I was diagnosed with Hashimoto about 13 years ago. I am on Syntroid, 0.100mg. I have also developed an intolerance to lactose and gluten these past two years. I have eliminated all lactose and gluten from my diet. Lactose intake makes my lymph nodes swell. My question is: Syntroid does contain lactose, and it seems that just that little amount prevents me from stopping the swelling, and feeling better. Could I switch to another thyroid medication? Should I continue on Syntroid, and take some digestive enzymes for lactose at the same time? I am also concerned that my carbohydrate antigen 19 keeps going up, even though I have eliminated all non-tolerated items from my diet. It went from 66 to 170 in less than half a year. Does this mean anything? My level of lipase is too high as well. I suffer from chronic constipation. I lost 15 lbs since stopping lactose & gluten in my diet. However, my stomach area doesn't stop swelling: I often look like I am 9 months pregnant.