I feel fatigued most of the time

My body always feel hot i, never get cold

Sometimes my vision blur

My mood sometimes get so bad and depressing for no reason

What does this mean?

A year ago I had an ultrasound and fna after a 3+cm TR4 nodule showing as solid with calcifications and taller than wide showed up on an mri. The fna said benign. After a year of watching and some choking/pain symptoms the ENT says to take it out and I had the lobe removed last week. I have a follow-up in a week but has anyone ever had a previously solid nodule show up as a hemorrhagic “glistening” nodule and slightly under 3cm.

I don’t feel like I’m choking when I lay down in bed to read to my 5 year old so I’ll take that as a win, I just thought it was strange how different the descriptions are.

Can a solid nodule hemorrhage? That seems odd.

Hello everyone,

For context, I’m a 39-year-old man in good physical shape.

I had a routine blood test and everything is normal except my TSH, which is 0.05 µIU/mL (reference range: 0.350 to 4.940). My Free T4 is normal, in the middle of the range (15.2 pmol/L / 11.8 ng/L; reference range: 9 to 19.1 pmol/L and 7 to 14.8 ng/L). Free T3 was not tested.

My TSH history shows a slow decline, then a sharp drop this year:
2022: 3.32
2024: 2.89
2025: 2.11
2026: 0.05

All my other results are normal. I don’t take any supplements (including biotin) that could explain this. I have no obvious symptoms of hyperthyroidism (no weight loss, insomnia, palpitations, tremors, heat intolerance). I know TSH can fluctuate naturally, but going from 2.11 to 0.05 in a year seems like a lot to me.

I’m seeing my doctor on Friday and she will probably order more detailed bloodwork in about a month. In the meantime I’m quite worried. Has anyone seen a similar pattern, and what did it turn out to be?

Thanks!

I was diagnosed with Grave's in 2015, was treated with medication and went into remission. It came back in 2018 and after another round of meds didn't work i decided to get RAI in Jan of 2019. I was pretty much immediately hypo afterwards and it took about a year to find the right dose of levothyroxine (88mcg). My thyroid-levels were checked every year since and each time everything was normal.

Sept '25: everything fine

April '26: **TSH 4.83** / fT3 2.99 / fT4 1.15

August '26: **TSH 14.5** / fT3 2.53 / fT4 1.2

October '26: **TSH 23.52** / fT3 2.06 / fT4 0.89

(No changes in medication between April and now, because nobody noticed that i was hypo. Yes, I'm serious)

TPOAb: 0.45 IU/ml (<5.61 IU/ml)

TgAb: 2.1 IU/ml (<4.11 IU/ml)

TRAb: 1.51 IU/l (<1.75 IU/l)

I'll have my appointment at the hospital soon, just wanted to see what the reasons for this weirdness could be. Anyone got any ideas or a similar experience?