Is it better to remove thyroid with Hashimoto's?

If persistent symptoms in patients with Hashimoto's thyroiditis are caused by the active autoimmune process rather than by thyroid hormone status, removing the thyroid gland through surgery may reduce the levels of the TPOAb and improve some symptoms.

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What is the best thyroid replacement for Hashimoto's?

T-4 hormone replacement therapy

Hypothyroidism associated with Hashimoto's disease is treated with a synthetic hormone called levothyroxine (Levoxyl, Synthroid, others). The synthetic hormone works like the T-4 hormone naturally produced by the thyroid.

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Can you have your thyroid removed with hypothyroidism?

Removal of the whole thyroid gland (i.e. total thyroidectomy) will definitely cause hypothyroidism and up to 30 to 50% of patients having half of the thyroid removed (i.e. thyroid lobectomy) will develop hypothyroidism. By removing the thyroid, the patient can no longer make thyroid hormone.

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How bad does your thyroid have to be to be removed?

Your doctor may recommend surgery to remove part or all of your thyroid gland if it's overactive, has grown very large, or has nodules, cysts or other growths that are—or could be—cancerous.

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What is the end stage of Hashimoto's disease?

Overt hypothyroidism or full-blown disease

The end-stage of Hashimoto's is when your thyroid has become so damaged that you no longer have enough thyroid hormones and have to go on medication.

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What are the benefits of thyroid surgery for Hashimoto’s thyroiditis?

23 related questions found

How do I know if my Hashimoto's is getting worse?

While symptoms can vary, there are many reported signs of a Hashimoto's flare-up, including: Fatigue. Cold intolerance. Constipation.

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What is Stage 3 Hashimoto's disease?

Stage 3: Subclinical Hypothyroidism

The third stage of Hashimoto's is known as subclinical hypothyroidism. In this stage, TSH levels may be slightly elevated on blood tests (3-10 mU/L), and the levels of free T3 and free T4 are going to be normal.

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Do I still have Hashimoto's after thyroidectomy?

Fortunately, thyroid surgery to remove the entire gland is curative. You cannot have Hashimoto's disease, or its symptoms, if you do not have a thyroid gland!

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Why you should not have your thyroid removed?

If you have a thyroidectomy, your body no longer produces enough (or any) thyroid hormones, which in essence causes you to develop hypothyroidism, or underactive thyroid. A common symptom of hypothyroidism is weight gain.

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Do you gain weight after thyroid removal?

The majority of the studies indicate a net increase in weight following total thyroidectomy, with the greater gain occurring within the first 2 years following surgery.

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Will you lose weight if you have your thyroid removed?

Because you will have hypothyroidism after your thyroid gland is removed, many thyroid patients assume they will experience weight gain. However, this is not always the case. Yes, some people will see their weight slightly increase, but weight may remain unchanged, or you may even lose weight.

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Does thyroid removal affect mood?

The risk for developing a depression is increased around the time of having thyroid surgery, regardless of the extent of thyroid surgery. The risk can persist up to one year after a patient has a total thyroidectomy. This is important to increase awareness of physicians and patients to identify and treat this illness.

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What is life like after thyroid removal?

After any operation you need time for your body to recover and your wound to heal. You should be able to go back to all the things you were doing before your thyroid operation within a few weeks. Your neck may feel stiff and uncomfortable because of the wound and the scar. It may also feel numb.

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Does Hashimoto's get worse over time?

Hashimoto's disease tends to worsen with age because it is progressive. The disease generally progresses slowly over many years and can cause progressive damage to the thyroid glands. Additionally, it is expected that those with Hashimoto's disease will eventually get hypothyroidism, though this is not always the case.

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Does Hashimoto's ever get better?

Hashimoto's disease is an autoimmune disorder that is the most common cause of hypothyroidism (underactive thyroid) and it does not go away on its own. Hashimoto's disease cannot be cured but it can be treated by taking levothyroxine, a form of thyroid hormone.

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How serious is Hashimoto's disease?

With lifelong monitoring and treatment, the prognosis (outlook) for people with Hashimoto's disease is excellent. If you have hypothyroidism from Hashimoto's disease that's untreated, it can lead to certain health problems, including: High cholesterol. Heart disease and heart failure.

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What are the long-term side effects of thyroid removal?

After the thyroid removal surgery, you may notice some complications such as increased bleeding from the throat, lower levels of thyroid hormone (hypothyroidism), a laryngeal nerve injury or wound, and lower levels of parathyroid hormones in circulation.

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What are the pros and cons of having your thyroid removed?

Surgery is an excellent, and seemingly superior treatment for Graves' disease, resulting in lower all-cause death rate, less medical and psychological complications, minimal relapse risk, and lower overall health care costs long-term. The only downside is the expected permanent hypothyroidism.

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Is thyroid removal a big deal?

If a specially trained and experienced surgeon performs a thyroidectomy, it's generally very safe. Complications are uncommon, but the most serious possible risks of thyroidectomy include: Bleeding after surgery that could lead to acute respiratory distress.

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Is Hashimoto's life changing?

However, even though Hashimoto's disease and the hypothyroidism it causes can have widespread effects on your mind and body, it doesn't need to control your life. With good treatment, a healthy lifestyle, and a strong support system, you can still live a full and happy life even with chronic disease.

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How did I get Hashimoto's?

It is caused by a reaction of the immune system against the thyroid gland. The disease begins slowly. It may take months or even years for the condition to be detected and for thyroid hormone levels to become lower than normal. Hashimoto disease is most common in people with a family history of thyroid disease.

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Is your thyroid levels messed up with Hashimoto's?

Hashimoto's disease is an autoimmune disorder that can cause hypothyroidism, or underactive thyroid. Rarely, the disease can cause hyperthyroidism, or overactive thyroid. Thyroid hormones control how your body uses energy, so they affect nearly every organ in your body—even the way your heart beats.

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Is Hashimoto's a big deal?

If Hashimoto's is left untreated, complications can be life-threatening.

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What is the average age for Hashimoto's disease?

Hashimoto's thyroiditis sometimes begins during pregnancy. Middle age. Most cases happen between 40 to 60 years of age. But it has been seen in younger people.

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What autoimmune diseases go with Hashimoto's?

The main complication associated with Hashimoto's is that it greatly increases your risk of developing another autoimmune disorder, such as Addison's disease, Graves' disease, type 1 diabetes, lupus, or rheumatoid arthritis.

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