Patient: In October 2004, he was tested for hyperthyroidism: TSH value was less than 0.01 (0.35-5.50) and the other seven values were higher than the normal range. Tabazol 10mg 2 times/day Umethazine 50mg 1 time/day. After one year of regular treatment, she stopped the medication because she was afraid of the toxicity of the medication, and also supplemented with some herbal medicine during the period. Relapse after 6 months. After a few months of treatment, the normal value was restored, and then two tablets to one tablet of Tabazol per day was used for maintenance treatment. After the death of my mother, the medicine was intermittent. TSH is less than 0.005 (0.27-4.2) FT321.99 (2.8-7.1) FT483.36 (12-22). Leukocytes 3.8 (4.2-10) doctor prescribed whitening pills (2 pills per day) tabazol (six pills per day), vitamin B1 (3 pills per day), and proquilol hydrochloride tablets (3 pills per day). Question 1: There was no eye protrusion on the first treatment, and the eye protrusion was obvious on the second treatment. Is it related to not taking Eugenol? Do I need to add more now? Question 2: I have been treated with western medicine for five years, and I am afraid that it will come back after this treatment, and that the side effects of the medicine will become more and more serious to my body. I can feel the threat of death in my heart. I heard that hyperthyroidism is a body immune disease and cannot be cured. Is it true? My hyperthyroidism symptoms are different from others: 1. I do not have a large neck and the texture is soft to the touch. 2. Even at the time of severe onset, I did not have the problem of losing more and more weight as I ate. When I was young, I took diet pills every summer. Is my disease related to diet pills. Are these conditions of mine also suitable for iodine 131 treatment? Doctor: 1. Eugenol has the effect of reducing proptosis, but it is not the most important. It is not recommended that you add but better to treat with iodine 131. 2. There are definitely side effects of drugs, it is inaccurate to say that hyperthyroidism cannot be cured, the key is the treatment method; the symptoms of hyperthyroidism are different for everyone, the effect of diet pills is not significant, you can treat with iodine 131. Patient: Thank you for your reply in the middle of a busy day! This afternoon I went to the nuclear medicine department of 159 hospital in Zhumadian to ask about the treatment plan: in order to prevent the problem of secondary hypothyroidism, the doctor used a slightly lower than normal dosage of iodine 131 in all cases, and the determination of the iodine absorption rate was also omitted in all cases, using his own empirical values. He said that the rate of hypothyroidism in the patients he treated was less than 10 percent. Then he added the synchronized Western medicine to the medication. This may sound safe, but it seems to lose the meaning of iodine 131 treatment. It feels like double treatment and double damage to the body. Do you think it is feasible? My doctor said that Iodine 131 can be used locally and that it is not necessary to go overseas to seek medical help because it is the same anywhere. I don’t know if this is correct. Doctor: What seems to make sense actually sometimes does not make sense. I believe that 159 hospitals can do iodine 131 treatment because iodine 131 treatment is a very popular treatment method, depending on the experience of the doctor. However, the determination of iodine absorption rate must be done, which involves the question of whether the treatment is standardized. Patient: Thank you for your reply. 159 hospital does not have iodine 131 potion for the time being, saying that there is still some relationship that has not been coordinated and a certificate has not been issued. But they have been using this potion for more than ten years for treatment. I don’t even know when the iodine potion will come in. There is a Jia Chunbao Institute on the internet that says you can use Chinese medicine to treat thyroid disease. Plus western medicine to assist. Can Chinese medicine really treat thyroid disease? Patient: After a relapse of hyperthyroidism and restarting medication treatment, it has been a week now. Why do I feel that my knees are always a little stiff and I feel that I have trouble walking? Could this be caused by tabazol and prednisone? What should I do? The state requires that all nuclear medicine radionuclide treatment must have a radiation safety license. Don’t believe in any institutes on the Internet. The symptoms of the knee have nothing to do with the drugs, so ask your doctor to take a look. Patient: Thank you for your unfailing answer, it makes me feel warm! I just got sick when I had a checkup at 301 Hospital on October 10, 2004. I now wonder if I have Hashimoto’s hyperthyroidism, otherwise how can I take five years of medication and still have a relapse? I read that Hashimoto’s hyperthyroidism is not easily treated with surgery or iodine 131, which can cause permanent hypothyroidism. Triiodothyronine (T3) 6.32 1.2-2.7 nmol/L Thyroxine (T4) 245 58 —-161 nmol/L Free triiodothyronine (FT3) 17.56 2.8__7.1 pmol/L Free thyroxine (FT4) 40.32 12__22 pmol/L Thyrotropin (FT4) Thyroid hormone (TSH) Less than 0.01 0.27__4.2 uIU/ml Thyroglobulin antibody (TGAb) 131 Adult less than 60 Thyroid microsomal antibody (TMAb) Greater than 1300 Adult less than 60 Thyroid hormone receptor antibody assay 45.5 Normal value less than 1.0 Negative 1.1-2.0 Weakly positive greater than 2.0 Positive patient: at 159 Hospital September 18, 2004 Results: triiodothyronine (T3) 6.1 0.69-2.10 nmol/L thyroxine (T4) 180 50-16 nmol/L free triiodothyronine (FT3) 7.9 2.23__5.39 pmol/L free thyroxine (FT4) 30. 3 12 __22 pmol/L thyroid stimulating hormone (TSH) 1.0 0-6.0 uIU/ml trans-triiodothyronine (anti-T3) 1.8 0.6-0.9 Patient: results of a follow-up examination one month after the protocol of treatment in Beijing on December 12, 2004: triiodothyronine (T3) 6.1 0.69 -2.10 nmol/L thyroxine (T4) 180 50-16 nmol/L free triiodothyronine (FT3) 7.9 2.23__5.39 pmol/L free thyroxine (FT4) 30.3 12__22 pmol/L thyroid stimulating hormone (TSH) 1.0 0-6.0 uIU/ml anti -Triiodothyronine (anti-T3) 1.8 0.6-0.9 Patient: March 30, 2005 Repeat results: Triiodothyronine (T3) 2.2 0.69-2.10 nmol/L Thyroxine (T4) 230 50-160 nmol/L Free triiodothyronine (FT3) 6.6 2.23__5.39 pmol/L Free thyroxine (FT4) 33. 9.1__25 pmol/L Thyrotropin (TSH) 10.9 0-6.0 uIU/ml Trans-triiodothyronine (anti-T3) 1.2 0.6-0.9 Thyroglobulin antibodies (TGAb) 39.0 Adult less than 30 Thyroid microsomal antibody (TMAb) 24.0 Adult less than 20 Patient: 301 The treatment plan is: Tabazol 10mg 2 times/day Eugenol 50ug 1 time/day. One month later, recheck the nail function. Then it is to reduce the dosage after each check is normal. I’m sorry, I want you to identify which type I have, hyperthyroidism? Hashimoto’s thyroiditis? Hashimoto’s hyperthyroidism? I am now in a gloomy mood, afraid of both the medication for hyperthyroidism leading to various serious outbreaks, and the fear of cold and the deformation of my body after hypothyroidism. Trying to find the best treatment depending on the condition… Oh, and just hoping for good health! Bless you! Good things come to those who are good! Patient: test done on the 21st of this month: TSH less than 0.005 (0.27-4.2) FT3 21.99 (2.8-7.1) FT4 83.36 (12-22). Leukocytes 3.8 (4.2-10) Doctor says it has come back. Doctor: I don’t feel faint, but I am afraid that my patients will ask me what kind of hyperthyroidism they have and whether it is Hashimoto’s hyperthyroidism. I’m also afraid that some doctors will tell patients about hyperthyroidism in a mysterious way. In my eyes, to patients, hyperthyroidism is hyperthyroidism, which is a disease with a series of hypermetabolic symptoms caused by the increase of thyroid hormones (FT3 and FT4) in the body. The purpose of treatment is to restore the normal function of the thyroid gland, which is manifested by the decrease of T3 and T4 to normal and the reduction or disappearance of various symptoms. As for Hashimoto, it is the doctor’s classification of the disease, which is related to the etiology of hyperthyroidism and has little effect on the treatment plan. Okay, so some doctors have talked about the possibility of Hashimoto turning to hypothyroidism, and it’s lifelong, and so on, which is weirdly scary. But until it turns to hypothyroidism, you still have to use tabazol? If you take a step back and say that it turns into hypothyroidism, that is also a characteristic of the condition, take the appropriate treatment will not be able to? The results of the review on the 21st of this month show that the disease has obviously relapsed and worsened, so the 5 years of treatment has been abandoned. You don’t have to be in a dark mood, hyperthyroidism is not an incurable disease after all! You want to find the best treatment according to your condition, I suggest taking iodine 131 treatment, the main complication of iodine 131 treatment is hypothyroidism, fear of cold, body deformation is in case you have hypothyroidism and refuse to treat it, hypothyroidism can also be adjusted to normal with drugs.