Dr Mark & all thryroid sufferers HELP! I am hashi patient with goiters. Have been on 100 mcg synthroid for approx. 7 months. I had another ultrasound 1 ago. Goiter has grown from 2.5 cm to 2.87 cm on the right side I now also have a 1 cm on the left. My symptoms are getting increasingly worse. Exhaustion, fatigue, menstrual cycles horrible, alot of weight gain, brain fog - name it ! I just feel worn out, also out of breath constantly!! I was referred to ENT he said I had 2 options 1) surgery to completely remove the thyroid gland (said that would make the hashi go away) & goiters. Or 2nd he would put me on Cytomel 25 mcg 2x's daily this is in addition to 100 mcg of Synthroid, and try this for 2 months. I decided to try to Cytomel. Can anyone tell me if this is likely to work. I really don't want the surgery but I cannot keep continuing to get worse. I go back to the ENT on Feb. 17th. Also, wondering if I will feel worse after surgery, it seems like if I have no thryoid I will be even more exhausted/ fatigued than I already am. Also, my TSH is .73 , how can this be right when all of my symptoms including the size of the goiters(plus now I have 2) is worse. I am very confused with all of this, please help! Thank you.