Should I be concerned?

[nanca]

I started going to a weightloss clinic and got my blood test results on 5/19. The nurse practioner told me my thyroid test were abnormal and asked me if I was taking thyroid medication. I dont take thyroid medication and I did have a tumor on my thyroid 21 years ago and had part of my right thyroid removed but no hormones were ever given to me. Well now here are my test results

T3 uptake 42
T4            8.8
T7  FTI      3.7
TSH         <0.01

Should I be concerned? She's advising me go to my primary doctor and have more test done. I do have high blood pressure and can't stand being in the heat,  im also irritable and sweaty and cant sleep at night. But I am not thin and im trying to lose my weight ' 195" pounds  and am currently on phentermine for weightloss. I only lost 1 pound last and thats because ive been dieting. Do you think its hyperthyroidism?

[Mark Lupo, M.D.]

You have hyperthyroidism -- you need to see a thyroid specialist to determine the cause of the hyperthyroidism -- common causes are Graves, Over-active nodule(s), and Thyroiditis.  The hypertension and other symptoms may be due to the hyperthyroidism.

[kitcurious]

I'm not a doctor, but your tests look like you are hyperthyroid. You may want to avoid weight loss supplements if you are both hyper and hypertensive, because of the stimulant being a danger to your heart, but I am not a physician.
I can further imagine that it can possibly be contributuing to the symptoms you are already having.
You need to see a doctor, your primary can order more tests, but an endocrinologist would be best in the long run.
Hopefully you will see a doctor right away.

[nanca]

Hi Dr Lupo, My hyperthyroidism seems to due to  two nodules that were found on my left thyroid gland. I had my right thyroid removed 21 years ago. I was never put on medication, as for my right side of my thyroid had tumors on it and they were not cancerous.    Here are the  results from my ultra sound and if you can shed some light on what it is and what is the treatment for it.

FINDINGS: The isthmus is slightly heterogeneous measuring 4 mm in thickness. The right lobe is absent consistent with previous partial thyroidectomy. There are 2 nodules in the residual left lobe. The left lobe measures overall 2.9 x 2.1 x 4.6 cm. There is a dominant isoechic solid nodule with a halo lucency surrounding the periphery that measures up to 2.2 cm in diameter. There is a adjacent hypoechoic somewhat soild appearing nodule measuring approximately 0.5 cm.

IMPRESSION:

1. Status post right thyroidectomy.

2. Two left lobe nodules.

3. One of these is a dominant solid nodule measuring 2.2 cm. Due to its size, suggests consideration of fine needle aspiration or core biopsy for evaluation. The appearance is nonspecific. Statistically, this could be benign however a
malignant nodule was not excluded.

4. Recommend comparison with prior studies if these are available. This report does not preclude other evaluation and followup ulta sound serial examinations may be beneficial as well.
END OF REPORT...

TSH                0.001

T3 UPTAKE     42

T-4                  8.8


T3 total           267

T-4 free           1.8

TSH 3rd generation  0.01

Im hoping I dont have to through another thyroidectomy . Is there other treatments for this ?

Thank you so much!
Nancy