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Remove thyroid????

Growing Goiter

I have had underactive thyroid for about 15 years and have had a small goiter too. Last month I went for my yearly checkup and my blood work came back with TSH and T3 slightly low...I requested a scan of my thyroid as I noticed difficulites breathing when trianing for Ironman Canada as well as difficulties swollowing....
Scanned my thyroid and ultraound showed - right lob 5.9 x 1.9 x 1.8 cm and left 3.9 x 1.6 x 1.4 cm - multiple benign appearing subcentimeter thyroid adenomas within both lobes.

we re-drew my blood and now TSH is 7.337 and T3 91 FT4 .8

Have been on medications for this condition for at least 15 years

What should I do and what should I expect when I go to the doctor this week
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97953 tn?1440868992
Your TSH is high - medication likely needs to be increased.
Subcentimeter nodules are likely changes due to inflammation from chronic thyroiditis (Hashimoto's) - repeat ultrasound in 6-12 months to ensure stable.
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