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So the story is long to how I got here, but recently have been diagnosed w/ Graves after a thyroid storm out of no where. No prevoous thryoid issue, no family history. My doctor is treating me with/ Methimazole (started on high dose, have decreased sightly) and Propranolol. I get blood work weekly, but don't see him again for three months. I have read about Methimazole affecting liver, and my last blood work showed my levels were high. I went to a differnt doctor for a second opinion, his thoughts were much different: to STOP Propranolol and Methimazole IMMEDIATELY. He feels that methimazole is really bad for the liver even for temporary time frame. So, he prescribed Atenolol (50mg 2 tabs twice a day) as a replacement for propranolol. Im not entirely sure if he wants to stop the Methimazole simply bc of the liver, or in order to prepare for radioactive iodine therapy? Which I had explained to him, I needed to learn more about before proceeding. It's so confusing and frustrating because each doctor is different and every website and article is different. 2nd doctor says that new research says both Methimazole and PTU are both not good to be on during pregnancy, so my best option if I'd like to get pregnant in the next year or so, would be to do the Iodine therapy. My gynocolgoist seemed to agree. They put me back on birthcontrol, which i was reluctant, but they say its best until all is worked out. Other research seems to show that risk of liver damange is rare w/ methimazole and that some people are able to take oral meds temporarily and then go into remission, with out radioactive iodine. Lastly, I have obviously read many risks associated w/ the radio active therapy....immediate effects of being isolated for up to a week, longer term effects such as dry mouth, upset stomach, persistent fatigue, lung problems, infertility, etc, not to mention the need to take a synthetic thyorid med? Ahhh any help?? experiences w/ one treatment vs the other (specifically w/ Graves) and pros and cons??
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