graves/hashimoto? confused

[alikat1205]

I was diagnosed hypo thyroid  with hashimoto's about 7 years ago and have done fine on synthroid 50 mg since that time.  About August of this year I noticed the sudden growth of my thyroid, huge and noticeable goiter where only the month before I had nothing, so I made an emergency appointment to my doctor.  She tested my tsh (only, no other thyroid tests) and got a reading of .02 and discontinued my synthroid.  I went in for a repeat TSH four weeks later and it was still .02.  I went four weeks later and it is .02.  My doctors says she suspects Graves AND Hashimotos.  How is this even possible?  She called today and recommended repeat testing in 6 weeks.  

I am uncomfortable with this plan.  First off, the huge goiter appeared nearly overnight, and that doesn't sound good.  Second, nothing is changing, so what exactly is she waiting to find out?  She hasn't answered these questions, just ignores me.  Can the goiter shrink?  If not, what are my options to get rid of it?  I don't like it or want to keep it.  Is there a possibility it is more serious?  Is doing the TSH only acceptable?  I mean, if it not changing, it seems like maybe more information is something to think about, but she doesn't think I need anything by TSH test.  Should I just keep on going for another 6 weeks (which is really more like 8 because of the holidays) and not treat this very low number?

[goolarra]

You should really have it tested before you try supplementing it.  Pernicious anemia is the inability to absorb B-12 through the gut.  People who have PA have to inject B-12 for that reason.  If you're simply deficient, oral supplements should work just fine.  If you do have it tested, keep in mind that you want to be well up into the range for B-12.  Anything under 500 is a distinctly questionable result.

[alikat1205]

I guess I don't know just looking for help anywhere I can get it.

[goolarra]

Most people who inject B-12 do it themselves at home.  I imagine it would depend on the endo and whether he keeps B-12 on hand or not.  

Are you deficient in B-12?

[alikat1205]

Also, I have been reading about b12 injections, can the endo do them? will they? is it worth asking when I meet my new doctor?  

[alikat1205]

I have an appointment in April with a new doctor.  I have not taken any thyroid replacement since September.  My former doctor asked me to stop to aid in testing.  I am suffering from daily headaches.  I forwarded my new doctor all of my labs and I am just waiting.  :(

[Totie]

I honestly could not tell you. I was young and a new mom at the time. I thought I was just working to much and with an 8 month old I never bothered to see when they symptoms actually came about.

Only reason I was going to the doctor was due to headaches. The doctor at the time treated me for depression due to be a new mommy and working full time. I had been going to the doctor for like 3-4 months prior to my neck swelling. I had a very uneducated dr. at the time ...

I only found out about the thyroid by chance. My necked swelled one evening and well being 88 lbs  it was noticeable to my dad. I went in after hours and it took the on call doctor 30 seconds to tell me it was my thyroid. All I had to do was stick my hands out for him and he knew right away. (My hands were trembling so bad I never even noticed...

If I had to guess, it was probably more like 6 months of being untreated, but only because I was not aware of the changes in me.