hi Jessica, Im not a doctor so dont quote me, but i do have an overactive thyroid.I am in the same situation and as I understand it the pros and cons are a) anti thyroid meds and betablockers. Carbimazole doesnt always work and has a rare but very serious side effect in that it can suppress the immune system.I think because of this it isnt good to be on it long term especially if your blood results dont improve. Beta blockers help symptoms but dont treat disease.b) Radioactive iodine and thyroxine, iodine is processed by your thyroid, so the radiation destroys some or all of your thyroid gland. Im not sure how specific it can be, some may be destroyed but remaining part continue to be overactive, if it destroys it completely you will be hypothyroid and need thyroxine replacement. c) Surgery. Thyroid gland removed therefore definately will be underactive and you will need thyroxine for ever. I hope that antithyroid meds work for you as you are so young. Also it may resolve on its own, mine was overactive 6 years ago i was waiting for radioactive iodine when it went back to normal. It,s flared up again recently so prob will have iodine treatment, however i am a lot older than you. I hope this helps, good luck x