Re: Inflammed Thyroid | Possible Hashimotos ?
Hi 118 and welcome to the board,
You have a lot going on in your life that would be hard for most of us to deal with so well done you for battling on, while you do not have many choices in this you are obviously staying on top of it and continuing to find ways to strengthen yourself to continue being strong for your child,
A goiter generally is part of thyroid disease. Presuming your antibodies tested positive for hashimotos you might find at times you are anxious, fast heart rate etc as you have described above along with periods of exhaustion etc which is typical of the hashi rollercoaster journey.
While your TSH might be 'in range' according to your labs, healthy people have a TSH of approx 1. The range has been reduced in some countries but its still not low enough especially as you have classic symptoms of is this.
Correct levels of medication can shrink goiters but you are only on a starter dose.
Selenium is also know to help with this so if you have no other options right now perhaps try supplementing but ultimately you will need proper care and an increase in meds to get you on the road to feeling better.
For testing purposes you should request
Cortisol (treating thyroid with too high or too low levels of this is contra indicated, out of range or even low or high in range will all affect it)
Frees FT4 and FT3. (Thyroid meds suppress TSH a good doc will treat you by your FT4/3 levels along with symptoms and these are far more important than TSH)
Iron/ferritin/saturation %/ TIBC (it is very important to have these at a good level)
If your cycle is off also possibly check your female hormone panel FSH, oestrogen testosterone progesterone etc. hashimotos can affect all the hormones in our body as can adrenal fatigue. Correcting adrenals and thyroid can help this immensely.
A note on iron. People with hashimotos tend to have low iron and can have low B12, (pernicious anemia) having high B12 does not necessarily mean you ferritin levels will be ok. I cannot comment on high B12, I have had no experience in this except to say if you take supplements with B12 or highly fortified cereals with b12 consider reducing the intake to bring your level back in range.
I am also going to suggest that when you see your doctor on this if he/she is unwilling to test for even some of the above, or continues to treat you on TSH only, do not waste time trying to convince them. Google top thyroid doctors in your area or ask at a local compounding pharmacy who uses natural dessicated thyroid, these prescribers are generally more forward thinking in pro active thyroid treatment and will be far better for you. You need to advocate for yourself in this and it is daunting, but you do not have the time to give to a doctor who does not have the savvy to treat your thyroid properly and the sooner you are treated correctly you will find new strength to continue your journey. I wish you all the very best. You need to try and make you a priority right now, hashimotos does not go away and it will continue to disimprove while you are under medicated.
Take care of yourself. Best wishes. Surfer.