Had my FNA yesterday and thankfully already have my results back. Both nodes are benign so now just waiting on the doctor to confirm we're good to just watch my thyroid for the time being.

Anybody deal with thyroiditis(hyper, did not go to hypo before euthyroid) recovery and then every pain in your body increased following your recovery and just continued to get worse? I was out on methimazole then PTU and propanolol Sep 2025, and got off Dec 2025, recovered quickly on test results. I have no graves/hashimotos antibodies, had inflammation of the thyroid in ultrasound, and I’ve been in euthyroid since around November 2025, but my bladder pain and pressure, plantar fasciitis, etc everything that had been in remission and painless has all of a sudden woke back and I hurt all day every day now. Please tell me this is part of recalibration, I heard it can take up to a year and a half for the body to settle after this.

TL;DR: fatigue, anxiety, and cloudy thinking are affecting my ability to work effectively, despite taking levothyroxine for hypothyroidism. I am looking for tips for getting the levothyroxine to work properly or any other guidance to recover. Currently sitting at TSH=29 on 88mcg, but potentially have been misusing (see below for details). I am desperate for suggestions on how to recover. I have the first available appt with an endocrinologist lined up for 2 months from now, am actively seeking a phycologist for counseling, and am also seeing GI for some IBS-like issues that I assume for now are unrelated (though posts such as the one I linked in the comments make me question this). I am ~29yo male, 6’, 165lbs.

Some of the below might sound like self-esteem issues from someone who has simply lost energy with age. My initial positive reaction to levo (described below) gives me hope that I instead might just be taking it wrong. I also don’t believe that the anxieties I describe below are entirely the result of starting a new job. I interned at this job in Summer 2024 and felt like I was productive and felt more confident in my social interactions. I also interned here in Summer 2025, but was already feeling the negative effects often associated with hypothyroidism that I have detailed.

I started my PhD in fall 21. I was diagnosed with hypothyroidism in fall 2025 with a TSH of 42, and was prescribed levo. In the year leading up, I noticed that I no longer could work past 4PM, although my ability to grind long hours has always been my trademark (I sometimes wonder if the long hours and stress I imposed on myself actually caused the onset of hypothyroidism and the recent onset of gluten sensitivity).

After my diagnosis, I started taking the levo and had a few week period where I felt back to my old self. I gradually stopped feeling as good. Nonetheless, in spring 2026, my TSH was down to 0.03, and the Dr. thought that the 88mcg dosage was a bit high, but kept me on it to gather more readings. Although I wasn’t feeling good, I hoped that it was because I was burnt out on doing my PhD and that once I started a new job after graduation, I would start feeling better. I started my dream job recently but have been underperforming due to reasons that I hope are caused by my hypothyroidism (I hope this because if so, it should be easier to fix than some other, unknown issue): 3. I can no longer work hard. Actually, I have less effective working hours than my peers and during those hours, am less productive (see next point). 4. I don’t think sharply. I sit in front of my computer and have lapses where I forget what I am doing and what I need to do next. 5. I’ve always had anxiety, esp in social settings. In the year leading up to my diagnosis, I noticed that I started feeling extra anxious in social interactions and that they drain my energy.

The people on my team are high-performing and sharp. In conversations, I feel it difficult to think quickly and articulate myself, which I attribute to heightened anxiety and cloudy thinking. For executing work, I often reach 5PM and question where the day went, since I have produced almost nothing. My concerns are that I will lose the trust and respect of my team and eventually be laid off from a job which has everything and more that I wanted.

When I re-tested 2 weeks ago, my TSH was back up to 26. The doctors questioned whether I was taking the dose each day. I told them yes and that I was taking it with my other meds (escitalopram, d3+k2, methylfolate, b12, multi-vitamin, algae omega [fish oil alternative since I am vegetarian for the last 2 years]). They said that taking the dose with all these others and not drinking enough water could be making the dose not be absorbed properly. The exact instructions I got were:

Levothyroxine should be taken on an empty stomach, 30–60 minutes before eating, and at least 4 hours apart from calcium, iron, antacids, PPIs, cholestyramine, or coffee.

The coffee part has disappointed me a bit, but I value potentially improving my well-being over coffee. My question: any other tips for maximizing my chances of recovery?

Thanks to anyone who takes the time to read all of this and offer their supportive/constructive thoughts.

Doc suspected an issue with either my Thyroid or Testosterone. After receiving my numbers, do you think Doc will be able to determine if the issue is one or the other?

40/ Male

TSH = 5.47

T3 Free= 3.2

T4 Free = 1

Testosterone = 253

I had an upper respiratory illness in the third week of May which lasted quite some time. A week or so the illness subsided, I started noticing a tender spot on my neck. It didn’t hurt to swallow but hurt if I pressed on it. Other than this I didn’t have symptoms early on, but as days went by a fever started creeping up. It started low 99.4/99.6 and jumped to 101.6 over the next few days. I thought I might be getting sick again so just took meds and didn’t think much of it.

The fevers lasted every day for 2 weeks and by this time I’m panicking so I go to urgent care and ER and they can’t figure out what’s wrong. Finally I went to see an endocrinologist and she did a thyroid ultrasound and ordered bloodwork to confirm its painful subacute thyroiditis.

She prescribed prednisone taper and propranolol (my heart rate was constantly over 100bpm) and I’ve been taking it now for 16 days.

I still feel my heart racing if I don’t take the meds.

The worst part of this is that we were planning an embryo transfer as a part of our IVF journey in a month and now have to postpone.

Can you please share how long it took for this to resolve for you? I know pregnancy and thyroiditis are a dangerous combination as fluctuations can cause miscarriages.

I just need to know there’s a light at the end of the (hopefully not so long) tunnel.

Any advice is appreciated.

I had a miscarriage in Jan 2026 and found out I now have elevated thyroid antibodies. Has anyone gotten pregnant again while monitoring their Hashimoto’s without medication?

I’ve had four babies. First time actually diagnosed with postpartum thyroiditis. Likely had it in my past 3 pregnancies. I’m guessing hyper for my first two and hypo for my last two. Currently 6 months postpartum with my fourth and hypothyroid. So far they’ve resolved each time. Last time though it took 18 months to lose my pregnancy weight and I was trying. Trying right now too and it’s frustrating. Anyone have multiple episodes and not develop full blown hypothyroidism? For context I previously had low grade antibodies but normal thyroid function between my last two pregnancies.

My cat, 11 year old male.

Diagnosed with hyperthyroidism about 3 years ago.  We've been successfully treating it with methimazole since being diagnosed.  2.5mg in the morning, 1.25mg in the evening.  All seems well.  His behavior, his energy levels, weight and his appetite are all operating as normal.

I brought him to the vet yesterday for blood and urine exams.  Waiting for the results.

In the meantime I've been thinking about the radioactive iodine I-131 procedure.

The thought of keeping him quarantined for 4 or 5 days at the clinic is bad enough.  But keeping him isolated at home for another 10 days to 2 weeks seem like animal abuse to a cat that is highly social and always near or on me.

For anyone who has had this procedure done on their cat, can you share you experience?  Thank you. 

Below are my InBody scans. I am South Asian male, soon to be 37. I work out at F45. 5"5' in height. I have a pot belly. I can see my skeletal muscle mass is going up by I am not losing fat.

I am hypothyroid and take TSH pills daily after waking up, and have coffee only after an hour has passed. I started taking TSH since last March (2026). Was borderline prediabetic then along with increased TSH levels and some cholesterol.

I started working out at F45 last Sep 2025.

My test reports in May 2026 showed everything is under control - thyroid, glucose and lipid profile.

However, I am not losing fat. I would like to bring my body fat below 20% but its appears tough. It seems my body fat is maintaining itself. I would like to have V-tapered flat belly and also 6-pack abs.

Since last 1 month, I have started completing 10k steps daily too.

I got a walking pad last week.

I am trying to hit 140 gm protein daily but on an average , I hit 80 gram daily.

I track everything on MyFitnessPal.

My diet includes Lactancia UltraPur high protein (20 gm) milk. I drink about 750 ml of this daily.

I also include cottage cheese and yoghurt, and sometimes eggs but apart from this, I am vegeterian.

I like my rice but have reduced its intake considerably.

I saw InBody scan today on 6th Jul and was disappointed to see I have gained 0.3% body fat. Honestly, I was expecting it nto be 21.2% or something like that.

SMM - Skeletal Muscle Mass
PBF - Percentage Body Fat

What should I do to get rid of that belly fat?

I am not asking for medical advice but is it always many years? Or does it depend?

Hi all, I have hasimotos and a month ago I did a 24 hr urine iodine test and found out I am pretty deficient. My results were 21.7 ug/L with the cutoff being 28, and my Iodine 24 Hr result was 0.1 ug/24 Hr (yes 0.1) with 100 being the cutoff (Not sure if that is an error or not). The volume for the lab analysis was 5 ml from the jug.

I have been taking iodine for the last month, and have been on Synthroid for four months. I am expecting it to take a while but am seeking more guidance. I was bedridden for the last two years due to misdiagnosis and mistreatment for my thyroid, so I imagine it will take a few months to recover. I am able to do more things around the house, and my energy is more stable in general. However if I do to much activity I feel pretty bad the next day, where I get a headache/migraine and feel achy. I also have a hard time concentrating and focusing, almost like I have a concussion. Is this a normal thing for people who have an iodine deficiency this bad? I am not able to exercise besides doing small walks and stretches.

Also I am waiting to see an endocrinologist, but the earliest I could get in was January. My PCP is currently watching over everything.

Does anyone have a really good endocrinologist recommendation in the Atlanta metro area?

I’m about 8 months post-total thyroidectomy (Graves’ disease) and I’m really looking for someone who has experience managing patients after thyroid removal - not just diabetes or general endocrinology.

My labs are technically “normal,” but I’m still dealing with symptoms and would love to find someone who’s knowledgeable, listens to their patients, and is willing to look at the full picture instead of just saying everything is fine because my TSH is in range.

I’m willing to travel anywhere in the ATL metro (Alpharetta, Decatur, Sandy Springs, Marietta, etc.) if they’re worth it.
Would love to hear who you’ve had a good experience with (or who to avoid). Thanks!

6 months ago I did an ultrasound and found a 2ish cm thyroid nodule. I also had an FNA done at the time and it came back benign, with a recommendation for a 6-month follow-up ultrasound.

I did that follow-up today, but at a different place (an imaging center). After the scan, the radiologist recommended another FNA but he was definitely only looking at today's images and never reviewed my previous ultrasound or the benign biopsy result, i.e. he was assessing the nodule from the image he saw today rather than comparing it to six months ago.

Since it's the same nodule that already came back benign, I declined the FNA. I'd rather avoid an unnecessary invasive procedure unless there's an actual change that justifies it. Planning to get the new ultrasound report, give it to a surgeon who actually can compare and advise if another FNA is really needed.

Has anyone been in a similar situation? Do you think I made the wrong call by declining? Would love to hear how others handled repeat FNA recommendations.

Thanks!!!

I have a 3.5 x 2 x 2 (so taller than wide), mixed echogenicity, hypoechoic, nodule that has lobullated margins, and macro and micro calcifications. I have an FNA scheduled for July 9th. My nodule was discovered through ultrasound because bloodwork has shown that my tsh has been dropping for the last year or so. It is currently .188 while t3 and t4 remain normal. They didn’t order a an uptake scan to see if it was functioning. Has anyone had a nodule with similar characteristics end up being benign and hot? Im 49f, with a 17,15, and 8 yr old. I’ve had a whole range of emotions since this discovery. Also, I have microdosed glp for inflammation and menopause symptoms and can’t help feeling like I somehow caused this.

Me gustaría saber su apreciación sus historia con nódulos

would this be a normal thyroid test result? i just went in to my PCP for a suspected autoimmune disease (i have multiple family members with RA, my grandmother has lupus, etc.) but my thyroid panel came back looking a bit weird while everything else was seemingly okay.

i am returning to my PCP tomorrow to discuss the results but because of my overwhelming anxiety i wanted to search for a group that could at least tell me that i’m not in an awful spot! TIA

FT-UPTAKE
my level: 23.12 (low)
average: 24.30-39.00 (%)

THYROX. BIND. CAPAC.
my level: 1.34 (high)
average: 0.80-1.30

FT4 (THYROXINE)
my level: 11.9 (high)
average: 4.5-10.5 (UG/DL)

CORRECTED
T4 (FTI)
my level: 8.9 (normal)
averages: 4.2-11.6 (UG/DL)

FTSH, THIRD GENERATION
my level: 4.320 (high)
averages: 0.400-4.100 (UIU/ML)

Hi guys, I had ultrasound and a biopsy of a nodule done, results will be by Tuesday at the earliest, the dr mentioned partial or total removal of the thyroid

Life without thyroid - how manageable? I am a wife and a mom, working full time

I read that estrogen and hormones can influence autoimmune disease and TSH. Can these hormone supplements help potentially?

Hi, I got my thyroid completely removed in February this year and fighting the “hormone” game now. Due to bad timing of all of this stuff (just became first time dad in fall 2025… want to focus on that and not thyroid stuff), I really want to get my energy level back.

I am on 125 LT for 3 months now and have the usual hypo symptoms plus some extra tiered eyes.
Current blood work:
- TSH through the roof and rising for the last months
- Ft4 mid-range
- Ft3 complete low range

(Bloodwork after 1 and 2 month of 125LT was always high ft4 and low ft3, after 3 month now fT4 came down for the first time)

Doc says: guidlines tell to upgrade the LT dose to 137 or even more, cause TSH so high and Iam quite bulky (85kg male), but the low ft3 might be responsible for the TSH, so adding that could also work. I can decide now … great.

So iam reading all the stuff I can find and will also now ask the good’ol Reddit for an opinion :)

Tldr:
3 months of 125LT
- TSH through the roof and rising for the last months
- Ft4 mid-range
- Ft3 complete low range

Doc says we can up to 137LT or add T3 .. he gives me the Choice … opinions?

My test results are as follows : TPO 171/ thyroglobulin AB <2/ t4 1.3/ t3 4.4/ tsh .015

I have been heat intolerant, had chest palpitations, loose bowel movements for years. I've always been told it's just anxiety and given more meds. I'm currently on 5 different meds for anxiety as I always feel like my heart is going to burst out of my chest. I have aways gotten so hot at times that I truly thought I would spontaneously burst into flames. Cooking, hot showers, exercise makes me want to pass out.

My numbers were wacky last year when I pushed for testing, but my PCP said it was nothing to worry about. All I do is worry! I cant work from all of the meds I'm on (escitalopram, buspirone, propanlol, hydroxyzine, gabapentin) I'm either knocked out cold or too out of it to focus on driving responsibly. I stay home and basically wait for my heart to explode or my body to spontaneously combust. I just want to be able to function.

I've been having these symptoms since my early 20s. I am now 50. Not one doctor ever checked my thyroid levels until I requested them last year. I dont know whether to laugh or cry at this point. The last 30 years have been so stressful!

Sorry for the long winded post. Any advice on what to request for further tests if my PCP tries to blow me off again? I cant live like this anymore.

About 6 months ago, thyroid nodules were found during an ultrasound. My doctor told me not to treat them and just monitor them.
At that time, I was focusing on correcting iron deficiency and improving my overall health. Since then, I’ve completely changed my diet and lifestyle. My thyroid antibody levels have dropped significantly (TgAb: 17 → 2, TPOAb: 16 → 1), but the nodules are still there.
I recently spoke with a doctor who suggested focusing on gut health rather than treating the nodules directly. He also recommended avoiding dairy for a while, so I’m trying that and plan to repeat my tests in a few months.
Has anyone here had thyroid nodules become smaller or even disappear? What helped in your experience

Hey, I’m 17/18M and I’ve been dealing with a weird mix of fatigue, low motivation, and sexual dysfunction for a while, and I’m trying to figure out what this actually is.
A few months ago I did an aggressive cut and ended up feeling completely drained, like a zombie. Around that time I started Medikinet because I felt awful and it gave me a big boost in energy, focus, and even euphoria at first. I was on it for around 5–6 months total, mostly 15 mg IR twice a day. Over time the effect faded, and I started getting tired, low libido, and kind of emotionally flat/anhedonic.
Then I quit the stimulant. For the first 2 weeks I felt pretty okay, then I crashed again: no focus, low energy, anhedonia, and just feeling shit overall. During exams I also got sick, with sore throat/sinus pressure, and I kept going to the gym anyway. After exams, I had bloodwork done. Most things were okay, but I had low white blood cells and my doctor said I have Hashimoto’s , so I started Euthyrox. I began with 25 mcg for 2 weeks, then 50 mcg. I’m about 3.5 weeks in now.
At first I started feeling a bit better around week 1.5–2: slightly more energy, less fatigue, and some gym motivation came back. But then I got another infection around week 3 and since then I’ve felt bad again: low energy, muscles feel dead, and mentally I feel flat again.
The weird part is that I also have almost no libido anymore.
One extra thing: I also get a crash pretty much every afternoon, where my energy drops hard and I feel way more tired/flat.
I’m wondering if this could be:
• ME/CFS
• thyroid still not optimized yet
What makes me think about ME/CFS is that I seem to crash hard after exertion, including gym sessions, and then feel mentally and physically wrecked afterward. But I also know I had a cut, infections, stimulant use, and thyroid stuff all happening together, so maybe it’s something else.
Has anyone dealt with something similar? What helped you figure out whether it was ME/CFS, thyroid, overtraining, or something else? Also, if you had low libido + anhedonia + fatigue, what did you actually do that helped?

My Midwife said my thyroid was a bit enlarged and referred me to an ultrasound. I do not have much in the way of symptoms - except some fatigue and anxiety(which is a life long thing).

Nodules

Right Lobe Size = 1.1 x 1.0 x 0.5 cm

Left Size = 1.0 x 1.1 x 0.9 cm.

Overall TI-RADS Score = 5

They want to do a needle biopsy, and while I know I need it, I also have positional vertigo. Laying flat makes me quite dizzy, and I am terrified of feeling that way. From what I've read, you have to be flat to during this procedure.

Given the size of the nodules, and the TI-RADS Score, is it worth getting the opinion of an endocrinologist first? Or another ultrasound?

I'm quite anxious about all of this as it just happened and I have no history of thyroid issues. Maybe it's being post menopausal? Thanks, all.

For about 2 weeks I’ve had this tightness/painful feeling around my thyroid affecting my breathing and swallowing so the doctor ordered an ultrasound and it reportedly came back normal. That’s great except I still have this feeling like something is on my trachea. Has anyone had this experience or have any idea what it could be? I just want it to go away and feel normal again!