Doctor insights on:
What can cause depression, anxiety, weight gain, heart palps, fatigue, night sweats? Have goiter/swollen thyroid. Doc says thyroid is functioning ok?
Taking ptu (propylthiouracil) for overactive thyroid and Clomid also; does smoking affect thyroid hormones?
Eye disease: Smoking will greatly increase your risk for developing grave's exophthalmopathy. Essentially, the eyes are pushed out because of immune deposits behind them. This will make it difficult for you to close your eyes. People go blind from this depending on severity. We don't understand why smoking increases your risk but it does. ...Read moreSee 1 more doctor answer
Enlarged pituitary, no adenoma. Neurological endocrine system disregulation incl. fluctuating thyroid hormone w/goiter (when high). High urine pH 9.0.
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Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?
Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read moreSee 1 more doctor answer
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
Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms
Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more
Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?
In subclinical hypothyroid with normal antibody tpo.Who gland responsible for sh pituitary or thyroid.
Check free T4: The most common cause for having a high total T4 and T3 (liothyronine) level, with a normal tsh, is being on a birth control pill. Being on a birth control pill raises binding proteins that affect thyroid levels, but the biologically active thyroid level remains normal. This is best measured by a free T4 level. ...Read more
Usually not: Goiters usually grow out, not in, and do not affect vocal cords, trachea, or esophagus. Sometimes, big nodular goiters in the elderly can do this, but not usually. However, if the goiter is producing either hyper or hypothyroidism, that can certainly affect the vocal cords. Hypothyroidism could turn you from an alto into a tenor.... Or more. ...Read more
Levothyroxine.: Levothyroxine, generic form of synthroid, has many advantages over armour thyroid. The armour product has significant batch to batch variation and has T3 (liothyronine) in it. Since the T3 (liothyronine) portion of armour has a very quick onset and short duration, it can wreak havoc with the ability to effectively treat hypothyroidism. Until there is a long-acting form of T3 (liothyronine) available, stick to levothyroxine. ...Read moreSee 1 more doctor answer
What does it mean to have high tpo antibodies but Normal tsh t4 t3 (liothyronine) function? Enlarged thyroid-US heterogenous thyroid parenchyma with hypervascularity
Thyroiditis: You likely have thyroiditis (autoimmune)in its early stage and you need to consult your doctor for Rx and monitor. ...Read more
Tsh 0.11, T4 1.5, on Synthroid (thyroxine) .112, what do these labs mean? Hair falling out, major symptom. Atrophic thyroid. No antibodies. Empty sella.
Thyroid tests: Depending on the normal range for that lab, it looks like the FT4 is normal, but the TSH is slightly low. Your doc may want to lower your dose of synthroid (thyroxine) slightly, but perhaps repeat the tests first, and check that you are taking the synthroid (thyroxine) consistently. The thyroid issue may have nothing to do with your hair. Sometimes empty sella has other hormone abnormalities. ...Read more
Normal lab results, hyper thyroid symptoms. (tachycardia/insomnia) is Synthroid (thyroxine) or armour preferred? Possible adrenal issue?
Not for hyper: Adding thyroid hormone replacement to a hyperthyroid gland will exacerbate the problem. If there is underlying adrenal insufficiency, adrenal crisis is more likely to occur in someone with hyperthyroidism. Highly recommend endocrine evaluation if you have these issues. ...Read moreSee 1 more doctor answer