INSTRUCTIONS FOR THYROID SCAN

 

1. 6 weeks prior to thyroid scan STOP SYNTHROID/LEVOXYL. START CYTOMEL 3 times per day

You should STOP SYNTHROID on ______________________

You should START CYTOMEL on _______________________

 

2. 2 weeks prior to thyroid scan STOP CYTOMEL. START LOW IODINE DIET

 

You should STOP CYTOMEL on _________________________

LOW IODINE DIET

AVOID:
Iodized salt
Milk and dairy products
Eggs
Seafood (including fish, shellfish, kelp and seaweed)
Breads made with iodate dough conditioners
Red food dyes (found in cereals, candies and vitamins)
Restaurant food (including fast food restaurants)
Foods containing any of the following ingredients: iodized salt, iodinates, iodides, algin, alginates, agar agar

3. 2 days prior to thyroid scan you should get a blood test (TSH and thyroglobulin) at the hospital.

Have blood test done on ____________________________

4. Have the thyroid scan done

 

 

5. DO NOT start back on any medication until after talking with me.

Your thyroid scan is scheduled for _______________________

at: ________________________

and: _______________________

 

Please sign in one half hour before your first scheduled appointment.

 

Revised 8/08
 


 

 

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