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I have been taking treatment of hyperthyroidism since 2004. I was taking neomercazole till 2009. My thyroid test were fine for 3 years and stopped taking any medicine.in 2011 there were symptoms like palpitations, anxiety no weight loss when get thyroid profile checked tsh was .002 t3 & t4 normal. I visited to consultant he started methimazole 10 mg and told grave disease. Quarterly I check my thyroid profile surprisingly t3 & t4 normal but tsh have been always less than 0.007. Now the tsh 0.44 and t3 &t4 are very much in range. My weight never reduced still 80 kgs. I want to know should I continue on medication or rai ablation. I am no medication methimazole 10 mg ,betacap 20 mg.
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90% (1676 ratings)
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Go for rai ablation.
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YESSOMEWHATNO
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Mr. lybrate-user, thanks for the query. Usually treatment with anti-thyroid drugs (neomercazole or other drugs) is given for 18 to 24 months. Once the levels return to normal treatment is discontinued. If levels remain with in normal range over a long period (2 to 3 years or so) disease is considered as cured. However, if tsh levels drop again, which means hyperthyroidism has resurfaced, some times antithyroid drug's course may be repeated. Otherwise other means of treatment mainly radio active iodine (rai) or surgery is considered. Rai is definitely a better option to surgery. Thanks.
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YESSOMEWHATNO
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