The Thyroid Home Page will be 7 years old in November. The recent stats on the website reveals an astounding 20 million hits in the last year. The page is viewed in 3 languages, and has visitors from every continent, except Antarctica. After the USA, and Canada, Italy is third, and the rest of the English speaking countries are next. Mexico, and Poland round out the top countries that visit us. Patients have come for consultations from Russia, Italy, England, Canada, Mexico, Dubai, U.A.E., Kuwait, Iran, and Belgium this year.

The virtual second opinion services were used in many areas of the world, and The International Thyroid Blood Mailer Kits have extended the reach for follow up to anywhere in the world. Thyroid disease patients can live anywhere and have a real thyroidologist care for them. The disease is not like Diabetes, which needs the constant attention of a local endocrinologist to monitor care. Thyroid patients rarely need to be seen more than yearly for follow up.

Body Temperature and the Thyroid Gland.
There are those out there on the web that make a big deal about body temperature in Diagnosis of hypothyroidism. They use Basal Body Temp ( BBT ) to diagnose hypothyroidism.

What is the real evidence on the effect of
hypothyroidism on BBT?
Hypothyroid patients rarely have a low BBT. Only impaired compensation causes hypothermia. A hypothyroid patient in a cold environment, or with central nervous system depression from alcohol, barbiturates, muscle relaxation, or sympathetic blockade. The rare patient with fever, and thyroid storm is in sharp contrast to the vast majority of hyperthyroid patients with THE HEAT DERIVED FROM MINIMAL ENERGETIC COST OF LIVING CHANGES LITTLE WITH THYROID STATUS, ( IN HYPOTHYROID, OR HYPERTHYROID STATES ).

Beware of places that use these methods to diagnose thyroid disease.

The T4,T3, and TSH testing will reveal hypothyroidism before any change in body temperature occurs.

Send me a blood via my thyroid mailer kit to screen for true thyroid failure.

What To do with Nodules that are benign on repeated FNA, but continue to grow?

1. A low TSH points to Autonomous nodule. It will continue to grow. Treat with Radio-iodine.
2. Borderline high, or high TSH. These will respond to Thyroid sub-suppression, TSH 0.5-1.0.
3. A 6 month trial of thyroid suppression. TSH 0.1-0.5 for nodules that have normal TSH.
4. Radio-iodine therapy either with or without Thyrogen stimulation is a good alternative to surgery. Low or normal uptake glands with nodules need Thyrogen Stimulation. High uptake glands with nodules can be treated without Thyrogen.
5. Surgery is the original therapy for nodules, and in the hands of a thyroid expert surgeon, based on 50-150 thyroidectomies/year, is now the last resort, but still a good choice for selected patients with nodules that keep growing.