This is topic Hypo-thyroidism vs. Hyper-thyroidism ? in forum Medical Questions at LymeNet Flash.

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Posted by xoxoxox (Member # 18778) on :
There are nodules on my thyroid. My follow up isn�t until Thursday and I am hoping to have some understanding before going but I�m still confused on the -thyroidism difference.

Hypo- = TSH high = under-active
Hyper- = TSH low = overactive

Do I have that right?

Mine is on the very low end of the range and Thyroglobulin is very high. If the above is correct, this would suggest �hyper-,� correct?
The problem is that my symptoms are closer to �hypo-� instead (weight gain, cold intolerance).

What am I mixing up?

Also, what are the standard treatments for each?


[ 04-29-2013, 08:27 PM: Message edited by: xoxoxox ]
Posted by xoxoxox (Member # 18778) on :
Bump, anyone?
Posted by kgg (Member # 5867) on :
You are right. I hope that you get some helpful info today.

For me, even though I have thyroid issues I am still cold and easily gain weight. Again for me, it is either from menopause or Lyme/Babesia.
Posted by Lymetoo (Member # 743) on :
Maybe you're going back and forth? Hashimoto's causes you to be hyper, then hypo, and back and forth. (I think!)

So you may want them to check you for that.
Posted by tdtid (Member # 10276) on :
As Lymetoo said, you could be bouncing back and forth.

Sadly, Lyme Disease can cause havoc with our thyroid and many of us end up needing to take medication for it. Myself included.

I never had a nodule in my thyroid though, so hopefully that someone that understands that aspect will be able to jump in and offer advice.
Posted by RDaywillcome (Member # 21454) on :
Some years back I was diagnosed with hyperthyroid and had a sore swollen nodule. I had a scan done and it was negative for cancer.

I am now hypothyroid and was diagnosed with hashimoto's thyroiditis.

I don't remember what my numbers showed but just went last week to have blood work done because I'm way too tired lately. Don't know if that helps but thought I'd share.
Posted by Tincup (Member # 5829) on :
FYI- Found a chart I'd saved, but the link to it doesn't work now. It has good info on hyper/hypo and adrenal symptoms.

Since the original link didn't work, I just copied the chart to the website from the document for your use if you'd like. Hope it helps.

Linked here now:

[Big Grin]
Posted by n.northernlights (Member # 17934) on :
In case of autonomous nodules, (which send out their own hormones without being asked) the TSH is low and you get hypo symptoms.

But the problem is that doctors are being taught that autonomous nodules are symptom-free til the nodule is at least 3cm.
Posted by xoxoxox (Member # 18778) on :
Thank you for the response and thanks Tincup for the table. Very interesting as some of my answers fell under "Adrenal" and some under "Thyroid" but rarely were my answers "mixed".

Met with my doctor yesterday and she told me the nodules were benign and that based on my "markers" and symptoms, she believes me to be headed for hypo-thyroidism.

She gave me the options of waiting until it is fully happening or to begin medication now and discussed with me the different choices.

Starting now seemed like the best idea to me and a prescription for Armour Thyroid was sent in plus a follow up in six weeks to assess my response.

RDaywillcome - which medication are you taking?

n.northernlights - I don't remember if she used the term autonomous or not. I'll ask her about that when I go in for my follow up.
Posted by nefferdun (Member # 20157) on :
Hopefully you will see a knowledgeable doctor. I went to endocrinologists for years and none of them diagnosed my Hashimoto's disease because they never did tests for antibodies. Finally a LLMD did the test. I had no idea!

I had episodes of being hyper which was miserable. When I asked the doctors if it was possible I could have hyper attacks, they told me that was impossible as I would have to be one or the other - not swinging back and forth.

It was some people on lymenet that told me about Hashimoto's and what it does. Now I am taking Low Dose Naltrexone and my thyroid disease seems to have halted.

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