questions about hashimoto;s treatment

[sunflower72]

I was diagnosed with Hashimoto's and a benign nodule about 10 years ago by my PCP.  I have been stable on 200 mcg per day for most of that time, even during breast cancer treatment, 5 years of tamoxifen, surgical menopause and 25 pounds of weight loss.  My health has been stable for about 18 months and when I went in form annual checkup, tsh was.01 (0.27-4.20), ft4 was 2.26 (0.8 - 1.7) and, I am having lots of hoarsness, neck pain, night sweats, intolerance to cold during the day, etc.  He changed my dose to 175mcg and told me to come back in a few months.  I have been on the new dose for a month, still feel awful and have started to do some research and am more confused than ever.  

Does this course of treatment make sense?
Should I (and my PCP) be concerned that all of a sudden - for no apparant reason - my labs are so off and I am feeling so awful?
Should I push to see an endo?  there aren't many in my area and the wait is months - is it worth it for me?

[MANmom]

I would also recommend an ultrasound, I was having the same symptoms as you, had my nodules for more than 8 years, and had a lobectomy to remove three on my right side.  This surgery alleviated my symptoms of hoarseness and swallowing, but they did find small microscopic cancer, so I am having the other side with one large nodule removed.  Push for an ultrasound and if needed an FNA biopsy, the hoarseness and neck pain are symptoms you should not ignore.

[rumpled]

I would go see an endo.  You need to get an ultrasound on your neck and a check up. TSH is also a pituitary test and that is really low so you need a full check of your hormones. Just those two tests alone are not telling you how you are.