I have a very large nodule on my thyroid, does it have to mean cancer?

Posted by cindiwass @cindiwass, Nov 4, 2019

A couple of years ago it was found that I have a very large nodule on one side of my thyroid, and another smaller one on the other side. I did not have a FNA although the clinic wanted me to. (A hospital clinic.) I resisted. But now the time has come for me to go further. I am not feeling particularly sick, but with such a large nodule (almost 2 inches), I realize it could be cancer or something else and I am coming to terms with that. I guess they will want to do a FNA, but I know that is not always a correct indicator of cancer. The endocrinologist wants to do a radioscan of my nearby glands before the FNA. I guess she wants to see if I have nodules elsewhere nearby.
I have a couple of questions, but let’s say they don’t find cancer cells if they give me a FNA. Why would a nodule grow so large if it is benign? I am 75.

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@jenniferhunter

@cindiwass Hashimoto's thyroiditis causes thyroid nodules. I have that and have had a needle biopsy to rule out cancer. That is done in an interventional radiology lab after they inject a painkiller. I have multiple nodules and over a few years, they have reduced in size after I began taking natural desiccated pig thyroid hormones. It's an easy test. I see a functional medicine doctor who manages my thyroid and he says that some patients cannot convert the components in the synthetic thyroid medication. The natural version has all of them present while the synthetic does not. Here is some information about thyroid nodules.
https://www.mayoclinic.org/diseases-conditions/thyroid-nodules/symptoms-causes/syc-20355262

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@jenniferhunter – What is a functional medicine doctor? Sounds worthwhile looking into. Hope you're feeling ok.

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@cindiwass

@jenniferhunter – What is a functional medicine doctor? Sounds worthwhile looking into. Hope you're feeling ok.

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@cindiwass Thanks, I am doing fine. Functional medicine looks at ways to prevent disease instead of treating symptoms. For example finding ways to reduce inflammation with diet choices, etc. instead of treating arthritis pain with drugs. There is also the AAEM , American Academy of Environmental Medicine which also looks at preventing disease. They think outside the box. My doctor who treated my thyroid was in AAEM and he criticized an endocrinologist who found the issues, but didn't help because they thought it was "normal" functioning. My AAEM doctor said that what doctors think of as "normal" is really "average" because that is defined by blood tests on everyone and many who have abnormal results. He wanted to have thyroid function to be optimal and worked out thyroid medications to get that. Also in doing hormone replacement, he also tested for the biochemistry to detox from the hormones because that is the mechanism by which it can raise risks of cancer. You can help the detox pathways with supplements. Here are some links.
https://www.aaemonline.org/
https://www.ifm.org/functional-medicine/

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@jenniferhunter

@cindiwass Thanks, I am doing fine. Functional medicine looks at ways to prevent disease instead of treating symptoms. For example finding ways to reduce inflammation with diet choices, etc. instead of treating arthritis pain with drugs. There is also the AAEM , American Academy of Environmental Medicine which also looks at preventing disease. They think outside the box. My doctor who treated my thyroid was in AAEM and he criticized an endocrinologist who found the issues, but didn't help because they thought it was "normal" functioning. My AAEM doctor said that what doctors think of as "normal" is really "average" because that is defined by blood tests on everyone and many who have abnormal results. He wanted to have thyroid function to be optimal and worked out thyroid medications to get that. Also in doing hormone replacement, he also tested for the biochemistry to detox from the hormones because that is the mechanism by which it can raise risks of cancer. You can help the detox pathways with supplements. Here are some links.
https://www.aaemonline.org/
https://www.ifm.org/functional-medicine/

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Sadly majority if insurance companies do not accept or cover functional medicine doctors.

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@fatsfat

Sadly majority if insurance companies do not accept or cover functional medicine doctors.

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@fatsfat My functional medicine doctors have been covered in-network in Blue Cross networks. You can always start a search on an insurance company website for in network doctors, and then go to that doctor's website. My functional medicine specialists have been allergy doctors in addition to an interest in tweaking health with thyroid function, etc. They have not been family practice doctors, and are MDs, but don't treat illnesses and injuries. Practitioners who are not MDs can fall into this category and are often not in insurance networks. Some doctors don't want to be in insurance networks because it is a contract on what they can earn as the in-network discounted rate, and then their treatments have to be approved for coverage which limits them. Sometimes word of mouth is the best way to find them which is how I found my current functional medicine doctor after one retired and closed his practice. His office staff gave me the name of a similar MD in my area.

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