herman family

Skipper,
I think looking for a tumor would be the first step on the pituitary.
I would try to rule out nodules first, since they are easier to detect and
treat. A failure to rule them out would constitute a diagnosis, or at least
a good hunch.

In any event, the tsh is not indicative of thyroid levels in this case.
The tests are very clear on that. We have two tests saying low thyroid, and
one saying normal to high.

If it is a pituitary problem, then not much can be done but intelligent
replacement therapy. If it is a nodule, then increasing the thyroid dosage
might help shrink it, or it could be removed. An ultrasound, then and FNA
might be in order to figure the nodules out.

I'm not going to speak for deT. I think the total t3 and total t4 tests
aren't closely related to thyroid reality to be useful.

Michael