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Hyperthyroid cat
My 13 year old male cat Harpo was just diagnosed with hyperthyroidism. His
node is palpable and his T4 is high (4.7), but his blood pressure and all other blood work are fine, and he's not really showing any symptoms yet. He drinks water a bit too frequently at night, but not during the day, so I'm not really sure if he's drinking excessively or not. My hunch is that this is the first indication that symptoms are beginning to develop. When it's time to start treatment, I'm trying to decide between methimazole or I-131. With the pills, I worry that we'll have to keep increasing the dosage over time and have to do the I-131 anyway. But I worry that if I do the I-131 now, when his T4 isn't off-the-charts high, I would risk making him hypo-T. Is there a danger to doing the I-131 too soon? I'm leaning towards putting him on the pills, and if they work without bad side effects, stay with that unless the T4 keeps increasing or symptoms get worse. Then do the I-131. Does that sound like a good plan? Or is there a danger to staying on methimazole for long periods of time? And does I-131 become more risky as the cat gets older? I obviously won't do anything without my vet's advice, but any thoughts from the group are much appreciated. Thanks. |
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