I saw the endo yesterday. He's really pushing for RAI, but I am reluctant. My ultrasound of my thyroid really stumped him. He was very surprised to see a NORMAL looking thyroid. Generally, a hyperthyroid is very vascular (*has a lot of blood vessels and flow) from being so overactive, it also tends to be fibrous from scarring due to the overactivity as well. I have had graves for almost 3 years, and he was very shocked, as I guess this is unusual. He said generally, even though the thyroid is of normal size from the outside, it looks abnormal from the inside, but mine doesn't. I am still breastfeeding and will do so for the next 5-9 months. So RAI is out for now. But...I am still reluctant. He said that my normal thyroid isn't the result of my pregnancy (pregnancy induced/postpartum hypothyroidism) and that it is probably some fluke thing, but Iwant to wait a little bit and give it a chance. If it is looking so normal, then maybe the fluke thing is my graves and not my thyroid. If it starts to become more abnormal, then we can consider permanent treatment. The other weird thing is that when I was first diagnosed, the endo was shocked that I didn't have a goiter with as high as my levels were. What do you think? What should I do? He tells me that it is highly unlikely that I will ever have a normal thyroid again and that the best option is RAI asap.
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