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A member asked:
I am a graves patient. have done well on low-dose methimazole until recently. am now hyperthyroid again. what could be the cause? also, can enlarges thyroid cause problems swallowing and on/off mild hoarseness? or is there likely a nodule?
A doctor has provided 1 answer
Usually the effective dose of methimazole stays stable for prolonged periods. It's possible that your TSH receptor antibodies have slowly edged upward and an increase in methimazole dosage is needed. Has your thyroid increased in size? It can impact swallowing & cause hoarseness when large. A thyroidologist or endocrinologist is best to manage Graves disease& advise you.
Answered 8/22/2022
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