Hi I believe like many that I've had a thyroid issue for a number of years but I was constantky fobbed off by my GP who blamed my PCOS for weight gain and fatigue. In the last ten months I've cut out sugar and grains and the majority of processed foods and only eat sourdough bread occasionally. This was done to also deal with mild HS which I have managed to control flare ups with these diet changes especially by eliminating certain nightshades. But despite these changes my weight has remained the same, overweight BMIA and I'm still really tired. I know I need to exercise more but it's hard to start when you're tired and you feel you look hideous! For the past year I've had a choking sensation when eating and a fullness in my neck but again this was ignored by my old GP. I finally switched GPs last week and she immediately felt my neck and booked me in for an ultrasound scan. I had the scan on friday at St Barts and she diagnosed benign multinodular goitre and has advised me to see an endocrinologist before I see a surgeon as he will just want to remove it as one of the lumps is 4cm! Which explains the choking! I would love to improve my energy levels and lose weight and I'm open to using a naturopath as well as working with my new GP. My blood tests hve always come back 'normal' even though I have all the hypo symptoms. Here's results from May 2013 HbATc 32 // Free T4 15.7 // TSH 2.25 apparently I'm not pre diabetic which is good. I'm now looking for advice on how to deal with my new GP and get the right treatment. Also because the lump is causing an obstruction is surgery likely and should I push to have it all removed or is it better to keep some of your thyroid. My mother had her thyroid removed when I was a month old an her sister had thyroid cancer. Many thanks in advance for your advice and help.