Doctor insights on:
Thyroid Goiter And Ketosis
We no longer: Use thyroid hormones to augment weight loss. It can have serious complications like irregular heart rhythms. In reality, we use thyroid hormones like Liotrix to replacement someone's levels to normal. Hypothyroidism can lead to weight gain and restoring levels to normal(thyroid wise) can help some element of weight loss. in reality, it doesn't usually lead to significant weight loss. ...Read moreSee 1 more doctor answer
Ketosis describes a state of increased ketone bodies in the blood stream. Ketone bodies are generated from the breakdown of lipids (fat) when there are low levels of blood sugar or cells are not able to absorb the blood sugar present, as in diabetic ketoacidosis. Some diets which limit carbohydrates cause low blood sugar and may also result in ketosis. Ketone bodies disrupt the acidity of blood and when dangerously elevated can overwhelm the buffering ability of the body and ...Read more
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism.
If not Hashi's, what causes my Hypothyroidism? Pituitary?
To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
Have thyroid goiter and inflammation. No nodules. Feel lump in throat. On Synthroid (thyroxine) 75mcg for hashimotos. Can you have thyroid cancer with no nodules?
When will i stop gaining weight after thyroid ablation for graves' disease. Thyroid labs at good levels on synthroid (thyroxine)?
Possible!: Grave's is an autoimmune disease when thyroid antibodies bind to thyroid stimulating receptors. Overporduction of thyroid, which also increase your metabolic rate, burning more calories than normal. If your thyroid levesl are now kept normal, you may probably gain weight if your appetite is the same as when you had untreated grave's disease. ...Read more
I have hypocretin deficient narcolepsy which reduces TSH levels along with autoimmune hypothyroidism. Is the TSH test reliable to gauge my thyroid?
Not always: TSH is not always a reliable test, because it relies on what the pituitary thinks, but different tissues may have different sensitivity to thyroid hormone. In addition, some people make too much reverse T3 (liothyronine), (liothyronine) which can block the action of T3 (liothyronine). Google "stop the thyroid madness" ...Read moreSee 2 more doctor answers
What is the risk of weight gain post one lobe thyroidectomy followed by Synthroid (thyroxine) in an obese subclinical hyperthyroid (not hypo) person?
Thyroid: Very low since you still have half the thyroid and are on medication. Have your thyroid levels checked ...Read more
Why could I swing back & forth from hypothyroid and hyperthyroid (thyrotoxicosis)? Neg. antibodies for Hashi's and Graves'. Have multinodular goiter.
Thyroid: It often depends on when you take your medicine. I think it best to take thyroid medicine at bedtime. Give it a bit of time and your levels should be stable. Yes, they could be stable and high or stable and low. Once you have settled on that please see your doctor. ...Read more
What is the significance of radioactive iodine scan in various throid diseases like myxedema, hashimoto's thyroiditis and graves disease?
Hot vs. cold nodule: Iodine uptake by thyroid tissue depends on functioning cells. The most common use for thyroid scan is to assess if a nodule is functional or not. A functional/hot nodule may cause hyperthyroidism but is not likely to be malignant. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003829.htm. ...Read more
Ideally, none: Thyroid hormone in any form is not a weight loss product. Many people, especially those with weight problems to begin with, find that taking too much thyroid hormone can lead to weight gain just as easily as taking too little thyroid hormone. Thyroid hormone should be adjusted to match what the body would make if the thyroid were working normally., and should be weight-neutral. ...Read moreSee 2 more doctor answers
Neither.: If you have normal TSH and T4 you have neither of those diseases yet. You may develop hashimoto's in the future but may not. Progression should be monitored with TSH and possibly ft4. ...Read more
Which test is best to monitor thyroid levels in thyroidectomy patients, just ft3 and ft4, TSH and ft4, or like i feel should be tsh, ft3 and ft4?
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