How can I prevent the 9-mm thyroid nodule from growing?

Question

Hello doctor,

I am a 27-year-old female. Recently, I had a high blood pressure onset that lasted for four days. In addition to this, I am stressed, tired, and not looking or feeling well as I have a very engaging and stressful job. During the days of high blood pressure, I went to see a doctor, and she sent me for a thyroid check, for which I needed to wait a month. My blood pressure went to complete normal from then, but I still went for a thyroid check. I had a blood test and ultrasound. The doctor found a 9 mm nodule and sent me to gamma screening. After that, my results came, and I have prescribed 50 mg of Thyronajod (Levothyroxine and Potassium Iodine) and I needed to take it daily. But, my thyroid test was in normal with FT3 at 3.6 (normal being 1.8 to 4.2), FT4 at 1.2 (normal between 0.89 and 1.75), and TSH at 1.43 (normal between 0.4 to 4). The only thing it says is that I have a "regressive hypofunctional nodule." My general practitioner told me that I needed to take this to prevent the nodule from growing. But I am very concerned about this. Why would I be taking this medicine if my thyroid hormones are normal? Will I have to now take this forever? In addition to this, after a month of taking the only positive thing I feel is that I am a bit more alert, but I am feeling very very stressed. My hair is falling down, while my body hair has increased, my libido is lower, and I am just feeling strange. What is your opinion? Should I continue taking the Levothyroxine for six months or should I stop and look for other opinions?

Answer 1

Hello,

Welcome to icliniq.com.

I just read your query, and from what you have mentioned, it appears that you have a benign thyroid nodule that is less than the size required for the criteria for surgery. Therefore, your doctor plans to prevent it from growing further by giving you Thyroxine with iodine. It sometimes works, and in some cases, it does not. It at least helps prevent further growth. It is too small a dose, so I suggest you can take it prophylactically until your next thyroid examination. As for your hair fall and vice versa, hair growth in the rest of your body, and your one-time high blood pressure, it would help if you have your adrenal glands tested along with your renal blood flow study.

Hope you find my advice beneficial. Good luck.