Do I need a FNA and medication

[xammax]

Hi. I am a 59 yr old male. Symptons are always have been cold, tired, joint and muscle pain worse in fingers, I took Vioxx before it was removed , high blood pressure , tinnitus, completely deaf over 2,500 cycles in both ears. Hearing aids made no difference. Dentist last month couldn't freeze my gums with 2 needles of Carbocaine.
7mm nodule on thyroid. Blood tests TSH 2.15 ( range .465 to 4.68 ) FT4  11.17 ( range 10 to 28.2 )  Total T3 2.02 ( range .92 to 2.790
Thanks

[Mark Lupo, M.D.]

No absolute indication for FNA or thyroid meds.  Occassionally I have found a trial of levothyroxine to be beneficial in these cases, but not consistently.  Would FNA if nodule grows to >10mm or has suspicious features (eg, microcalcifications).

[xammax]

Forgot to include TPO 99