Greetings, this is my first question here. I am scheduled to have a TT next month. The primary reason for it is multinodular goiter. It is huge, and it is . . . multinodular. There are at least 10 that my endo can see on the ultrasound, and 4 of them are quite large. I already had a FNA last June, which was clean, but it's grown and gotten, well, more nodular since then. I have compression symptoms and it wants out.
My TSH is low (.19), my t3 and t4 are at the high end of normal, and I have several MILD hyperthyroid symptoms, although no weight loss. My metabolism does not seem to be altered and I am not terribly messed up. No Grave's or Hashimoto's, I just have a really, really large thyroid. ANYWAY, my endocrinologist believes that only a very slight alteration of t3 and t4 via synthroid will produce desired post-surgical results, as long as I continue my current diet and exercise plan (I'm actually slightly overweight; weight loss, even temporary, would have been nice.... alas). He plans to start at the "high end of normal" and work backwards, rather than starting low. In other words, he does not expect me to gain any weight, or at least that's what he tells me.
I guess my question is, is this possible? All I've read for the past several weeks is horror stories of people gaining 60+ pounds, etc. No one seems to be posting about lack of weight gain, possibility that endo gets the dose right the first time, etc. It's to the point where I don't even want to go through with this, because I am so paranoid - both that I will gain weight and that my energy will tank (I need enough energy to work 60-70+ hours per week most of the time). It's pathetic when you'd rather keep what's essentially a giant benign tumor in your body, but I'm almost to that point. I need reassurance. I need to know that it's at least POSSIBLE that after this surgery, I'll quickly feel normal and will be able to stay the same weight, or even better, keep losing. Moreover, that I'll soon feel able to return to exercise, which is pretty much my only hobby outside of my insane work schedule . . . and also importantly, that I'll be able to return to work!
Sorry this is so long . . . I suppose the length is a reflection of my paranoia . . . I appreciate any positive reassurance that anyone can provide.
Regards,
Kat