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  • TSH is <0.05 1month after Thyroidectomy

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    Old 03-13-2013, 06:05 PM   #1
    Kristend1967
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    TSH is <0.05 1month after Thyroidectomy

    I had a thyroid nodule that was said to be highly suspicious for papillary cancer. I had a total thyroidectomy 2/11/13. I was on 100mcg of levothyroxine. 1 week after surgery my doc increased it to 150mcg based on my symptoms. I had a tsh done yesterday the result was <0.05.

    What does this mean? I am still exhausted and cold all of the time. I have gained 20lbs in the last 3 months.

    I've never had any problems until this nodule popped up 6 months ago.
    I did have a stroke in 2011 but no effects from it.
    Help!!! I just want to feel better!!!

     
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    Old 03-14-2013, 08:19 AM   #2
    midwest1
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    Re: TSH is <0.05 1month after Thyroidectomy

    You must have free T4 and free T3 tests done. These are the actual thyroid hormones. TSH is a pituitary hormone that's just an indirect indicator of thyroid status. Right now, based on TSH of .05 alone, you would appear to be overmedicated. Did he tell you to reduce the dose?

    You can't trust any doctor who wants to treat based on symptoms alone, because symptoms can lie. Even though all your symptoms may seem hypoT, they can actually sometimes mean hyperT. And you can't trust a doctor who treats by TSH alone, because TSH can lie. You absolutely must have at least a free T4 test each time you have a TSH test. The results should be considered in the context of symptoms. There is no other way. Just willy-nilly changing doses based on nothing else concrete is not likely to work long-term.
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