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To all Forum Participants

Please note:

Dr. Lupo will be out until 6/21, the forum will be closed to new questions until then.

Regards,
Med Help
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Avatar universal
I am facing a completion thyroidectomy soon.
I had a partial thyroidectomy 15 years ago and also
had 2 parathyroids removed.
I am told I need to have the rest of my thyroid removed
due to FNA Biopsy results that a Hurthle Cell neoplasm cannot be ruled out.
However I am having conflicting advice from Doctors, some say
that I can watch and wait follow up with another biospy, ultrasound, etc.
Others say it needs to come out.
My greatest concern is that the remaining two parathyroids will be damaged or removed.
I was on synthroid on and off for the past 15 years .
I have been off of it for several months becauses my dose was to high 125 mgs. and I became hyperthyroid (no fun!!!!)
I am currently off the synthroid and my TSH is 3.0
and I do not know what te FreeT4 was I was told it was normal,
the Doctor does not check FreeT3.
I am a wreck and do not know if I should proceed with the surgery or not.
Would like to hear from anyone who has had a complete thyroidectomy and how there health is now.
Sorry this is so long.
Thank you.
Helpful - 0
Avatar universal
Hey, on my test results it just says T3 Uptake.I am not on estrogen and right now my GYN says that I am in perimenopause - having horrible periods.  Go back to see her soon - don't take birth control and she doesn't want to give me a low dose estrogen b/c of my family history with breast cancer.
What's the difference between FT3 or 4 and T3 or4? So, if my doc ups my meds again, would that work out all the kinks, you think?  And also, would that help with the nodules they found on my thyroid?  I guess I am asking some silly questions and taking up space in the forum but asking my doc questions and getting an understood answer is next to impossible - it's sort of like she thinks that I am questioning her in some way - almost like she's offended.  I am looking into finding another gp.  Once again, I really appreciate your willingness to explain all this to me.
Thank you so much!
Helpful - 0
Avatar universal
Are you sure T-3 is not FT-3?  No Matter.

If you are on estrogen whether by meds or nature (child bearing years) the FTs should be done because estrogen interferes with the T levels but not the FTs. actually they should be done regardless because it tells whether the thyroid is performing properly.  
Haves these Labs done - TSH, FT-3, and FT-4, and, to set your mind at peace to know definitely, have antibodies done for Hashi and Graves' - some people have both autoimmune disorders. Your levels don't relate to Hashi however I could be wrong.

Your levels are hypo so you might want to tweek up meds to the next dose and slowly work up from there.  TSH of around 1 - 2 is optimal for most people to feel well and avoid having hypothyroim symptoms and also weight loss is easier, they say (its harder for me but I am hyper).    When your TSH comes down, then the F/Ts will go up more into Labs range.  By the nature of thyroid disorders we will find it necessary from time to time to adjust med dose throughout life.

When TSH is just right then your cholesterol should come down some and with avoiding cholesterol and processed foods should also help in lowing.  Triglycerides should come down with abstinences from alcohol and sweets of all kinds.

Good Luck!

~~~~~~~~~~~~~~~~~~

I am not a Doctor or in the Medical field.
My statements and comments are meant as
informational guide only, not as a diagnose
or treatment, for that is between you and your doctor.

Helpful - 0
Avatar universal
IMO I definitely only pay close attention to the Ft4 and Ft3.
Helpful - 0
Avatar universal
T3 Uptake makes sense now and explains the level.  
Now I need to take back my comment about Hashi because F/T-3 with the F/T-4 along with TSH relates to Hashi.  However you are hypo which the T3U confirms.

Total T4 Reflects the total amount of T4 present in the blood, the protein bound which is unavailable T4 and the Free T4. Note that high levels of estrogens from birth control pills or pregnancy, etc. can increase the amount of the protein that binds T4, giving misleading elevated Total T4 values which can look like
Helpful - 0
Avatar universal
Sorry, meant to post that too! Brain is on overload but foggy!lol
Limits:
TSH 0.350-5.500
T4 4.5-12.0
T3 24-39
Free Thyroxine Index 1.2-4.9
Helpful - 0

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