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Old 06-08-2012, 08:13 AM   #1
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Thyroid Hormone Test Results After Surgery

Mid April I had a right thyroid lobectomy and isthmusectomy for a substernal goiter.

Today the results of my first thyroid hormone tests after the operation are:

TSH: 9.35
A few days before the operation it was 1.28. A month before it was 3.77 and two years ago it was 2.45


Free T4: 0.7
A few days before the operation it was 0.7. A month before it was 0.8 and two years ago it was 0.7

I'll be seeing my family physician in a week or so, but would appreciate any comments on the test results, especially if the TSH might normalize in time.

Thanks

 
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Old 06-08-2012, 12:55 PM   #2
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Re: Thyroid Hormone Test Results After Surgery

What is your lab range for the free t4? It seems low. If you needed thyroid meds before for a borderline loe free t4, you certainly still need it now. Often the other lobe can take over, but in your case it looks like you might have needed meds before (or a larger dose if you were on it), and you can use either an increase in meds or some hormone now to help you out.

 
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Old 06-08-2012, 01:55 PM   #3
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Re: Thyroid Hormone Test Results After Surgery

Quote:
Originally Posted by Reece View Post
What is your lab range for the free t4? It seems low. If you needed thyroid meds before for a borderline loe free t4, you certainly still need it now. Often the other lobe can take over, but in your case it looks like you might have needed meds before (or a larger dose if you were on it), and you can use either an increase in meds or some hormone now to help you out.
I've never taken thyroid meds. I'm feeling about the same as before the surgery, but I've felt that I should be more energetic for over a year.

The standard range stated is .6 - 1.2. My surgeon looked at the pre-op tests and said the the results were normal. My GP just sent me a note about the new test results and said that he thought I should start thyroid meds.

I think I will give the meds a try. MY GP never suggested meds before, perhaps relying on my Free T4 being slightly within the normal range.

Thanks for the reply!

 
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