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What Happens When Your Thyroid Is Removed

Things You Should Know If You Have A Thyroidectomy

What supplements should you take if you have your thyroid removed?

I’ve treated hundreds of thyroid patients in my clinical practice and I’ve run into many patients without a thyroid.

These patients are certainly more difficult to treat than run of the mill thyroid patients but I’ve learned much in my years of treating them.

While they are more difficult, it’s still possible to help them lose weight and feel better.

It just takes the right approach…

With that in mind, here are 5 things that I think you should know if you’ve had your thyroid removed based on THIS experience.

#1. You are now HYPOTHYROID.

This is probably the single most important thing that you understand if your thyroid has been removed.

Once your thyroid is removed you are now considered to be HYPOTHYROID.

It doesn’t matter WHY your thyroid was removed, once it is removed you now have a sluggish thyroid.

I don’t care if your thyroid was removed because you WERE hyperthyroid .

Thyroid removal is considered to be a cure for hyperthyroidism but once your thyroid is out you’ve effectively traded hyperthyroidism for hypothyroidism.

What does it mean to be hypothyroid?

It means that you are reliant upon thyroid medication.

And because doctors do a terrible job at replacing lost thyroid hormone once the thyroid has been removed, you will probably always feel a little bit hypothyroid .

This is so important because many people will read my blog posts and if they’ve had their thyroid removed they will ask if it applies to them.

#2. T4 isn’t enough by itself for you.

What To Expect After Surgery

People who have a lobectomy can often go home the day of surgery, but those who have a total thyroidectomy usually need to stay in the hospital overnight. You may experience minor discomfort for a few days, which can be managed with pain medication.

A thyroidectomy stops or decreases production of thyroxine. Your doctor replaces thyroxine with a synthetic hormone called levothyroxine, taken by mouth daily. This medication helps keep your metabolism functioning properly and prevents hypothyroidism.

If you have thyroid cancer, doctors may prescribe levothyroxine to keep thyroid-stimulating hormone levels on the low side or even fully suppressed to minimize the growth of any remaining thyroid cancer cells.

Some people produce enough thyroxine after a lobectomy and do not need levothyroxine. An NYU Langone endocrinologist assesses your hormone levels after lobectomy to determine whether you need medication.

Thyroid Removal Side Effects: What Happens When Thyroid Is Removed

Thyroid gland is a part of the endocrine system which helps our body regulates the metabolism. It is a butterfly-shaped gland located inside the front of the lower neck. Under certain conditions, doctors may advise an individual for thyroid removal or thyroid gland removal which requires the surgery to remove all or a part of the gland. Usually thyroid removal is done so as to treat small thyroid growth or nodules/cyst, or in case of thyroid cancer, or if a person has an overactive thyroid gland which may be dangerous, etc. Though thyroid surgery is generally considered safe by most doctors, at times patients undergoing the surgery may experience some kind side effects after thyroid removal. In this current article of ours, we will talk about what happens when thyroid is removed. We will also talk about few of the tips to cope up from the side effects of thyroid removal procedure. Hope this would be a beneficial read for you.

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Effects Of Skipping Antithyroid Medication

If you have Graves’ disease, toxic nodules, thyroiditis, or another cause of hyperthyroidism, you may need to take antithyroid medication such as methimazole or propylthiouracil/PTU. If you skip or completely discontinue your medicine, you can experience a number of short-term and long-term consequences, including:

  • Debilitating weight loss
  • Dramatically increased appetite and thirst
  • Nervousness, anxiety, panic attacks
  • Rapid pulse, heart palpitations, or high blood pressure
  • Itching
  • Hair loss
  • Protruding eyes

Untreated hyperthyroidism can increase your risk of stroke or heart attack. It can also increase the risk of developing a dangerous condition known as thyroid storm, which has a high fatality rate.

How Is A Thyroidectomy Performed

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Your thyroidectomy will be performed in a hospital or outpatient surgery setting. Your surgeon will perform a thyroidectomy using one of the following approaches:

  • Minimally invasive surgery involves inserting special instruments and an endoscope through a small incision in your neck. An endoscope is a thin, lighted instrument with a small camera. The camera transmits pictures of the inside of your body to a video screen viewed by your surgeon while performing surgery. Minimally invasive surgery generally involves a faster recovery and less pain than open surgery. This is because it causes less damage to tissues and organs. Your surgeon will make small incisions instead of a larger one used in open surgery. Surgical tools are threaded around muscles and tissues instead of cutting through or displacing them as in open surgery.

  • Open surgery involves making a three to four inch incision in your neck. Open surgery allows your surgeon to directly view and access the surgical area. Open surgery generally involves a longer recovery and more than minimally invasive surgery. Open surgery requires a larger incision and more cutting and displacement of muscle and other tissues than minimally invasive surgery. Despite this, open surgery may be a safer or more effective method for certain patients.

Your surgeon will perform a thyroidectomy using general anesthesia. In some cases, a thyroidectomy may only require local anesthesia.

What to expect the day of your thyroidectomy

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How To Prepare For The Procedure

If you need to have a thyroidectomy, your surgeon will first order scans such as an ultrasound or CT scan. If you have a growth on your thyroid, your doctor may take a small sample with a fine needle to diagnose what it is. This is known as a biopsy. They will also work out the positioning of the vocal cords before the surgery, since these are very close to the thyroid gland.

Thyroidectomies are usually performed under general anaesthetic. You will be asked not to eat or take medicines the day before, although you should talk to your doctor before you stop taking any medicines.

If you have hyperthyroidism, however, your doctor may ask you to eat a special diet or take medicine before the surgery to help the thyroid to function better and reduce the risk of bleeding.

Life Without Your Thyroid

If your doctor recommends thyroid removal or youve already had your thyroid removed, you must partner with your doctor to optimize thyroid hormone replacement. This involves routinely checking your thyroid hormone levels to avoid overtreatment and undertreatment.

The body must have just enough thyroid hormone. Too much or too little causes symptoms. It can take some time to find the optimal dose and stabilize your symptoms. However, thyroid hormone replacement therapy is fairly straightforward.

Aside from having your thyroid levels tested regularly and taking medication daily to give your body the thyroid hormone it needs, people without a thyroid live an otherwise normal life.

Adjusting to life without your thyroid means taking medication and checking in with your doctor. Most people adjust easily. The most important aspect is making sure to take your medication each day.

If you have your thyroid and have symptoms, Dr. Morayati can perform a comprehensive thyroid evaluation. If you need replacement therapy, we can help. To learn more, and schedule an appointment with Dr. Morayati at our Burlington, North Carolina office to discuss your thyroid health. Here at Burlington Medical Center, we offer in-person andtelehealth appointments.

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What Is Your Complication Rate

The answer you want to hear is the surgeons own complication rate for the procedurenot the average 1 percent reported in the medical literature. If the surgeon only does two thyroid surgeries a year and one patient had a problem, that makes it a 50 percent risk, said Roman. Dont be shy about asking for this information. Said Sosa, Its the ethical responsibility of the surgeon to report the truth and to know their own data.

What Does It Mean To Have Your Thyroid Removed

Thyroid Removed but still have Hashimoto’s Thyroid

I dont care if your thyroid was removed because you WERE hyperthyroid . Thyroid removal is considered to be a cure for hyperthyroidism but once your thyroid is out youve effectively traded hyperthyroidism for hypothyroidism. What does it mean to be hypothyroid? It means that you are reliant upon thyroid medication.

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Reasons For Thyroid Surgery

The most common reason for thyroid surgery is the presence of nodules or tumors on the thyroid gland. Most nodules are benign, but some can be cancerous or precancerous.

Even benign nodules can cause problems if they grow large enough to obstruct the throat, or if they stimulate the thyroid to overproduce hormones .

Surgery can correct hyperthyroidism. Hyperthyroidism is frequently the result of an autoimmune disorder called Graves disease.

Graves disease causes the body to misidentify the thyroid gland as a foreign body and send antibodies to attack it. These antibodies inflame the thyroid, causing hormone overproduction.

Another reason for thyroid surgery is the swelling or enlargement of the thyroid gland. This is referred to as a goiter. Like large nodules, goiters can block the throat and interfere with eating, speaking, and breathing.

There are several different types of thyroid surgery. The most common are lobectomy, subtotal thyroidectomy, and total thyroidectomy.

Recuperation Time And Restrictions

Most people are advised to take roughly two weeks off from work to recuperate, depending on their occupation. You should not drive as long as you continue to need pain medications, and some surgeons recommend abstaining from driving for the first week after surgery altogether.

You should also avoid any heavy lifting or strenuous activities for a few weeks. The excess activity could increase your chance of developing a hematoma or keep your wound from healing properly. Light housekeeping and walking are usually fine once you arrive home.

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How Well It Works

Success of a thyroidectomy to remove thyroid cancer depends on the type of cancer and whether it has spread to other parts of the body. You may need follow-up treatment to help prevent the cancer from returning or to treat cancer that has spread.

If a large non-cancerous nodule causes symptoms, such as pain or problems breathing or swallowing, surgery may help relieve symptoms. All or part of the thyroid gland may be removed. Surgery may also help relieve symptoms if other treatments, such as draining a non-cancerous nodule filled with fluid , have not worked. Surgery may also be an effective treatment if you have a thyroid nodule that makes too much thyroid hormone.

What Happens To Your Body After Thyroid Is Removed

Pin on Thyroid

Today, many people are facing thyroid problems due to which they are gaining weight, losing hair and are not able to conceive. This is a tinier gland that is in the shape of a butterfly which sits on the front side of the neck.

This gland can be removed through the surgical procedure. In the whole process, either the entire part is removed or the thyroid. The thyroid plays a critical role in proper functioning of the body. It is the hormone that is spread across and would regulate the metabolism rate and temperature. This promotes proper digestion and helps in maintaining the muscle health.

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What Is Thyroid Hormone Replacement Therapy

Thyroid hormone therapy is the use of manmade thyroid hormones to raise abnormally low levels of natural thyroid hormones in the body. Thyroid hormone is usually given in pill form and is often used to treat an underactive thyroid that is secreting little or no thyroid hormones. The most commonly prescribed thyroid hormone replacement is pure synthetic thyroxine .

The following specialists perform a thyroidectomy:

  • Otolaryngologists specialize in the treatment of diseases and conditions of the ears, nose and throat.

  • General surgeons specialize in the surgical treatment of a wide variety of diseases, disorders and conditions.

  • Pediatric otolaryngologists specialize in the treatment of diseases and conditions of the ears, nose and throat in infants, children and adolescents.

Getting Ready For Your Surgery

You and your care team will work together to get ready for your surgery.

Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if you arent sure.

  • I take a blood thinner, such as:
  • Aspirin
  • I smoke or use an electronic smoking device .
  • I use recreational drugs.
  • About drinking alcohol

    The amount of alcohol you drink can affect you during and after your surgery. Its important to talk with your healthcare providers about how much alcohol you drink. This will help us plan your care.

    • If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If we know youre at risk for these complications, we can prescribe medications to help keep them from happening.
    • If you drink alcohol regularly, you may be at risk for other complications during and after your surgery. These include bleeding, infections, heart problems, and a longer hospital stay.

    Here are things you can do before your surgery to keep from having problems:

    About smoking

    If you smoke, you can have breathing problems when you have surgery. Stopping even for a few days before surgery can help. Your healthcare provider will refer you to our Tobacco Treatment Program if you smoke. You can also reach the program by calling .

    About sleep apnea

    Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing device for sleep apnea, bring it with you the day of your surgery.

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    Thyroid Hormone Is Necessary For Life

    Let’s review some of the basics:

    Your thyroid gland produces two very important hormones: T3 and T4.

    These are the most active thyroid hormones in your body.

    Once they are released from your thyroid gland, which is located in your neck, they circulate through your entire body and interact with all of your cells.

    Your thyroid gland is the only place that these thyroid hormones can be created.

    So, you can imagine if that gland is damaged or removed the consequence will be an abrupt reduction in circulating thyroid hormone.

    This is a major problem because thyroid hormone helps regulate several important functions in your body.

    It helps maintain your metabolism , it influences other hormones , it helps your body produce energy, it helps regulate your mood , controls your blood pressure , and so on.

    If you don’t have any thyroid hormone then this regulation stops and serious problems tend to occur.

    The most serious consequence from not having thyroid hormone in your body is coma or death .

    Long before this happens, though, you still start to experience other side effects which will tell you that your thyroid isn’t functioning properly.

    These side effects include weight gain, hair loss, depression, slow thinking, cold body temperature, and chronic pain.

    Now that you understand why the thyroid is so important we can start to talk about the reasons why you may want to have it removed.

    S To Take If You Had Your Thyroid Removed Or Ablated

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    • Pin

    Are there steps you can take to feel better if you had your thyroid removed or if you had it ablated? While youll definitely need to be on medications, there are still so many things you can do to support the other parts of your endocrine system, support detoxification, reduce symptoms and feel better!

    What happens when you dont have a thyroid or your thyroid doesnt produce hormones :

    While there are many various kinds of thyroid hormones, the two main thyroid hormones to be aware of that your body now cant make are fT4 and fT3. fT4 is produced by the thyroid and then most of it is sent to the liver to be converted into fT3.

    When the thyroid has been ablated or removed, its imperative that you talk to your doctor about the correct dose of t4 and t3 medications so that your body has these two essential hormones.

    There are some thyroid hormones and other thyroid levels that you can influence with your diet and lifestyle.

    Here are some examples:

    TSH TSH is a pituitary hormone, and while it does rely on feedback from fT4, you can also help keep it in balance by taking steps to balance your adrenals . Nine times out of ten, when TSH is elevated its from an imbalance in the adrenals. And, if its elevated, its either from an imbalance in the adrenals and/or toxicity somewhere in the body.

    TPOab TPO antibodies are an immune system issue, not a thyroid issue. Thankfully, there are dozens of things you can do to improve antibodies!

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    Feeling Conflicted About Thyroid Medication

    You need to be involved in the decisions regarding your care, and how you feel about your medication and its effects are of central importance. With a thyroid condition, your symptoms can be a good reflection of how well the medication is working. But the constellation of symptoms and side effects associated with thyroid disease can make it difficult to know whether you feel better overall with or without your thyroid medication.

    Since you may be conflicted about your thyroid medication, it is a good idea to think about your reasons for feeling so conflicted, to discuss these reasons with your doctor, and to fully understand the consequences of untreated thyroid disease.


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