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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 36135
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Hi, Im seeing an endocrinologist tomorrow to discuss the fact

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Hi, I'm seeing an endocrinologist tomorrow to discuss the fact a nodule was discovered on my thyroid during a routine scan. I just got my blood test and it said my serum TSH level is 6.14mIU/L and my serum free T4 level is 10.50. The former was in bold so I assume this is the one outside the norm. What does this mean please and what might it tell the specialist about my nodule? Will it lead him towards a certain type of investigation/conclusion?
Hi--the TSH level means you're low thyroid--hypothyroid--and it may be the cause of the nodule. 95 % of thyroid nodules are benign and often they're just benign cysts. You may need another scan to see if the nodule is "hot"--producing thyroid hormone--or "cold"--not doing that. You might also need a fine needle aspiration for pathology. All in all, though, it will probably turn out that you need thyroid hormone replacement and that the nodule will shrink in time
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