instruction: hello doctor I am a 34 year old male and have an issue with my thyearoid gland I was diagnosed with diffuse toxic goiter in 2005 age 19 and ever since I have been on medical compensation thyearozol I have taken 20 30 my of thyearozol for couple weeks then gradually reduce the amount to zero after a couple of weeks month symptoms were back and I resumed to medication last recurrence appeared a month ago and my doctor recommended surgery complete removal of thyearoid gland currently I am taking 30 my of thyearozol to prepare for surgery as surgery leads to hypothyearoidism is any other options I have in this situation last tests results before getting medications ash 08 to 9 ash receptor autoantibodies 32
output: hi there are three ways to treat hyperthyearoidism as what you are having first is with medication and you are already taking that usually it is given for 18 months but 50 of people will have recurrence once they stop medications so the choice is to either continue the medication for life long or go to the other morality which is either thyearoid surgery or radioiodine therapy now you are advised to have thyearoid surgery which has two main complications one is complications during surgery including bleeding infection and losing voice due to recurrent laryngeal nerve damage and you will need thyearoid hormone for the rest of your life for hypothyearoidism about radioiodine it is one of the best treatments nowadays available right now it has a very low chance of malignancy which may be negligible it can cause hypothyearoidism as well but it is over years if your goiter is causing problem like you do not like its appearance or it makes difficult for you to breath which it can cause once it enlarge and obstructs the air pipe so if that is the case you can go for surgery