I have tested positive for Graves antibody
Was that TSIab (Thyroid Stimulating Immunoglobulin), if not then you have hashimoto and not graves .
You provide contradicting information, if you have Graves, then you should be hyperthyroid and have a very low TSH and maybe even an undetectable TSH, since your TSH is extremely high, then you are hypothyroid, it goes counter intuitive.
The treatment for hypo and hyper is totally different, the 85 TSH was after stopping the Tapazole for how much time?
You need to wait six weeks (off Tapazole) and only then to repeat TSH.
for hypER, there are three options, anti thyroid medication, like Tapazole which increases the TSH, but it can cause other complications, there is also RAI, which kills your thyroid gland permanently and thus your TSH will rise and you will need to be put on Levo to lower it to around 2.5 , in some cases surgery might be done to remove all or part of your gland.
You need to repeat the ultra sound every (I think) six months, if the nodules are growing then your Endo might recommend a surgery, I don't now regarding hypER ( low TSH), but with hypo (high TSH) starting Levo shrinks the nodules in third of the cases, in an another third they remain the same size and thus after few years that they are not growing they are just left as they are, but of course you should be sure you are balanced properly with the Levo and taking it regularly, in the last third they grow and need to be addressed by surgery.
Best of luck,
Post Edited (hypoHashimoto) : 7/21/2016 9:17:19 AM (GMT-6)