpful but is not absolutely required.
narcoleptic with small goiter
Feb 03, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
If the thyroid function tests are all consistently normal, than the thyroid is not likely playing a role in the symptoms.
Nerve Pain
Feb 03, 2012 in the Thyroid Cancer/Nodules & Hyperthyroidism Expert Forum
Hypothyroidism can aggravate nerve related to compression symptoms. It may take a few months of normal thyroid levels for this influence to normalize/abate, however in most cases the primary cause is not thyroid, however the symptoms can be aggravated by thyroid dysfunction which may be the case with your wife.