Re: Goitrous Thyroid/Raspy voice

[Guest guest]

Yep, it can.... not every one has it... but enough do to suggest it's linked to the thyroid.... I know my own voice has changed, I'm not a singer, but I have recordings of my voice (I do my own audio books so that I can listen to my favorite books while I work, oh... I also know a place online to download free audio books, they quality isn't as good as paid for books, and they are all out of copyright classics, but I still love it... all the Oz books, all the Sherlock Holmes books... I have hundreds of hours of them downloaded! www.audiobooksforfree.com free to register, no spam) and I can hear the difference in the sound and in the.... what's the right word... the pace.... the timing... how much faster I'm talking now than I was several years ago....

I like my voice better now then before, when I was more hypo.... I dont' have any recordings from before RAI... that would be interesting to hear.....

One of the gals that I was talking to on the phone yesterday was speaking in the same 'pattern' that I'm recognizing as 'hypo slow speech'. Totally unscientific, my own term... but to me.... I'm beginning to recognize it....

Topper ()

On Fri, 14 Apr 2006 08:21:12 -0400 "Rhonda Beagan" writes:

Does anyone know if a multinodular goitrous thyroid or Hashimoto's causes a raspy voice. I have had problems for a long time with my voice being really raspy, like I can't get it cleared. Now that I've been diagnosed with the above and they say I have small goitors all over my thyroid, I'm wondering if this is the reason. I don't have problems with swallowing, I just can't clear my throat. I might also add, that I am a singer and used to sing a LOT in my past and also wondering if maybe I might have messed up my vocal cords from singing so much. I am not able to sing anymore because of this. It's all I can do to get through a entire song without becoming raspy.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

WOW! That's interesting. Ok.....since I'm all new to this thyroid talk.....what is RAI? I see it talked about a lot on this list, but have no clue what it is.

Blessings,Rhondawww.hormonalhappiness.com

----- Original Message -----

From: topper2@...

Yep, it can.... not every one has it... but enough do to suggest it's linked to the thyroid.... I know my own voice has changed, I'm not a singer, but I have recordings of my voice (I do my own audio books so that I can listen to my favorite books while I work, oh... I also know a place online to download free audio books, they quality isn't as good as paid for books, and they are all out of copyright classics, but I still love it... all the Oz books, all the Sherlock Holmes books... I have hundreds of hours of them downloaded! www.audiobooksforfree.com free to register, no spam) and I can hear the difference in the sound and in the.... what's the right word... the pace.... the timing... how much faster I'm talking now than I was several years ago....

I like my voice better now then before, when I was more hypo.... I dont' have any recordings from before RAI... that would be interesting to hear.....

One of the gals that I was talking to on the phone yesterday was speaking in the same 'pattern' that I'm recognizing as 'hypo slow speech'. Totally unscientific, my own term... but to me.... I'm beginning to recognize it....

Topper ()

On Fri, 14 Apr 2006 08:21:12 -0400 "Rhonda Beagan" writes:

Does anyone know if a multinodular goitrous thyroid or Hashimoto's causes a raspy voice. I have had problems for a long time with my voice being really raspy, like I can't get it cleared. Now that I've been diagnosed with the above and they say I have small goitors all over my thyroid, I'm wondering if this is the reason. I don't have problems with swallowing, I just can't clear my throat. I might also add, that I am a singer and used to sing a LOT in my past and also wondering if maybe I might have messed up my vocal cords from singing so much. I am not able to sing anymore because of this. It's all I can do to get through a entire song without becoming raspy.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

RAI --- Radioactive iodine.

It's used in a very light dose to do a thyroid scan, though that seems to be done more with ultrasound now.... and it's used in higher doses to kill the thyroid gland, or part of it, by burning it out with radiation.

The radiation is attached to iodine molecules.... The thyroid gland, one of it's functions is to filter iodine out of the blood and use it to make thyroid hormone...

The Thyroid gland absorbs the radioactive iodine, concentrating it in it's tissues... and kills all, or part of, itself....

I right a bit about RAI and quarantine on the site.... for folks that are facing possible RAI treatment....

www.thyrophoenix.com/rai.htm

Topper ()

On Fri, 14 Apr 2006 08:57:23 -0400 "Rhonda Beagan" writes:

WOW! That's interesting. Ok.....since I'm all new to this thyroid talk.....what is RAI? I see it talked about a lot on this list, but have no clue what it is.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

What if a person is allergic to iodine, would this not be a good choice? Or is this not the same kind of iodine? I had an IVP done one time and my whole body broke out in a rash. I was then told I was allergic to the iodine that they used in the IVP and that I would never be able to eat shell fish.

Blessings,Rhondawww.hormonalhappiness.com

----- Original Message -----

From: topper2@...

RAI --- Radioactive iodine.

It's used in a very light dose to do a thyroid scan, though that seems to be done more with ultrasound now.... and it's used in higher doses to kill the thyroid gland, or part of it, by burning it out with radiation.

The radiation is attached to iodine molecules.... The thyroid gland, one of it's functions is to filter iodine out of the blood and use it to make thyroid hormone...

The Thyroid gland absorbs the radioactive iodine, concentrating it in it's tissues... and kills all, or part of, itself....

I right a bit about RAI and quarantine on the site.... for folks that are facing possible RAI treatment....

www.thyrophoenix.com/rai.htm

Topper ()

On Fri, 14 Apr 2006 08:57:23 -0400 "Rhonda Beagan" writes:

WOW! That's interesting. Ok.....since I'm all new to this thyroid talk.....what is RAI? I see it talked about a lot on this list, but have no clue what it is.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

This wouldn't be a bad subject to explore more.... are you allergic to the iodine, a product they used in the iodine preparation that they used, or is it a reaction by your body because iodine is no longer healthy for you due to it's use by the thyroid gland??

Being someone that is now dealing with some of the side affects of the RAI (specifically lymphedema) I don't think RAI is a good choice for anyone, but I do know that in some cases, mine included, RAI is the only choice if without it you die....

If I had been properly diagnosed and treated for my genetic defect... I would never have had to have the radiation to stop the thyroid storm that I went into... My condition could have been treated with blockers to bring my gland back in line, and then monitored.... actually less effort and hassle that what I deal with no in having no gland function left and now the lymph....

For those that are new.... I went in to thyroid storm, a severe and life threatening hyperthyroid state. The first doc ignored the symptoms and by the time it was diagnosed it was RAI or die. I have defective TSH receptors, my gland never got instruction as to how much hormone to produce, mine happened to decide to gradually increase production... so as the years passed it put out more and more hormone until it went into storm and extreme excess of hormone that triggers most body systems to go into over drive. Accelerated heart rate, metabolism, brain function.... All in all NOT fun.

Surgery, thyroidectomy, has it's risks as well. But for the most part, has fewer risks than RAI... IF the gland must be removed.

Once a person has reached storm.. depending on the severity, how long they've been there and what damage is occurring with the body, most especially the heart, surgery isn't an option because of the hyper state of the body, they aren't able to regulate the anesthesia to put you out, the can't replace blood and oxygen and anything else that needs replacing fast enough cuz all of their equipment is designed for 'normal' metabolic rates.

In my case I had a resting heart rate of 160 and the simple act of standing shot it up over 200. My caloric intake was between 25 and 30 thousand calories a day and I was BARELY able to maintain my weight....

.... off on a tangent... sorry... shutting up now! hehehe

Topper ()

On Fri, 14 Apr 2006 09:27:38 -0400 "Rhonda Beagan" writes:

What if a person is allergic to iodine, would this not be a good choice? Or is this not the same kind of iodine? I had an IVP done one time and my whole body broke out in a rash. I was then told I was allergic to the iodine that they used in the IVP and that I would never be able to eat shell fish.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

Yes, I have the above and same symptoms. I can tell you Rhonda as a previous vocalist (13 years) that if you keep singing on days when you can, it will help your vocal chords to stay in shape. Because the thyroid gland is enlarged when a goiter is present it will push against the vocal chords. This is what makes your voice raspy and sore. It also wouldn't surprise me if the surrounding tissues become inflamed due to the constant state of flux around the gland.

Once your thyroid levels balance out more, you will notice this going away. What I had to do, since I have thyroiditis and many allergies that contribute to thyroiditis, is taking prescription allergy medication. I'm not an advocate nor nay sayer of prescription meds, but I like to look long and hard at natural remedies first. I'm trying to educate myself about all the methods that work, so I can recommend them to my patients in med school and after.

The allergy medicine for me reduced inflammation and also I noticed that it along with thyroid meds (I take generic Armour) reduced the size of some of my nodules.

Now, because of this, my ENT says he wants to hold off surgery for as long as possible. And Topper, just to let you know, I finally have that biopsy/ultrasound scheduled for 2 days before my birthday! And a hearing test due to waxy build up (he says) from an upper respiratory infection. (Remember about a month ago when I told you my hearing was screwy?) It seems to be getting better as my ears slowly drain, btw but I do notice that they are taking forever to drain LOL. Does anyone else have ear problems? With lymph nodes swollen, it's amazing that we're not all deaf.

Something you can do to help is to always drink lots of water, make sure your posture is correct and you have good diaphragm support for singing (when your gland is flaring, it will make it harder to hold notes and air to pass through), you can also drink warm honey, lemon juice and sugar to help coat your throat and also suck on hard candy. Typical tricks of the trade help out a lot.

You can do basic warm up exercises to keep your voice in check but I would recommend not doing it on really 'bad' days as you can damage your vocal chords.

I can tell you that since the improvements in my medicine and dosaging my singing voice is coming back. I'm not pushing it and I'm letting it have it's time, but I will have to work it out, just like the rest of my body. I wouldn't go to high or to low in a range. If you sang soprano, I would start in the alto range, if you were alto, I would start high tenor/low alto. Things like that.

I hope that helps,

-med.

Goitrous Thyroid/Raspy voice

Does anyone know if a multinodular goitrous thyroid or Hashimoto's causes a raspy voice. I have had problems for a long time with my voice being really raspy, like I can't get it cleared. Now that I've been diagnosed with the above and they say I have small goitors all over my thyroid, I'm wondering if this is the reason. I don't have problems with swallowing, I just can't clear my throat. I might also add, that I am a singer and used to sing a LOT in my past and also wondering if maybe I might have messed up my vocal cords from singing so much. I am not able to sing anymore because of this. It's all I can do to get through a entire song without becoming raspy.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

Oh yeah... the 'yes... I.... I do like... cho..colate' LOL.

god I hate those days.

-med.

Re: Goitrous Thyroid/Raspy voice

WOW! That's interesting. Ok.....since I'm all new to this thyroid talk.....what is RAI? I see it talked about a lot on this list, but have no clue what it is.

Blessings,Rhondawww.hormonalhappiness.com

----- Original Message -----

From: topper2@...

Yep, it can.... not every one has it... but enough do to suggest it's linked to the thyroid.... I know my own voice has changed, I'm not a singer, but I have recordings of my voice (I do my own audio books so that I can listen to my favorite books while I work, oh... I also know a place online to download free audio books, they quality isn't as good as paid for books, and they are all out of copyright classics, but I still love it... all the Oz books, all the Sherlock Holmes books... I have hundreds of hours of them downloaded! www.audiobooksforfree.com free to register, no spam) and I can hear the difference in the sound and in the.... what's the right word... the pace.... the timing... how much faster I'm talking now than I was several years ago....

I like my voice better now then before, when I was more hypo.... I dont' have any recordings from before RAI... that would be interesting to hear.....

One of the gals that I was talking to on the phone yesterday was speaking in the same 'pattern' that I'm recognizing as 'hypo slow speech'. Totally unscientific, my own term... but to me.... I'm beginning to recognize it....

Topper ()

On Fri, 14 Apr 2006 08:21:12 -0400 "Rhonda Beagan" writes:

Does anyone know if a multinodular goitrous thyroid or Hashimoto's causes a raspy voice. I have had problems for a long time with my voice being really raspy, like I can't get it cleared. Now that I've been diagnosed with the above and they say I have small goitors all over my thyroid, I'm wondering if this is the reason. I don't have problems with swallowing, I just can't clear my throat. I might also add, that I am a singer and used to sing a LOT in my past and also wondering if maybe I might have messed up my vocal cords from singing so much. I am not able to sing anymore because of this. It's all I can do to get through a entire song without becoming raspy.

Blessings,Rhondawww.hormonalhappiness.com

[Guest guest]

Hi Rhonda. My experience is thyroid cancer. Huge goiter with each

lobe of the thyroid. My voice didn't change till after surgery that

removed my thyroid, then when I was hypo, as part of our cancer

treatment preparedness. Hypo causes the vocal cords to thicken,

thus a change in voice, usually lower and raspy. One of the

symptoms for thyroid cancer is a raspy voice. Don't exactly know

why, expect it's swelling in the neck pressing on the vocal nerve.

US Jane

>

> Does anyone know if a multinodular goitrous thyroid or Hashimoto's

causes a

> raspy voice. I have had problems for a long time with my voice

being really

> raspy, like I can't get it cleared. Now that I've been diagnosed

with the

> above and they say I have small goitors all over my thyroid, I'm

wondering

> if this is the reason. I don't have problems with swallowing, I

just can't

> clear my throat. I might also add, that I am a singer and used to

sing a LOT

> in my past and also wondering if maybe I might have messed up my

vocal cords

> from singing so much. I am not able to sing anymore because of

this. It's

> all I can do to get through a entire song without becoming raspy.

>

> Blessings,

> Rhonda

> www.hormonalhappiness.com

>

[Guest guest]

YES ! I am really sick of it and hope it improves with treatment. I

am waiting for an Ultrasound to see what this Goitre is doing to make

my voice sound like an 90yo, and why swallowing is so hard and why my

throat is itchy and turning my head hurts.

Dr # 1 said it was Reflux ..... Its been a long 8 week wait to get

this scan ....

Aussie Jane

......

>

> Does anyone know if a multinodular goitrous thyroid or Hashimoto's

causes a

> raspy voice. I have had problems for a long time with my voice being

really

> raspy, like I can't get it cleared. Now that I've been diagnosed

with the

> above and they say I have small goitors all over my thyroid, I'm

wondering

> if this is the reason. I don't have problems with swallowing, I just

can't

> clear my throat. I might also add, that I am a singer and used to

sing a LOT

> in my past and also wondering if maybe I might have messed up my

vocal cords

> from singing so much. I am not able to sing anymore because of this.

It's

> all I can do to get through a entire song without becoming raspy.

>

> Blessings,

> Rhonda

> www.hormonalhappiness.com

>

[Guest guest]

I wouldn't be a bit surprised if I had thyroid cancer. (but I'm not claiming it!) The more I talk to my mom, the more she is remembering family members who had thyroid problems and so far, 2 family members have had their thyroid removed and she thinks one of them was because of cancer.

I had an ENT Dr. check my vocal cords and he said they were fine. I told him I was having problems with my voice being raspy. That was 3 years ago. It's even worse now. I've never really had problems with swallowing except for the fact that I have always had to chew my few over and over and over until it was mush because I always felt like I was going to choke if I didn't. The only time I have problems swallowing, is when I'm laying on my back, I can't seem to get my saliva to go down. Does that have anything to do with having a goitrous thyroid, or is that just a part of being human?...LOL I always dread it when I have to lay on my back and get an MRI because I think I'm going to choke to death on my own spit in the stupid machine, let alone being claustrophobic.

Blessings,Rhondawww.hormonalhappiness.com

----- Original Message -----

From: rjane1955

Hi Rhonda. My experience is thyroid cancer. Huge goiter with each lobe of the thyroid. My voice didn't change till after surgery that removed my thyroid, then when I was hypo, as part of our cancer treatment preparedness. Hypo causes the vocal cords to thicken, thus a change in voice, usually lower and raspy. One of the symptoms for thyroid cancer is a raspy voice. Don't exactly know why, expect it's swelling in the neck pressing on the vocal nerve. US Jane>> Does anyone know if a multinodular goitrous thyroid or Hashimoto's causes a > raspy voice. I have had problems for a long time with my voice being really > raspy, like I can't get it cleared. Now that I've been diagnosed with the > above and they say I have small goitors all over my thyroid, I'm wondering > if this is the reason. I don't have problems with swallowing, I just can't > clear my throat. I might also add, that I am a singer and used to sing a LOT > in my past and also wondering if maybe I might have messed up my vocal cords > from singing so much. I am not able to sing anymore because of this. It's > all I can do to get through a entire song without becoming raspy.> > Blessings,> Rhonda> www.hormonalhappiness.com>

[Guest guest]

>

> Does anyone know if a multinodular goitrous thyroid or Hashimoto's

causes a

> raspy voice. I have had problems for a long time with my voice

being really

> raspy, like I can't get it cleared. Now that I've been diagnosed

with the

> above and they say I have small goitors all over my thyroid, I'm

wondering

> if this is the reason. I don't have problems with swallowing, I

just can't

> clear my throat. I might also add, that I am a singer and used to

sing a LOT

> in my past and also wondering if maybe I might have messed up my

vocal cords

> from singing so much. I am not able to sing anymore because of

this. It's

> all I can do to get through a entire song without becoming raspy.

>

> Blessings,

> Rhonda

> www.hormonalhappiness.com

>

A goitrous thyroid just means an enlarged thyroid..goiters all over

your thyroid I am taking to mean nodules??

Your thyroid is located at the front of your neck near the base..it

is butterfly shaped..now in your neck you also have your wind pipe,

your esophagus, your voice box and your parathyroids.. not to

mention nerves and viens connecting and running everywhere.

So now you enlarge the thyroid, and you enlarge the thyroid..your

neck is not that big..it has to go somewhere and usually ends up

compressing on something or everytihng in order to make space for

itself..

So yes it is possible to have a flemmy throat as your wind pipe is

compressed and your body's functioning on clearing things has slowed

down..and a raspy voice indicates compression on the vocal

cords/voice box..

Kats3boys

[Guest guest]

It 'seems' that it's easier for docs to kill the gland and lose it as a variable and then just do straight replacement.

Some think it's cuz it's easier that way AND they get even more money out of you by charging you for the surgery and / or RAI.

Some think that by removing the gland, that doesn't work right anyway, you remove future potential for thyroid cancer.

Some think that without surgery it's not serious and embrace making it serious.

In some cases the gland is so damaged, either scare tissue or mislocated and causing problems that it's best to remove it.

For hyper cases.... if the hyper is Hashi's, makes no more sense to remove it than it does if it's the hypo stage of Hashi's... If it's Grave's, removing the gland just allows the antibodies to attack something else, and shouldn't be done unless medication isn't able to control it... If it's genetic defect, like me, medication, especially in my case, would have been the wiser choice IF it had been diagnosed when I first went in.... but I was in storm so there was no time to wait, RAI was the only option (and yes, I'm REALLY pissed about that)

It's not a dumb question at all......

The alternative is proper testing to allow for proper replacement hormone or blocking of hormone, as the case may be... but it requires effort and some docs don't want to make the effort. Some have never been trained in any other way than radical.

So.. here I am... fifteen years after RAI. No remaining thyroid gland function and when I talk to folks, like family and friends... I get this so.. .no big deal attitude... 'You never had surgery or anything, you just took a pill and went home' I had an organ destroyed.. and because it was done with a pill... it doesn't count.

Some folks want it to count.

Would I have preferred surgery? Heck yeah.... it has fewer side affects and risks than what I'm going to be dealing with from the radiation... but did I want it to make the whole thing 'real' no. At the time I thought it was cool to just take a pill to deal with it.... I was brain washed REALLY good!

Another good question, Tammy... you keep me, us, thinking.. that's good..

Topper ()

On Fri, 14 Apr 2006 23:32:08 -0500 Tammy Wolfgram writes:

OK, , here's a dumb question. Why on earth do they

want to kill off one's thyroid gland? I'm guessing this is

in cases of overactive thyroid glands, but is there no

alternative to killing or removing the gland?

Tammy

[Guest guest]

this is true. if you have problems with listening to your voice to.. you may need more humidity and moisture in the air. it makes your voice more pleasant and full sounding. that's a tip i picked up from singing and from a friend who djs for npr.

good luck,

-med.

Re: Re: Goitrous Thyroid/Raspy voice

No... not the broken speech thing... it's everything slowed... like taking a 33 1/3 rpm record and playing it at 30... I might do sound clips of mine to show the difference.... It would get me used to sharing my recorded voice..... I have to get passed that to do the thyroid podcasts... right??

Topper ()

On Fri, 14 Apr 2006 11:35:52 -0400 "medstudent2be" writes:

Oh yeah... the 'yes... I.... I do like... cho..colate' LOL.

god I hate those days.

-med.

[Guest guest]

wrote:

>

> OK, , here's a dumb question. Why on earth do they

> want to kill off one's thyroid gland? I'm guessing this is

> in cases of overactive thyroid glands, but is there no

> alternative to killing or removing the gland?

>

> Tammy

Not but I can answer this one..and yes you are right on both

accounts.. an overactive thyroid gland presents more of an immediate

risk..it speeds up the bodys metabolism, so take all the effects you

notice with hypo and reverse them..

Thyroid storm is at the far end of the scale..Thyroid storm is a

medical emergency it can and does kill..this is directly related to

an untreated or under treated hyper thyroid gland.

The body has no off switch..the temperature increases, the pulse and

bloodpressure increase..we are talking resting pulses close or over

200.

For an overactive thyroid there is medication called antithyroid

drugs..they block the thyroid from releasing thyroid hormone..but

they have to be taken 3 times a day and require constant monitoring

to make sure the thyroid levels are not too high or too low..

Two other methods are used..one is total or partial

thyroidectomy..they remove part or all of the thyroid with the

therory that less thyroid tissue means less hormones the thyroid can

produce.

The other method is the easiest on the doctors but hardest on the

patients..it is RAI.. Iodine makes the thyroid work so they add

enough radiation to the iodine knowing the thyroid will uptake the

radiation..the radiation kills the thyroid, a dead thyroid can no

longer produce thyroid hormones , you are no longer hyper, next

patient..

Some people are unable to take ATD's( antithyroid drugs) or unable

to do surgery, in 's case she was undiagnosed for so long and

was in thyroid storm that RAI saved her life.

Unfortuantley doctors also tend to use RAI as the first treatment

for hyperthyroidism and not the last treatment for hyperthyroidism..

And in 's case due to incompentent doctors among other things

she never got diagnosed as overactive until storm hit..and then she

never recieved proper treatment for the hypo RAI caused because well

they were treating her for hyper and she was know longer

hyper..problem solved for the doctors.

( I am sure will rant more on this later, we like her rants)

If you check Merck and a few other medical books they actually list

treatment for hyperthyroidism, thyroid injury and thyroid cancer as

the leading cause of hypo followed by Hashimoto's..which means more

people are hypo from treatment than those with the autoimmune

disorder.

Kats3boys

[Guest guest]

Hi Kats,Thanks for your reply! I didn't know that treatmentof thryoid cancer and hyper was the leading causeof hypo, but I do know a couple of people who hadthyroid cancer.Tammy > > OK, , here's a dumb question. Why on earth do they > want to kill off one's thyroid gland? I'm guessing this is > in cases of overactive thyroid glands, but is there no > alternative to killing or removing the gland? > > Tammy Not but I can answer this one..and yes you are right on both accounts.. an overactive thyroid gland presents more of an immediate risk..it speeds up the bodys metabolism, so take all the effects you notice with hypo and reverse them.. Thyroid storm is at the far end of the scale..Thyroid storm is a medical emergency it can and does kill..this is directly related to an untreated or under treated hyper thyroid gland. The body has no off switch..the temperature increases, the pulse and bloodpressure increase..we are talking resting pulses close or over 200. For an overactive thyroid there is medication called antithyroid drugs..they block the thyroid from releasing thyroid hormone..but they have to be taken 3 times a day and require constant monitoring to make sure the thyroid levels are not too high or too low.. Two other methods are used..one is total or partial thyroidectomy..they remove part or all of the thyroid with the therory that less thyroid tissue means less hormones the thyroid can produce. The other method is the easiest on the doctors but hardest on the patients..it is RAI.. Iodine makes the thyroid work so they add enough radiation to the iodine knowing the thyroid will uptake the radiation..the radiation kills the thyroid, a dead thyroid can no longer produce thyroid hormones , you are no longer hyper, next patient.. Some people are unable to take ATD's( antithyroid drugs) or unable to do surgery, in 's case she was undiagnosed for so long and was in thyroid storm that RAI saved her life. Unfortuantley doctors also tend to use RAI as the first treatment for hyperthyroidism and not the last treatment for hyperthyroidism.. And in 's case due to incompentent doctors among other things she never got diagnosed as overactive until storm hit..and then she never recieved proper treatment for the hypo RAI caused because well they were treating her for hyper and she was know longer hyper..problem solved for the doctors. ( I am sure will rant more on this later, we like her rants) If you check Merck and a few other medical books they actually list treatment for hyperthyroidism, thyroid injury and thyroid cancer as the leading cause of hypo followed by Hashimoto's..which means more people are hypo from treatment than those with the autoimmune disorder. Kats3boys