Hi Christine,
I guess it depends on your doctors then, as mine considers the thyrogen shots typical protocol for any patient that presents with out mets, including new patients. Many of the friends that I have made through support groups, including THYCA, have had there annuals done with thyrogen as well right from the beginning. The only exception are the ones with the mets. I think many doctors are aware of the extreme suffering a person goes through when they are off meds for that period of time, and I believe that course of treatment in not the *desired* method any longer.