5 doctors weighed in:

How is graves' disease treated now?

5 doctors weighed in
Dr. David Djang
Nuclear Medicine
2 doctors agree

In brief: I-131 > meds > surg

Many people try the anti-thyroid meds first (ptu (propylthiouracil) or methimazole), but these only work long-term for a modest number of people.
If someone has tried and failed one of those meds, then they become more open-minded to the i-131 (radioactive iodine). I-131 usually works well and has a low side-effect profile. Surgery is an option, but has risks, and almost no one actually chooses it.

In brief: I-131 > meds > surg

Many people try the anti-thyroid meds first (ptu (propylthiouracil) or methimazole), but these only work long-term for a modest number of people.
If someone has tried and failed one of those meds, then they become more open-minded to the i-131 (radioactive iodine). I-131 usually works well and has a low side-effect profile. Surgery is an option, but has risks, and almost no one actually chooses it.
Dr. David Djang
Dr. David Djang
Thank
Dr. Dan Fisher
Internal Medicine
2 doctors agree

In brief: Beta block + I 131

Initial treatment to control symptoms.
Beta blocker sufficient for mild symptoms. Radioactive iodine (i131) is mainstay of therapy for ablating overactive thyroid. Some opt for medications to control hormone release but these don't work so well long term. Surgery is option but not without significant risk such as permanent damage to nerves or loss of ability to regulate calcium.

In brief: Beta block + I 131

Initial treatment to control symptoms.
Beta blocker sufficient for mild symptoms. Radioactive iodine (i131) is mainstay of therapy for ablating overactive thyroid. Some opt for medications to control hormone release but these don't work so well long term. Surgery is option but not without significant risk such as permanent damage to nerves or loss of ability to regulate calcium.
Dr. Dan Fisher
Dr. Dan Fisher
Thank
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