I'm phanindra kumar. Age: 43. I have hypothyroid condition for the past 7 years. For the last 2-3 years I have gained so much weight and i'm now 120 kg. Three years back I used to be 74 kgs. I'm taking 125 mcg thyronorm. I tested yesterday and tsh levels are around 32.50. Please suggest shall I increase the dose and how much and how can I stop gaining weight and become normal.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details given. The main reason for weight gain appears to be uncontrolled hypothyroidism. Ideally in a well controlled patient t3 & t4 are in normal range plus tsh is around 3 to 4 mu/l. It is clear that you have not checked tsh on regular basis, hence there is a tremendous increase. First thing is to bring tsh with in normal range by increasing the dosage of levothyroxine. Secondly there is a need to look at your dietary intake, extent of daily exercise, plus look at your lipid profile too. So my suggestion is please come back with all the necessary information, preferably in a private conversation so that I will be able to recommend required drugs plus give specific instruction also. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. If you find it difficult for online consultation, then please consult an endocrinologist at your place so that proper treatment can be initiated. It is also necessary to check your fasting, pp glucose because unusual weight increase. Therefore please do as suggested. Thanks.  

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