Our expert says:
Often the hyperactivity is caused by an outo-immune reaction (Grave's disease) or viral thyroiditis, and the thyroid may recover to an extent. That is why we usually start with medication. A lower white cell count is common with Carbimazole treatment and her doctor may decide to give a lower dose and continue with frequent monitoring of the blood count. If she needs radioactive iodene, it is given in very small doses and it concentrates in the thyroid, knocking out the over active cells. It has few side effects - mainly nausea, sore throat and swollen glands for a few days. Patients may need to take life long thyroid hormone replacement after radioactive iodene or surgery (which will usually be the last option)
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