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Diagnosed With Hashimoto's Disease, Thyroid Problem. Taking Cytomel. Suggest Treatment?

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Posted on Thu, 22 Aug 2013
Question: Hi. I have a thyroid problem. Four years ago I was diagnosed with Hashimoto's disease and my antithyroglobulins were very high - 2700. Since then, I am off gluten. Lately, a new thyroid test was done. My TSH is still high, 5.450 and my T3 borderline low, 2.5, but the antithyroigloblins are now very low, just 21. Yet I still have thyroid symptoms and was recently found to have a "tiny" nodule, which has not been further worked up. The new doctor prescribed Cytomel, 5m, twice a day. Previously, I was taking (off and on) Naturethroid, 15 mg. So do I still have Hashimoto's disease? If not, why has my thyroid developed a nodule (although it could have been present before, since this was my first ultrasound of the thyroid.) And do you think Cytomel is the best medicine for me? Why not just a higher dose of dessicated thyroid? I try to avoid pharmacological substances as somewhat toxic and this one is also very expensive.
Thank you.
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Answered by Dr. Shehzad Topiwala (26 minutes later)
Would you know if you had a blood test for thyroid peroxidase (TPO) antibodies? Typically it is not the quantitative value of the positive antibodies like TPO and TG (Thyroglobulin) but whether or not they are abnormally high or not, that matters most.

There is no need to go off gluten if thyroglobulin antibodies are positive

It would be best if an endocrinologist took care of your thyroid condition

Most nodules are benign.

Cytomel is not recommended to treat hypothyroidism. Levothyroxine is. It is available in generic forms and costs only a few dollars for a monthly supply are major pharmacies.

The following links will give you more information:

WWW.WWWW.WW
WWW.WWWW.WW
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Diagnosed With Hashimoto's Disease, Thyroid Problem. Taking Cytomel. Suggest Treatment?

Would you know if you had a blood test for thyroid peroxidase (TPO) antibodies? Typically it is not the quantitative value of the positive antibodies like TPO and TG (Thyroglobulin) but whether or not they are abnormally high or not, that matters most.

There is no need to go off gluten if thyroglobulin antibodies are positive

It would be best if an endocrinologist took care of your thyroid condition

Most nodules are benign.

Cytomel is not recommended to treat hypothyroidism. Levothyroxine is. It is available in generic forms and costs only a few dollars for a monthly supply are major pharmacies.

The following links will give you more information:

WWW.WWWW.WW
WWW.WWWW.WW