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What's the best treatment?

My 28-year-old daughter's TSH was  below 0 .3 (hyperthyroid) and she had high antibodies on
the test indicating autoimmune they told us . So she went to see a specialist.  
I myself have Hashimoto's  but her symptoms are more like hypo then hyper.

The specialist is repeating the blood work but said it could be one of three
things- nodules, which he didn't feel, Graves' disease, or  silent thyroiditis,
which he  explained is autoimmune and your thyroid is inflamed . You swing
between hypo-and hyper and then you're back to normal . Each phase can last a
couple months. It isn't treated with meds .

He says the only way to know for sure which of the three it is , is to drink
radioactive iodine and see how your thyroid uptakes it. Is this true? He said if
it was his wife , he'd want her to wait at least a year before becoming
pregnant. That's scary!  And that could be a problem for my daughter.

So they can't just treat with meds? I guess I can see the problem with treating the
silent kind.

I suppose she could just wait and see if she becomes normal- that would indicate
it's thyroiditis. But in the meantime, if she has Graves she risks not being
treated with meds. And I know hyperthyroidism thins your bones - we already have
osteoporosis in our family.

5 Responses
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1756321 tn?1547095325
I've also had hyperthyroidism and I wasn't cold at all. In fact I felt hot and sweated excessively. My heart rate was high all the time and depending on how much excess thyroid hormone was in the blood, high 90's/100 + bpm range.
Helpful - 0
Avatar universal
I think about 80. Why?

The symptoms she has are weight gain, sleeps ALOT, is often cold.
Helpful - 0
1756321 tn?1547095325
You said her symptoms were more hypo then hyper? What is her heart rate per minute?

Helpful - 0
Avatar universal
So how do they determine which it is?
Just because I have Hashimotos doesn't mean she will get that. The doc said it is thyroid disease that runs in family , not specifically hypo or hyper.
And he said you can gain weight if you are hyperthyroid.
Helpful - 0
1756321 tn?1547095325
Hashimoto's thyroiditis labs can swing between hyper and hypo.
Helpful - 0
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649848 tn?1534633700
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