Thyroid UK
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What to do next?

Expecting to be sent for a scan but told the lump in the middle of my neck is probably part of my voice box. Doc also felt a small pea size lump but is not worried so no scan. Blood test results but no antibodies tested although requested by him!

TSH 4.6 (0.35-5.00)

FreeT4 10.7 (7.00-20.00)

FreeT3 6.2 (3.80-6.70)

I really don't know what to do. He said thyroid is fine and bloods are all satisfactory. He said it's possible that I may have ME or Fibromyalgia and gave me a prescription for Prozac to help me sleep. I will be going back in a month to see if they help. Any more advice would be appreciated. I don't have the energy to keep challenging his way of thinking. I need to get well soon.

7 Replies


Your thyroid is NOT fine. TSH is currently within range but it is high in range, almost at the top, indicating your thyroid is failing and struggling.

If your GP ordered thyroid antibody test and lab didn't do it GP should chase the lab or repeat the blood test. If thyroid peroxidase antibodies are high it will confirm autoimmune thyroiditis (Hashimoto's) attacking your thyroid gland.

If GP can feel a lump why isn't he concerned and why hasn't he ordered an ultrasound scan?


Prozac is not the answer to a high TsH

Strongly suggest you see different GP or probably preferred option to get full testing privately

For full Thyroid evaluation you need TSH, FT4, TT4, FT3 plus TPO and TG thyroid antibodies. Plus vitamin D, folate, ferritin and B12.

Essential to test thyroid antibodies plus vitamins

Private tests are available

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

All thyroid tests should ideally be done as early as possible in morning and fasting. This gives highest TSH and most consistent results. (Patient to patient tip, GP will be unaware)

If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

About 90% of all hypothyroidism in Uk is due to Hashimoto's


Thank you both for your replies. I had private tests done 2 months ago and posted them on here. I took Clutters advice about vitamin D and will get re tested next month. All symptoms are the same except that I get a strange butterfly feeling from my stomach each night. No pain but strange feeling that rushes all over me. Also seem to be feeling hot a lot of the time rather than freezing. It's all a bit odd and I have no idea if it's all related. I'll keep reading the information on here and maybe it will make sense one day.


If you have a lump of any size on your thyroid you really ought to have it scanned and your doctor or someone should never keeping a very close eye on its progress.


It makes me mad when Drs keep dishing out the anti depressants instead of the appropriate treatment. Prozac may be very unhelpful to the thyroid and make things worse. This drug reduces the iodine in your body. The thyroid needs a small amount of iodine to function. The complications that can result from Prozac are Hypothyroidism, depression, hair loss, weight gain and lowered immunity.


Clutters right it sounds like Hashimotoes, which I was told I have, causes a lump that stands out in the centre of the neck. I didn't get a scan but I'm talking about twenty years ago, none offered, hopefully things have improved, if not push for one. Good luck.


Thank you all. If my next blood tests are still not good and my gp won't treat me I think I will get a second opinion or have a private scan. I really can't believe how tough it is to get treated.

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