2 doctors weighed in:
Dc with graves 9/11' started tapazole (methimazole) 10/11, freet 4 midrange x 13 mo. Tsh 0 x .5yrs, no sx. ?'s: any complic. With nlt4 tsh. Do I need b-b's if no sx
2 doctors weighed in

Dr. Quang Nguyen
Internal Medicine - Endocrinology
1 doctor agrees
In brief: No
Bbl is for symptomatic relief.
The tapazole (methimazole) is your thyroid treatment. If you don't have palpitations, racing heart beats, tremors, shaking...Then you don't need the bbl. Btw, is the TSH ok or 0? Tsh takes time to go back to normal but if ft4 is normal and TSH continues to be 0 (zero) for many months, then you need ft3 to make sure it's not a toxic adenoma.

In brief: No
Bbl is for symptomatic relief.
The tapazole (methimazole) is your thyroid treatment. If you don't have palpitations, racing heart beats, tremors, shaking...Then you don't need the bbl. Btw, is the TSH ok or 0? Tsh takes time to go back to normal but if ft4 is normal and TSH continues to be 0 (zero) for many months, then you need ft3 to make sure it's not a toxic adenoma.
Dr. Quang Nguyen
Dr. Quang Nguyen
Thank
2 comments
Dr. Quang Nguyen
Need to check T3. It's not normal for TSH to be 0 with tapazole. Toxic adenoma can be seen on a thyroid U/S but the toxic part has to ben done on a thyroid uptake and scan. It's not good to have undetectable TSH for so long.
Dr. Quang Nguyen
TSIG should not cause suppressed TSH if the tapazole dose is adequate. You might need to see an endocrinologist.
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