You have an enlarged thyroid gland or goitre. A goitre is an enlargement of part or all of your thyroid gland. If you have one, see an endocrinologist to help you figure out why it has developed, and what treatment will help. “If you have a goitre, you should see an endocrinologist whether you have hypothyroidism or not,” says Dr. Wexler says. A pituitary gland disorder is causing hypothyroidism. This gland, along with the hypothalamus, sits at the base of the brain and controls your body’s production of thyroid hormone. It’s very unusual, but in some people, the pituitary gland fails to release the thyrotropin-releasing hormone (TRH), which stimulates the production of thyroid hormone. This is a complicated condition, so if possible, see an endocrinologist help you with the next steps.
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