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THE Q & A
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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.
Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.
Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.
Copying of any posts is prohibited without permissions.
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| amy |
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Joined: 1/27/2012
Posts: 3
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hi elaine,
i was diagnosed with graves 9mos ago based on my symptoms and TSH, FT3 and FT4 levels only i was not given anti bodies test endo said no need for that and said that i have graves. i had a thyroid ultrasound too and found nodules but endo said that no need to do fna as they were very small..for the past 3 months my levels were normal but i'm still having symptoms like palpitations, brain fog, weakness and anxiety..my question is how to know if nodules is causing all these hyperT symptoms and its not really graves as i haven't undergone antibody test? and what to do if nodules is the culprit? what treatment do i need to under take?
thank you so much for helping i really appreciate that you spend time with us....
thank you,
amy
im taking 60mg tapazole on the onset of graves and slowly decreasing dosage as numbers stabilize now i'm taking 2.5mg ( i split the 5mg) for the past 1 and half months now but still feel palpitations and anxiety recent numbers were TSH .91 (ref range .27-3.3) FT3 5.8 (ref range 4.2-12) FT4 20.1 (ref range 8.8-33) taken last Jan 24, 2012....
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| Elaine |
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Joined: 8/1/2008
Posts: 3531
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Hi,
I'd find a new doctor if that's possible. You could easily have toxic multinodular goiter rather than Graves' disease. Without tests for thryoid antibodies, there's no way to know if you have Graves' disease. In both conditions, the gland can be enlarged.
Anti-thyroid drugs work for either condition but my concern is that the recommended starting dose for Tapazole is 20 mg. It used to be 30 mg but studies showed that patients were far less likely to develop side effects on a 20 mg dose and that there were no benefits from a higher dose. Your FT3 level is probably too low for you and may be causing the palpitations and anxiety (these can occur in hypoT). Usually, TSH stays very low, often <.01, unless you're near remission in GD or your ATD dose is too high. Your FT4 is ok but it could be higher. Why don't you ask about lowering your ATD dose?
best, Elaine
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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.
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