### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
a goiter and nodules were found during a scan of my gallbladder which landed me into the hospital, i saw a surgeon for the gallbladder and have elected to put off surgery for now (feel fine now).... i followed up with an endo, she wanted to put me on synthyroid to TRY to shrink the nodule (i said NO due to the side effects of this drug) i was also told over the phone, i test positive for antibodies? and have an underactive thryroid...not sure if i like this doc or not...only saw her 1 time.. i do not have any details of blood results, she acts like it is no big deal but i am concerned... currently i am to followup in june with a sono and office biopsy of the nodule... i do not want medication unless it is absolutely necessary (I feel perfectly normal)... i am 57 and in excellent health until the gallbladder issue... am i jeopardizing my health by refusing meds for the nodule? is there a more natural approach to this deficiency of the thyroid?

### output:

Ignite is enlargement of thyroid. If there are multiple nodules and your TSH levels are normal, initially you can try with Thyroxine tablets along with iodized salt. If there is no response, you can go for surgery for multi nodular goiter. You can also go for surgery directly as the medical treatment is not responsive. But, let the FNAC/Biopsy report come, and you can proceed accordingly. If there is no cancer, you can wait for the response of medicines or go for surgery directly as some benign nodules may turn into cancer. Please do not try other natural approaches for thyroid as it will delay the treatment. Regarding gall bladder, it should be removed if you are having gall bladder stones along with pain in the right upper part of abdomen. If you come back with biopsy report, I will clarify furthering you good healthRegards