2016 tsh: 100, started thyroxine 50 mg. Came nirmal. After some time I got burning/running sensation in hand and foot palm. Found current TSH: 8-13 and T3, T4 normal. No bp no sugar. Lipid profile all Normal Questions: can I take 100 mcg pf throixne? IS disease related to body wight? What is the longtime effect of synthetic thyroxine How can I come out of symptoms fully like muscle cramps. Foot becomes red. Blood .is it due to metabolism. Is synthetic thyroid is not used properly. Is it due diet. I stopped eating cabbage. Cauliflower.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. When on treatment with levothyroxine TSH should be maintained <3 mU/L to be totally free from all the symptoms of hypothyroidism. Please tell me whether your weight was same before being diagnosed with hypothyroidism? Because at the time of diagnosis TSH was 100 mU/L, means you must have been having the condition for a long time and that has contributed for excess weight gain. Now you have a BMI of 31.66 kgs/M2 (normal <23 kgs). The dosage that you were taking it self appears less that that was needed. Only soy beans and soy containing products need to be avoided. Plus there has to be a restricted diet giving calories based on your ideal body weight (55 kgs). Plus you will have to exercise regularly for at least one hour every day. Dosage of thyroxine has to be properly calculated. Thanks. 

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