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Doctor insights on: Low Cortisol Thyroid Nodule

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Had bx of thyroid multiple nodules. Low cortisol. 01, low acth 3, trbl swallowing, sore throat, &breathing @times, high white count chronic. Possibly cx?

Had bx of thyroid multiple nodules. Low cortisol. 01, low acth 3, trbl swallowing, sore throat, &breathing @times, high white count chronic. Possibly cx?

See endocrinologist: It sounds like you have multiple endocrine issues. The cortisol level does not appear correct. Was this a blood cortisol or saliva? Saliva testing for low adrenal function is not valid. You really need to see an endocrinologist to sort this out.

Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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Could 4mm lung nodule cause fatigue&muscle loss for 1year? Tested positive on early cdtlung blood test. Sodium slight low cortisol slight high. Advice?

Mgt: The potential for malignancy should be assessed by a follow up imaging test. Please discuss with your physician. Family history, type of nodule, location and smoking history are part of the evaluation. If you smoke, please stop smoking and avoid smoke exposure.

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Could 4mm lung nodule cause fatigue&muscle loss for 1year? Tested positive on early cdtlung blood test. Sodium slight low cortisol slight high. Advice?

Could 4mm lung nodule cause fatigue&muscle loss for 1year? Tested positive on early cdtlung blood test. Sodium slight low cortisol slight high. Advice?

See an oncologist: Now is the time to find out if that nodule is, indeed, cancer, and a specialist's recommendations are the way to go. If so, that could be causing your fatigue. The muscle loss may be due to de-conditioning (not using the muscles enough), due to your fatigue. If it IS cancer, you are catching it at a very small size and there is a much better chance for a cure!

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Hi can OTC diet pills affect cortisol levels. I'm overweight with low cortisol since dec. Never taken any steroids. Thyroids good. Like to know why this.

Hi can OTC diet pills affect cortisol levels. I'm overweight with low cortisol since dec. Never taken any steroids. Thyroids good. Like to know why this.

Avoid diet pills: Who knows what's in the diet pills, but it's nothing that can help you and may harm you. If you're overweight, you don't have low cortisol levels, as low cortisol leads to weight loss. Check w/your doctor and get off the diet pills.

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How can I address benign thyroid nodules and low tsh?

How can I address benign thyroid nodules and low tsh?

Need further eval: The low TSH needs to be addressed as it can cause problems for you. In the presence of thyroid nodules, you will need a thyroid uptake and scan to make sure the nodules are not producing too much thyroid hormones. Treatment then would be antithyroid drugs, radioactive iodine, or surgery. You should not be doing nothing with a low tsh.

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Low fever 99.2 -99.8 for last week. 3mm thyroid nodule, low vitamin d, clean X-ray occasional thyroid swelling, night sweats, itching. Mold allergy?

Low fever 99.2 -99.8 for last week. 3mm thyroid nodule, low vitamin d, clean X-ray occasional thyroid swelling, night sweats, itching. Mold allergy?

Thyroid nodule: Doesn't sound like mold. Check thyoid function and treat if required. Check nodule with ultrasound and may need biopsy. Check and treat low vit d if below 30. Optimal is 40. What is temp with night sweats. Are you having normal periods? What itches?

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Are thyroid nodules always thyroid cancer? I have a thyroid nodule and my levels of some thyroid hormone are low. My doctor wants to do more tests, but I don’t really understand what he said. Do I have cancer, or could it be something else?

Are thyroid nodules always thyroid cancer? I have a thyroid nodule and my levels of some thyroid hormone are low. My doctor wants to do more tests, but I don’t really understand what he said. Do I have cancer, or could it be something else?

Over: Over 95% of thyroid nodules are benign. Therefore the risk of cancer is low, but can be increased in younger or older people, people with a family history of thyroid cancer, or people who have been exposed to radiation (x-rays do not count). Sometimes benign thyroid nodules can secrete extra thyroid hormone, more than your body needs. If your doctor is suspicious of this, they will order a nuclear study called a thyroid uptake and scan. If a nodule is over a centimeter, that is when we usually will perform a fine needle aspiration to get a sample of cells in the nodule. If nodules are under a centimeter and there is no evidence of over activity, we can simply monitor with serial ultrasounds.

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TSH very low, thyroid nodules stable, endo doesn't know why, T3-4 normal neg antibody, what could be cause? Cea is 5.9

TSH very low, thyroid nodules stable, endo doesn't know why, T3-4 normal neg antibody, what could be cause? Cea is 5.9

Toxic nodular goiter: The fact that your TSH level is low is consistent with overactive thyroid even if the T3 (liothyronine) & T4 are Normal. If your TSH is below 0.10 mIU/ML I suggest you start on Antithyroid medications.

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What hormone imbalances can cause excessive face/head sweating? I have underactive thyroid, kidney disease, & low cortisol levels. Can these diseases?

What hormone imbalances can cause excessive face/head sweating? I have underactive thyroid, kidney disease, & low cortisol levels. Can these diseases?

Any of them: Sweating from overactie thyroid. It could also be from hormonal changes with estrogen or testosterone, and with kidney disease you could have an imbalance of those.

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High TSH (7.12) accompanied by low cortisol (1.0). T4 and T3 (liothyronine) normal. What causes this? Mom had thyroid cancer. What tests should be done?

High TSH (7.12) accompanied by low cortisol (1.0). T4 and T3 (liothyronine) normal. What causes this? Mom had thyroid cancer. What tests should be done?

You need work-up: You should ask to be seen by an Endocrinolosit. Your question suggests that you may have low adrenal/thyroid function. Multiple gland "failure" is seen in a number of conditions. Certain blood/urine testing is indicated! Good luck! Hope this helps Dr Z

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Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?

Thyroid nodule: follicular lesion, T4 free is low, T3 (liothyronine) free is low, and TSH 3rd generation is now low. 60 mg of armour thyroid, 50 mcg levothyroid why?

Stop Armour: There is no way to check your levels or keep your thyroid in control in your current regimen. Armour thyroid is ground up pigs. Switch to brand name T4 only and get it regulated. Also, have repeat thyroid biopsy with afirma test and consider surgery to remove nodule depending upon lab and ultrasound.

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Work up for hair loss and dizzy sitting to standing and tired. Labs ferritin 6 iron saturation 5 wbc 2.8 rbc 2.9 hgb 9.0 crit 26.8 monocytes low 182 total iron 21 thyroid nodules benign?

Work up for hair loss and dizzy sitting to standing and tired. Labs ferritin 6 iron saturation 5 wbc 2.8 rbc 2.9 hgb 9.0 crit 26.8 monocytes low 182 total iron 21 thyroid nodules benign?

Need Hematologist: Women often see hair loss when their iron stores are low (as yours are). Dizziness on standing is often related to dehydration (volume depletion). But I am concerned about your low white count, red count, and hematocrit. You may need to be evaluated to see if you are losing blood somehow - or if you are not producing enough red cells (and white cells). I think a hematology opinion is in order.

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I have low t3, (liothyronine) weight gain, fatigue. Mri for something else showed prominent pituitary. Have thyroid nodules. Both never looked into. Should I go to dr?

I have low t3, (liothyronine) weight gain, fatigue. Mri for something else showed prominent pituitary. Have thyroid nodules. Both never looked into. Should I go to dr?

Pituitary / Thyroid: You should defiantly be checked out. It could be a benign pituitary mass. These tomors are rarely cancer but as the grow they can slowly compress the pituitary and throw off your hormones is numerous ways... See an endocrinologist who can check out your hormones and determine what's wrong.

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Less than 1cm hypoechoic thyroid nodule disappeared one month later. Dr said 1st ultrasound wasn't overread. How'd it disappear?

Less than 1cm hypoechoic thyroid nodule disappeared one month later. Dr said 1st ultrasound wasn't overread. How'd it disappear?

Thyroid nodule: Thyroid cysts can certainly come/go. The quality of ultrasounds, the interpretation, and the definition of a "nodule" can vary. Hashimoto's can cause a patchy pattern that can look like a nodule. Certainly a small nodule that is so transient is not something to worry about. An endocrinologist should be able to interpret things.

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Thyroid nodules (hot or cold)? How can you tell which is which?

Images: "hot" or "cold" is a term related to the appearance on nuclear medicine imaging. A "hot" nodule is one that is too active, and secretes hormone, but benign. A cold nodule takes up less tracer. About 20% of these are malignant, and so they are biopsied. Cysts will also show up cold as they are fluid rather than tissue, so this study should be interpreted along side an ultrasound.

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Can thyroid nodules be removed without having to remove the thyroids?

Not usually: We do not recommend removing just the nodule. The recurrence risk is high and the secondary operation is more dangerous due to scarring. Typically we remove one half of the thyroid (lobectomy) or the whole thing (total thyroidectomy) depending on the specific pathology.

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Dr. Ronald Krauser
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Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


Dr. Eric Whitman
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Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more