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Doctor insights on: Thyroid Endocrinologist Exam What To Expect

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What does it take for an endocrinologist to decide if armour is suitable for subclinical hypo- thyroidism? If test results are all in "normal" range.

What does it take for an endocrinologist to decide if armour is suitable for subclinical hypo- thyroidism? If test results are all in "normal" range.

Subclinical hypo..: Subclinical hypothyroidism occurs when peripheral thyroid hormone levels are within normal reference laboratory range but serum thyroid-stimulating hormone (TSH) levels are mildly elevated. If all test results are normal then it does not sound like subclinical hypothyroidism. ...Read more

Dr. Lonnie Smith
13 Doctors shared insights

Thyroid (Definition)

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


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I have a hypo thyroid and a higher testosterone level. I'm visiting a pediatric endocrinologist, will she do a pelvic exam for my case?

I have a hypo thyroid and a higher testosterone level. I'm visiting a pediatric endocrinologist, will she do a pelvic exam for my case?

Probably not: She mght refer you to an ob/gyn for evaluation though. Sometimes polycystic ovaries occur along with high testosterone level in women. ...Read more

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Do only endocrinologists have access to or administer i-131 for the thyroid?

Do only endocrinologists have access to or administer i-131 for the thyroid?

Very few: Most of us have outsourced to departments of nuclear medicine staffed by radiologists, especially 131i treatment of thyroid cancers. My license to administer large doses was through the hospital though for years I treated hyperthyroidism as an outpatient. ...Read more

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Will any endocrinologist be skilled enough to resolve a thyroid isssue or do you need to see one that specializes in that?

Will any endocrinologist be skilled enough to resolve a thyroid isssue or do you need to see one that specializes in that?

Endo: That is exactly what an endocrinologist does. You don't need another specialist unless you need nuclear medicine treatment for hyperthyroidism or hot goiter. Then the endocrinologist will work with the radiologist. ...Read more

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Do I need an endocrinologist to have my thyroid checked or a gp can do that?

Do I need an endocrinologist to have my thyroid checked or a gp can do that?

GP: Start with your gp. If more specialized help is needed, your gp will make the referral for you. ...Read more

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I have two 3x4x3mm and one 2x4x2mm complicated hypoechoic nodules in my thyroid. Should I get them checked by an endocrinologist?

Probably not: You are talking about mm, not cm right? If mm, they are still very small. I would get another ultrasound in 1 year and see a specialist if they are changing or growing. In the meantime ask your pcp to make sure the thyroid is functioning normally. ...Read more

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Should I see an ENT or endocrinologist for my thyroid problems?

Should I see an ENT or endocrinologist for my thyroid problems?

Endocrinologist: Thyroid disorders are managed by endocrinologists. If there is a recommendation for thyroid surgery, your endocrinologist may recommend a very experienced ENT (or endocrine surgeon) who has done lots of thyroid procedures. ...Read more

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Help please! Is an internal medicine doctor or an endocrinologist the best for treating thyroids?

Endocrinologist: The internist will be able to evaluate your thyroid, however, if abnormalities are found upon testing, he/she will likely refer you to an endocrinologist for further evaluation and management. ...Read more

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Thyroid US 0.6cm hypoechoic nodule & 1.2cm partially cystic nodule. Going to endocrinologist but can't get me in for a few weeks. Reason for concern?

Safe than Sorry: Since the lesions are at least partially solid, the endocrinologist will probably want to be more safe than sorry. You will probably require a radioactive iodine scan of the thyroid to evaluate the nodules more closely to see if the nodules are truely only cystic, or he/she may elect to perform a fine needle aspiration of the lesions to collect samples to be tested under the microscope. ...Read more

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I had my Thyroid removed 23 years ago and has adrenal fatigue. I don't have an endocrinologist nearby (George) which Thyroid medication?

I had my Thyroid removed 23 years ago and has adrenal fatigue. I don't have an endocrinologist nearby (George) which Thyroid medication?

You asked this on: The general health education site on Health Tap. We can't make any recommendations about which thyroid medication or dose you should take. Health Tap does list a number of doctors in South Africa. Health Tap Concierge may be another good choice to work with an endocrinologist. Take care. ...Read more

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My gp can't get my thyroid levels under control (thyroidectomy ten years ago due to multinodular thyroid disease, ? Will an endocrinologist do?

My gp can't get my thyroid levels under control (thyroidectomy ten years ago due to multinodular thyroid disease, ? Will an endocrinologist do?

Endocrine: An endocrinologist is specifically trained to think out of the box and treat your thyroid and associated conditions. You likely have hashimotos disease causing your multiple modular goiter. This is an autoimmune disorder associated with many others. Seek out a board-certified physician if possible. ...Read more

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Endocrinologist says my thyroid 2 low. Tsh-3gen 6.30 FTI 2.4 TotT4 8.8 T-uptake 27.8 wants to increase meds. I have no T gland. No symp. What's low?

Thyroid hormone.: We all need thyroid hormones for proper health. If you had your thyroid removed, you will have to take thyroid replacement meds for the rest of your life. If you are taking them, the level has to be monitored to be sure you are getting enough for your body to function normally. If your level is low, the medicine is increased and the level is rechecked regularly to make sure it is stays normal ...Read more

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Would an oncologist or an endocrinologist be good at getting my Armour Thyroid dosage correct, I asked to switch from t4. Endo's don't live in my area?

Endo: The thyroid gland definitely falls under the purview of the endocrinologist, who studied the thyroid in detail as part of their training. Most internists and board certified family medicine physicians can treat this if you have no endo doctors in your area. ...Read more

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My dear colleague; I'm an endocrinologist in Turkey and I do thyroid ultrasound. I'm interested in exophytic thyroid nodules. Until now, I couldn't find the explanation of "exophytic"term for thyroid nodules. Thank you very much for your good explanation.

My dear colleague; I'm an endocrinologist in Turkey and I do thyroid ultrasound. I'm interested in exophytic thyroid nodules. Until now, I couldn't find the explanation of "exophytic"term for thyroid nodules. Thank you very much for your good explanation.

Nodular goitre: With time and exogenous stimulation, nodular goitres develop in contrast to the solitary adenoma that transforms to cancer. On palpation of many goitres a mass, not present within either lobe but essentially hanging from one of the lobes may be identified. This is an exogenous lesion arising subcapsular and bulging in an external or exophytic position. ...Read more

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Should I see an endocrinologist? I've been diagnosed as having an under active thyroid. I've been put on 50, 000 vitamin d, to be taken twice a week, and calcium supplements. I was also told to take crestor zyrtec, and prevacid. I understand why I was t

Should I see an endocrinologist? I've been diagnosed as having an under active thyroid. I've been put on 50, 000 vitamin d, to be taken twice a week, and calcium supplements. I was also told to take crestor zyrtec, and prevacid. I understand why I was t

Hello.: Hello. I am wondering if your hypothyroidism is being treated there are many general physicians who feel comfortable treating thyroid conditions. Internal medicine doctors and endocrinologists also take care of endocrine conditions. Approaches are usually similar.
If you have a number of conditions, it may require require different supplements as well as medications. If your hypothyroidism is not being treated, I would ask your provider about this. ...Read more

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Treating thyroid cancer with armour, is this good or bad? Why do I see it ok with holistic dr. S but not so much with my endocrinologist?

Treating thyroid cancer with armour, is this good or bad? Why do I see it ok with holistic dr. S but not so much with my endocrinologist?

Old-fashioned: Endocrinologists do not like Armour Thyroid because it's hard to standardize. I defer to them. Be very sure to tell your primary treating physician for your cancer about any "holistic" meds. ...Read more

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What's the difference between an endocrinologist and an ENT for thyroid problems?

What's the difference between an endocrinologist and an ENT for thyroid problems?

Endo vs ENT: An endocrinologist is a medical specialist with expertise on glands. These doctors usually treat thyroid problems with oral medication or radiation. An ENT is a surgical specialist with expertise on head and neck surgery. They can perform biopsies or thyroidectomies ie removal. ...Read more

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I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. What does this mean?

I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. What does this mean?

May need follow up: The data says that without a dominant mass, nodules less than 2.5 cm are rarely of concern. The thyroid frequently forms nodules, most of which are of no concern. But depending on the size and imaging characteristics, as well as your risk factors, your doctor may need to reassess at later date. If your doctor is not worried, than you should not be either! ...Read more

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My thyroid tests are normal. The my symptoms all point to hyperthyroidism. What can I do to convince my endocrinologist to order a thyroid scan?

My thyroid tests are normal. The my symptoms all point to hyperthyroidism. What can I do to convince my endocrinologist to order a thyroid scan?

When to stop: It is not your job to diagnose yourself or to convince an expert to do a test that they feel is unnecessary. As much as I love the internet nine time out of ten when a patient has made their own diagnosis in the internet they are wrong. You deserve to know what the doctor who is treating you has diagnosed but they are the one with the medical license here. ...Read more

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I have large nodules on my thyroid & have an appt w/an endocrinologist in 1 month. I just found a swollen node on my neck. Should I wait or call?

I have large nodules on my thyroid & have an appt w/an endocrinologist in 1 month. I just found a swollen node on my neck. Should I wait or call?

Thyroid: It is unlikely that a swollen lymph node you can feel is due to metastatic thyroid cancer. That said, you should have a fine needle aspiration biopsy of any nodule over1 cm in size. You can see a neck surgeon or call another endocrinologist. Your primary care doctor could order ultrasound and biopsy by interventional radiology at a local hospital. ...Read more

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Today my new dr (one visit) called that I have hashimotos after bloodtest, I've been treated for just low thyroid for four years. With this new diagnosis would it be wise to see an endocrinologist.

No Need if Controlle: Hashimotos disease is a condition in which your immune system attacks your thyroid gland. This causes inflammation in the thyroid gland and leads to hypothyroid (low) status and needs to be treated with thyroid replacement therapy which you are being treated for
as long as your thyroid tests for ths, total t4, t3 (liothyronine) are normal you may continue the armour thyroid.
Diagnosis of hashimoto will not effect rx. ...Read more

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I'm hoping to talk to a endocrinologist. Its about my thyroid blood test results.

I'm hoping to talk to a endocrinologist. Its about my thyroid blood test results.

It is a good idea: It is a good idea to talk to your Endocrinologist who ordered the test for Thyroid
Good luck ...Read more

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Seen Endocrinologist have one. 5cm partly cystic and party soild thyroid nodules no blood flow, went to recheck in 6 months what's next?

Seen Endocrinologist have one. 5cm partly cystic and party soild thyroid nodules no blood flow, went to recheck in 6 months what's next?

Thyroid nodules: TN are very common and largely benign. You benefit from monitoring, if they grow they will be further evaluated or removed before something ominous happens. Your thyroid blood levels will be checked, you may need thyroid replacement. Mostly, thyroid nodules are low risk health issue. Be well. ...Read more

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My endocrinologist said that my ANA is high because of my thyroid and says that it might develop into hypothyroidisim in future. He gives me no treatment. It makes no sense. Whatshould I do?

My endocrinologist said that my ANA is high because of my thyroid and says that it might develop into hypothyroidisim in future. He gives me no treatment. It makes no sense. Whatshould I do?

See below: One does not go thyroid medication unless thyroid function is abnormal. An ANA and antithyroid peroxidase antibody do not measure function. To take thyroid medication when not needed can cause osteoporosis, tachycardia and other complications. ...Read more

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I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule?

I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule?

Multinodular Goiter: Multinodular goiters are not normaly cancerous. But these can be toxic which means these ptoduce too much thyroxine or non toxic with normal thyroid hormone levels. ...Read more

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I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule?

I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule?

Not necessarily: Multiple nodules may represent a goiter. If they are 1 cm or larger, have specks of calcium, or otherwise look concerning, should have an fna (fine needle aspiration biopsy) to look at the cells and determine if benign or cancerous. Thryroid function tests are useful too. Occasionally radioiodine scan can help determine if nodules or the gland is overactive. ...Read more

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I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule? What could this be?

I had a thyroid ultrasound at the endocrinologist and he saw 3 nodules. Is cancer usually 1 nodule? What could this be?

Depends: Cancer can be one nodule or all three especially if papillary cancer. If a nodule larger then 10 mm, history of neck radiation, or it has calcification would recommend needle biopsy. Also need blood TSH -if low then iodine scan and if nodule hot then unlikely cancer. If all nodules <10mm, normal or high tsh, and none of the above factors then repeat ultrasound in a year. 90% nodules benign. ...Read more

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Have enlarged heterogeneous thyroid, TSH was normal. Suffering w/hypothyroid symptoms. Endocrinologist said "impossible" to be thyroid. Need 2nd opinion?

Have enlarged heterogeneous thyroid, TSH was normal. Suffering w/hypothyroid symptoms. Endocrinologist said "impossible" to be thyroid. Need 2nd opinion?

Prob normal: Remember, diseases cause symptoms, but having a variety of symptoms doesn't necessarily mean you have that disease. If your testing was normal, then you need to look for another cause to your problems. However, make sure your lab was not only "normal", but appropriate for your age group, and those numbers may be slight different. Consider endocrinologist if desired. ...Read more

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I went to visit an endocrinologist. I do not have erections anymore. I went because I have low thyroid. What can he do for me. I also had brain cance?

I went to visit an endocrinologist. I do not have erections anymore. I went because I have low thyroid. What can he do for me. I also had brain cance?

Good move: I admire your courage through a difficult illness. I suspect there's been damage to your hypothalamic-pituitary axis, but I'm not the one to say. The endocrinologist will pick other illness -- prolactinoma and hemochromatosis often cause secondary erectile dysfunction in teens and young man. It's much more likely than not that a treatable cause will be found. ...Read more

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My tsh is o.886 and my t4 is 1.40, my thyroid is larger on one side than the other. I had an ultra sound was normal should I go to an endocrinologist?

My tsh is o.886 and my t4 is 1.40, my thyroid is larger on one side than the other. I had an ultra sound was normal should I go to an endocrinologist?

Possibly, if:: Your TSH and Free Thyroxine are within normal range. If your physician felt one side of thyroid was somewhat larger than the other but your thyroid Ultrasound is normal no additional studies or treatment is necessary, unless the enlargement is significant and very noticeable. In the latter case a trial of thyroid hormone (thyroxine) may, or may not, reduce the enlargement. ...Read more

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I have a 5cm hot nodule on the right side of my thyroid causing hyperthyroidism. My endocrinologist says lobectomy and surgeon says total thyroidectom?

Stay conservative.: Generally would go with more conservative approach of lobectomy. Unless there is a compelling reason to remove the other side leave it alone.

Total thyroidectomy doubles your risk of injury to recurrent laryngeal nerve and your parathyroid glands. ...Read more

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I have a benign thyroid nodule. I have an appointment withthe endocrinologist in three weeks. I have swelling in my body, severe muscle and body pain and discomfort in chest. What are my options?

I have a benign thyroid nodule. I have an appointment withthe endocrinologist in three weeks. I have swelling in my body, severe muscle and body pain and discomfort in chest. What are my options?

Yes: Sounds hyperthyroid, and it is common practice to start an uptake suppressor and a beta blocker (both at low doses) to reduce such symptoms and risk of thyroid storm. Contact your dr. ...Read more

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Diagnosed with thyroid disease at 9 years presented as hyperthyroidism and then converted to hypothyroidism. Main concern is mood changes, have done lots of research nothing that links mood changes and thyroid disease. Endocrinologist has never compromise

Diagnosed with thyroid disease at 9 years presented as hyperthyroidism and then converted to hypothyroidism. Main concern is mood changes, have done lots of research nothing that links mood changes and thyroid disease. Endocrinologist has never compromise

Thyroid and mood: Hyperthyroidism often causes anxiety. Hypothyroidism can lead to several psychiatric problems, most commonly depression. There can also be cognitive (thinking) impairment, and in severe (and rare) cases, psychosis. Correcting the thyroid imbalance usually corrects the changes in mood and thinking. ...Read more

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Diagnosed with thyroid disease at 9 years presented as hyperthyroidism and then converted to hypothyroidism. Main concern is mood changes, have done lots of research nothing that links mood changes and thyroid disease. Endocrinologist has never compromise

Diagnosed with thyroid disease at 9 years presented as hyperthyroidism and then converted to hypothyroidism. Main concern is mood changes, have done lots of research nothing that links mood changes and thyroid disease. Endocrinologist has never compromise

Mood changes: Mood changes can be directly related to hormonal levels. Very high thyroid levels mimic anxiety/agitation; very low levels mimic depression. Thyroid levels are measured by lab tests (T3, T4). If you are now hypothyroid, your endocrinologist can rx thyroid hormone to take orally to bring your levels to normal. Mood changes are more likely due to other hormone levels, and interactions are complex. ...Read more

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Should I go to endocrinologist have thyroid peroxidase ab 1010.8u/ml is it normal TSH 3 generation 3.39 T4 free 1.1 thyroxint4 9.5 no insurance ttc?

See a doctor: You have hashimoto's thyroid disease and should be treated before trying to conceive. See your primary care doctor or an endocrinologist. ...Read more