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A 34-year-old female asked:

Detected with hashimotos hypothyroidism ,tsh4.67.doc see small nodules.is levothyroxine treatment enough? or need further evaluation/therapy?any risks

2 doctor answers3 doctors weighed in
Dr. Thomas Knecht
A Verified Doctoranswered
33 years experience
Hashimoto's: Hi. Your doc caught your Hashimoto's very early (the "subclinical" stage). I assume the diagnosis of Hash was based on thyroid autoantibodies(?). "Small nodules" need no further evaluation. Your l-thyroxine therapy will prevent you from becoming symptomatic from untreated Hashimoto's. Good luck!
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Dr. Nathan Carnell
Specializes in Endocrinology
Evaluate nodules: I recommend that the "nodules" be evaluated by real-time ultrasonography performed by a thyroid specialist skilled in risk-stratification of nodules based on current American Thyroid Association guidelines. A fine-needle aspiration biopsy is recommended for any that would be regarded as suspicious.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 4, 2017


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