thyroid issue - to medicate or not?

[lucky3]

recent tsh #s: (range 0.4-4.5)
1)  3.18
2)  2.66
3)  no sample
4)  6.94 high
5)  5.74 high
6)  no sample

recent prolactin #s: (range 2.8-26.7)
1)  52 high
2)  49.23 high
3)  46.8 high
4)  48.9 high
5)  49.7 high
6)  53.1 high

antibodies:
tpo - high 749 (0-34)
tgab - high 38 (0-20)

symptoms:
typically warm
basal temps norm
tons of energy!
occas heart palps (congenital murmur)
weight loss - change of diet
very occas tingling in wrists
rash - previous 6 yrs on thighs, arms, belly - now healing
dry eyes (seasonal?)

thyroid -
enlarged, soft
5 nodules - 1.5 - 3.9 cm
biopsy of all nodules scheduled for 11/8/07.

dx:
subclinical hypo-t  - hashimoto's
hyperprolactinemia - poss related to hypo-t

i was informed when antibodies are present, tsh is "useless."

got script for 50 mcg synthroid today, but haven’t had a chance to fill it yet. concerned about symptoms being more hyper-t than hypo-t, and what med might do.

i feel the best i've ever felt!

any and all help is appreciated.

[lucky3]

back again. haven't got anywhere lately with the docs. waiting for appointments for second opinion.

actually, i could use some input concerning which type of doc to see first.

medical endocrinologist (m-endo) directed me to reproductive endocrinologist (r-endo). and in turn, the r-endo directed me to a m-endo. then, just for fun, another doc suggested a neurological endocrinologist.

the big question is: which caused which? did the thyroid cause the prolactinemia? or did a pituitary tumor cause the tsh to rise?

ps. i have confirmed hashimoto's.

any suggestions where to start?

i'm still feeling great.

[lucky3]

(i just posted this to dr lupo)

surprise!
went for the biopsies today. or so i thought.
the tech and doc questioned the previous u/s. it appears that all the nodules...are not!
both u/s indicate heterogenous appearance.
now it's just watch and wait, and another u/s in about 4-6 months.
will check with endo, gyn and ent for further instructions concerning synthroid, or other.


thanks for the good wishes!

[sophiesudane]

With Hashimotos your levels can be all over the place. Your body is attacking the gland so sometimes it works and sometimes it doesn't.  I believe that by putting you on the meds the docs are trying to stabilize your levels a bit.  I had Hashi and went from hyper to hypo, etc... I bounced back and forth, but finally ended up as hypo.

Good luck with your biopsy. My fingers are crossed for you.  

[lucky3]

great question! thyroid has been enlarged for 10-15 years. fill-in nurse for my pcp ordered these tests. no one else ever bothered to look at anything but tsh, so they never got the complete picture.

i just went along the the fill-in nurse, figuring she was barking up the wrong tree.

whether it was intuition or cya, i'm not sure.

after the biopsy tomorrow, we talk mri w/ gadolinium. risky for me, though.

back to the blood work...could it be that i am on a swing from hyper to hypo???

[Allyson007]

Curious.....if you're feeling great, what symptom was it that brought you to the doctor and initiated all these tests?