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What is hyperthyroidism?
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Key points in making your decision
Graves' disease is the most common cause of hyperthyroidism. If your hyperthyroidism is not caused by Graves' disease, this information may not apply to you.
Hyperthyroidism occurs when the thyroid gland makes too much thyroid hormone. Excess thyroid hormone can cause symptoms such as tiredness, weight loss, increased heart rate, heat intolerance, sweating, irritability, anxiety, muscle weakness, and thyroid enlargement.
An autoimmune disorder called Graves' disease is the most common cause of hyperthyroidism. Other causes include growths in the thyroid gland (thyroid nodules), inflammation of the thyroid gland (thyroiditis), and taking too much thyroid replacement hormone to treat an underactive thyroid (hypothyroidism).
Hyperthyroidism can be treated with medication, radioactive iodine, or with surgery. In most cases, treatment brings thyroid function back to normal. However, lifelong follow-up with a health professional is needed to closely monitor thyroid hormone levels.
Consider the following when making your decision:
* Most people will be cured of hyperthyroidism after one dose of radioactive iodine. The radioactivity in the iodine destroys most or all of the tissue in your thyroid gland. This may lead to hypothyroidism, which means your body makes too little thyroid hormone. If you develop hypothyroidism, you have to take thyroid hormone online medication for the rest of your life.
* If you are pregnant, want to become pregnant within 6 months of treatment, or are breast-feeding, you cannot use radioactive iodine.
* You can use radioactive iodine therapy after you have been treated with antithyroid medication.
* Radioactive iodine is often recommended if you have Graves' disease and are older than 50, or if you have thyroid nodules (toxic multinodular goiter) that are releasing too much thyroid hormone.
* Antithyroid medication works best if you have mild hyperthyroidism, if this is the first time you are being treated for Graves' disease, if you are younger than 50, or if your thyroid gland is only swollen a little bit (small goiter).
* Antithyroid medication does not damage your thyroid gland. But it doesn't work for everyone, and you may have a relapse.
* If you have used antithyroid medication and you have a relapse, taking antithyroid medication again may not work.
Hyperthyroidism develops when the thyroid gland makes too much thyroid hormone. Thyroid hormones control your metabolism—how your body turns food into energy—and influence your heart rate, digestion, muscle and bone strength, and cholesterol levels. When you have too much thyroid hormone, all of your body's functions speed up.
What are the risks of hyperthyroidism?
If you do not get treatment, hyperthyroidism can lead to heart problems, bone problems, and thyroid storm, a life-threatening condition that occurs when the thyroid releases a lot of thyroid hormone in a short period of time.
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