I have just had a full thryoidectomy and recovering nicely from what was a better than expected procedure!
I have to have radioactive iodine treatment to ensure none of the papilliary cancer is left behind; i have been told that i wait no less than 6 weeks for this, total hypotheroid state before they can administer the treatment.
It is nearly 4 weeks since my op and i'm feeling tired, put on weight and can't wait to get back to my normal active self. Could i have the RI quicker than 6 weeks.
Anyone have an answer please share.
As you are almost at the 6-week mark already, it is probably best to tough it out for another 2 weeks. While recombinant TSH has been occasionally advocated for use in cases such as yours, this medication is intended for use in patients who are to undergo diagnostic radioactive iodine scans, and is not yet routinely used in patients who are being prepared for therapeutic radioactive iodine therapy.
Next time, ask your doctor if you can go on Cytomel until two weeks before. It's a different type of thyroid hormone that clears out of your system quicker, so you only have to be off of it for two weeks.
You may be able to have the RI quicker. Call your doctor and ask about it. He may want to do a TSH test to make sure your thyroid hormones are low enough for the test to work properly. Tell him about your symptoms, that you are having trouble functioning, and that you are worried about it getting worse over the next two weeks. Different people process thyroid hormones differently, so you may not need a full six weeks. There is no harm in checking your TSH.
Does your doctor want you to go on a low-iodine diet? If so, have you started that or when are you supposed to?
Again, next time, you can probably have the TSH-Stimulated (Thyrogen) shots instead of going through withdrawal--although the shots are expensive. If your insurance won't cover it and you can't afford it, ask about Cytomel next time.
If you have any other questions or just need supportive words, please feel free to write back. A lot of people on here, including myself, have been through what you are going through. It's not easy, but it will be over soon.
Do you have people around you to support and take care of you? Are you ready to take all the precautions for the RI?
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Thyroid Cancer , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.