T4 (Free) and TSH (Ultrasensitive) Questions

Anti TPO raised indicate autoimmune disorders. Gastro might be reason. Contact gastrologist please

Hello, thanks for the query. Madam I have seen the query. The tsh value is with in normal limits. Which means the current dosage of levothyroxine (25 mcg) is correct and has to be continued. If you reduce the dosage then tsh value will go up and t4 is likely to down. Another important aspect is that with a bmi (body mass index) is 34.4 kg/sq meter (normal < 23 kg/sq meter), which means you have an excess of almost 26 kg. That needs to be taken care of. Reducing the dosage may increase the weight further. Thanks.

She is suferring with subclinical hypothyroidism. It is not serious condition. With tab. Of 25 mcg she is well controlled. Ask her to take this drug empty stomach and nothing except water up to 1 hour. Donot take cabbage in diet avoid calcium, iron and soya protein in breakfast. Check anti tpo test to see auto-immune status. Go for marriage, as 10 % population is suferring with this problem.

Low levels of thyroid hormone can interfere with the release of an egg from your ovary (ovulation), which impairs fertility. In addition, some of the underlying causes of hypothyroidism — such as certain autoimmune or pituitary disorders — may impair fertility.

According to report ,you seems to be a patient of hyperthyroidism. Please tell symptoms and go for anti tpo test also.

Irregular heart beat called arrhythmia life style healthy foods= 1.eat heart healthy foods. Eat a healthy diet that low in salt and solid fats and rich in fruits ,vegetables and whole grains. 2.get regular exercise.

Hello, thanks for the quey. I have seen the query. I am sure your doctor has told you that pentaprazole needs to be taken at last 30 to 40 minutes before breakfast. So please take in that fashiom. As regards taking levothyroxine, it is better if that tablet is taken early morning say around 6 am, because it is necessary to avoid taking any food or drug for almost an hour. Thanks.

"dear Lybrate user thanks for sending across your query. Pls get you ft3, ft4, tsh done to check weather levels are normal or you need to increase a decrease the dosage of medicine.

Hello, thanks for the query. Madam, I have seen the details mentioned. The tsh level & dosage of levothyroxine mentioned are not so relevant today. So if you are having symptoms of hypothyroidism now, it is essential to recheck the thyroid profile and based on that the present dosage will have to be decided. It is also essential to know your current weight and height. It is also necessary for you to get lipid profile done because in hypothyroidism lipids get deranged. If you have any further questions please do come back. My suggestion is please do the necessary tests and then post the results through a private conversation so that I will be able to prescribe necessary medication. In this communication we are supposed to give only general advise, no drugs can be prescribed or recommended. Since you had pretty high tsh earlier, it is absolutely essential to restart the treatment with appropriate dosage. Another aspect is that treatment of hypothyroidism has to be taken for lifetime. It should not be discontunued. Thanks.

Yes, gut microbiota also influences the absorption of minerals that are important to the thyroid, including iodine, selenium ,zinc and iron.