Please help! ... I've recently been diagnosed with Graves and Hashimoto (& Sjogren's) ! and need to decide what to do to treat my thyroid?!

Help, I’m a newbie on here, 38 yrs old, newly diagnosed with Hashimoto, Graves and Sjogren's auto immune diseases and feel very uninformed and confused and need to make important decision regarding my thyroid ASAP.

My Diagnosis’

oDiagnosed with Hashimoto & Graves (March ’17) – main symptoms are tiredness, feeling “on edge”, anxious, like I’ve had 10 cups of coffee and heart palpitations (I’m now on beta blockers – propranonol 20mg, 3 x day)

oDiagnosed with Sjogren’s (Dec ’16) main symptoms are tiredness (but I'm still working), slightly achy muscles (but still swim and gym when I feel up to it /force myself) and I've struggled to focus and concentrate / brain fog for years.

Blood results:

TSH (0.27-4.20) Mu/L

•Sept 2016 - 1.2

•Dec 2016 - 0.77

•Jan 2017 - 0.02

•Feb 2017 - 0.02

Free T4 (12-22) pmol/L

•Sept 2016 - 13.5

•Dec 2016 - 14.5

•Jan 2017 - 22.6

•Feb 2017 - 19.1

Other abnormal bloods (+normal range)

•Thyroglobulin Assay – 11.7 (1.6 – 59.9 iu/Ml - Immulite 2500)

•Thyroglobulin Antibody – 20.2 (Roche Modular)

•TSH Receptor Antibodies – 4.1 (Neg – 1.75) ng/ml

•HDL Cholesterol – 1.98 (1.2 – 1.7)

•Anti Mullerian Hormone - 0.90 pmol/L (v low for 38 yr old)

•Antral Follicle Count – 2 (v low for 38 yr old)

•FSH – 3.8 U/L

•MCHC – 307 (320-370) g/L

•Mean corpuscular volume – 99.9 (77-95fL)

•Bilirubin – 26 (3-20 umol/L) – suspected Gilbert Syndrome or Haemolytic process

Options for treating my thyroid:

•Full Thyroidectomy (Consultant not recommending)

•Radioactive Iodine (everyone I’ve spoken to says stay well clear of this option)

•Carbimazole

for 1 yr (max 1.5 years) then come off for 3-6 months to stabilise and should cure 60-65% of people?

Questions

•Why did TSH & T4 get so out of control in only a few months?

•Should I get a 2nd opinion on any of my diagnoses?

•Is my only realistic option Carbimizole for 1yr – 1.5 years

?

•I’m 38 years old and would like a family so keen to know reliable stats on Carbimazole

?

•Any else work knowing / investigating / questioning?

Thanking you heaps in advance!

Emma

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