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Suggest Treatment For Nodules On The Thyroid

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Posted on Thu, 4 May 2017
Question: I have had nodules on my thyroid for years. Biopsy always come back normal. In my pre-op blood work my TSH came back at .310. They did not run the full thyroid panel. Is my number more on the Hyper or Hypo side?
Not sleeping, dry skin, cold all the time.
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
TSH

Detailed Answer:
At face value, the TSH appears to be on the lower side, likely below the lower limit of normal for most laboratories. But you must confirm the normal ranges on your report. A low TSH generally indicates an Over-active thyroid state, called Hyperthyroidism. However there is a rare condition called Central Hypothyroidism which can also have a low TSH.

If the report indeed has flagged the TSH report as abnormal then the next typical step is to order Free T4 and Total T3. These are blood tests which can be done at any time and do not require fasting. Often if the blood sample is still with the lab, then the same blood sample can be processed for the above two tests. This would be ideal.

You should consult an endocrinologist in-person who will have the opportunity to thoroughly examine you before making an accurate diagnosis
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (3 days later)
TSH was .8, my t3 and t4 were both high. What is the next step to take, I am a recovering anorexic and bulimic but am of normal weight now. I have a huge fear of gaining weight if I go into Hypo, but the effects of the Hyper are just to difficult to live with any longer. Any suggestions would be helpful. Thank you in advance.
Shonnie
doctor
Answered by Dr. Shehzad Topiwala (4 hours later)
Brief Answer:
Follow up

Detailed Answer:
This is unusual. When T3 and T4 are high, typically the TSH is low and below normal. This raises the possibility of some rare conditions like Central Hyperthyroidism and Resistance to Thyroid Hormone (RTH). You need to consult an Endocrinologist in-person
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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Suggest Treatment For Nodules On The Thyroid

Brief Answer: TSH Detailed Answer: At face value, the TSH appears to be on the lower side, likely below the lower limit of normal for most laboratories. But you must confirm the normal ranges on your report. A low TSH generally indicates an Over-active thyroid state, called Hyperthyroidism. However there is a rare condition called Central Hypothyroidism which can also have a low TSH. If the report indeed has flagged the TSH report as abnormal then the next typical step is to order Free T4 and Total T3. These are blood tests which can be done at any time and do not require fasting. Often if the blood sample is still with the lab, then the same blood sample can be processed for the above two tests. This would be ideal. You should consult an endocrinologist in-person who will have the opportunity to thoroughly examine you before making an accurate diagnosis