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Therapy for hypothyroidism is monitored at approximately six week intervals until stable. During these visits, a blood sample is checked for TSH to determine if the appropriate amount of thyroid replacement is being given. The goal is to maintain the TSH within normal limits. Depending on the lab used, the absolute values may vary, but in general, a normal TSH range is between to /ml. Once stable, the TSH can be checked yearly. Over-treating hypothyroidism with excessive thyroid medication is potentially harmful and can cause problems with heart palpitations and blood pressure control and can also contribute to osteoporosis . Every effort should be made to keep the TSH within the normal range.
In some cases, lymphomas that start or grow in the abdomen can cause swelling or pain in the belly area. This might be from lymph nodes that have become large, or from organs such as the spleen or liver that have become involved with disease. Fullness in the abdomen can also result from a build-up of large amounts of fluid in the abdomen. An enlarged spleen might press on the stomach, which can cause a loss of appetite and feeling full after only a small meal. Lymphomas in the stomach or intestines can also cause abdominal pain, nausea, or vomiting.