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Message: <blockquote data-quote="HSSS" data-source="post: 1910089" data-attributes="member: 480869">Ive had tiredness issues for years. 10 yrs ago diagnosed with a multinodular goitre and lowish levels. At that’s time a fnb was all clear. Monitoring over the years of the and t4 and the occasional t3 all showed lowish levels but within normal. I’ve been convinced my normal should be higher.   This year I had a sudden lump come up on my throat. Within a week I saw a specialist and 2 weeks later had half of it removed after a suspicious biopsy.  it was very luckily all clear.  Just a not so pretty throat slashed scar. the surgeon said go away unless you have symptoms.  Apparently post hemithyroidectomy level dip and get treated permanently but left alone it can rise again in many cases. Gp decided monitoring was in order.  Tsh has more than doubled. T4 remains similar. I guess what’s left is working double time to keep up.  Apparently I’m likely to face that half giving up exhausted at some point but no way of knowing when. I’ve done a fair bit of reading around it. Tsh alone is not enough to diagnose anything. T4 helps a fair bit but t3 is what we actually use. The assumptions are if tsh is ok then t4 will be and if t4 is ok then t3 will be.   Not always the case. Antibodies should also be checked at least initially.</blockquote>

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