thanks for asking
few questions
*When was first noticed?
*Has it increased in size since then?
Any recent increase in size?
*Do you have any breathing difficulty/ swallowing difficulty or any voice change?
*Any history of weight loss/palpitations/ tremors/diarrhea?
*Any associated weight gain/ hairloss/ tiredness/ constipation?
*Any history of
recurrent fever /
thyroid pain/
eye pain / bulging eye ball/ tiredness?
*Periods- is it regular?
*How is your quality of life?
*Any family history of thyroid disease/
goiter or thyroid malignancy?
*Are you diabetic/ hypertensive?
*Do you have raised cholesterol?
do anti TPO antibodies
if positive it might mean that you have an autoimmune process going on .
so
hair fall as a part of autoimmune process can occur even if your TSH and Free T4 are normal.
your t4 ishigh because of either 2 reasons
1. u did the test after taking medication immediately
2.or your dose is high