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Thyroid Disorder Treatment Questions

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Hi. I am 28 years old. Mujhe pichle 16 saal se thyroid hai. Mai thyrox 75 mg regularly leti hu. Meri prolactin level hai 34. Mujhe pahle period har month 28 th day pe atte the aur 7 days me bleeding band bhi hoo jati thi. But pichle kuch month se mujhe kisi month pe 29 days pe to kisi month pe 31 days pe period aa rahe hai aur 7 days me bleeding band hoo jati hai. But mujhe period bilkul 28 th days se 31 days andar har month period atte hii hai. Mujhe period me aur ovalution ke time pe chote chote 4 yea 5 acne atte hai forehead pe aur chin pe. Lekin mujhe hamesha se hi hairfall jada hota hai. Kabhi kabhi hairfall bilkul ruk jata hai to kabhi kabhi bohot hairfall hote hai. Lekin mujhe dar lag raha hai ke kahi mujhe pcod yea pcos to nehi hai na. Please mujhe boliye ke mujhe pcod yea pcos hai bhi yea nehi.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
I have seen the details mentioned. However, few important things are not given like: 1)current tsh, t3 & t4 levels. 2) lh, fsh & testosterone levels (if not checked, please get them done). 3) lipid profile & 4) an ultrasound examination of ovaries. These will help in identifying if there is pcod or not.
In hypothyroidism some times prolactin levels do go up. But if the levels are too high, then need to be treated with a specific drug for that.\further in pcod...more
Asked for male, 26 years old from Mohali
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, thanks for the query.
I have seen the details mentioned. However, those are very non specific. There is a need to know actual tsh & t3 & t4 levels, without which no comments can be made. So please come back with specific details. Thanks.
41 people found this helpful
Asked for female, 28 years old from Mumbai
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Hi there, kindly suggest me the treatment please. Whether I should start thyronorm 25 or continue with thyronorm 50. 6/2/20 (6th month of pregnancy) tsh 6.15 **higher (0.2 - 3.0)thus, thyronorm 25 started. mobile 14/03/20 (7th month of pregnancy) tsh 1.75 normal (0.2 - 3.0)continued with thyronorm 25. mobile 26/05/20 baby delivery. Stopped the tablet. mobile 28/09/20 (in first lab) tsh 11.5 mobile 07/10/20 (in another lab which continued afterwards) tsh **21.236 very high (0.45 - 4.5)free t3 2.7 normal (1.4- 4.4) free t4 **0.7 lower (0.8 - 1.8)**same thyronorm 25 continued. mobile 16/12/20 tsh **25.742 very high (0.45 - 4.5)free t3 2.9 normal (1.4- 4.4) free t4 0.9 normal (0.8 - 1.8)mobile 18/12/20 **thyronorm 50 started. mobile 2/4/21 ths 2.319 normal (0.45 - 4.5)free t3 1.9 normal (1.4- 4.4) free t4 0.9 normal (0.8 - 1.8)

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
Madam, I am surprised to see such a high TSH level in pregnancy. I am sure concerned doctor must have talked about what level of TSH has to be maintained during the 9 months of pregnancy. Madam the levels during pregnancy should be :
1st trimester 0.2 to 2.5 mU/L, 2nd Trimester 0.3 to 3 mU/L & 3rd trimester 0.3 to 3.0 mU/L
Higher levels are not good for the development of fetus and for optimal result of the pregnancy. In fact right from beginning conce...more
Asked for male, 26 years old from Chennai
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M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar
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YES YOU ARE RIGHT
YOU CAN TAKE THYROXINE EMPTY STOMACH AND THEN GO TO SLEEP AGAIN
THERE IS NO RESTRICTION OF TIME ,TAKE ALWAYS EMPTY STOMACH
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Bachelor of Ayurveda, Medicine and Surge...read more

Sexologist•Jaipur
Yes, it does cause sleeing disorder.
For proper diagnosis and prescription accordingly, you can consult with your reports and complete history. Take care.
102 people found this helpful
Asked for female, 25 years old from Kolkata
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
I have seen the details mentioned. When one is on adequate dosage of levothyroxine, tsh is usually maintained around 3 to 4 mu/l at which level most of the symptoms of hypothyroidism are in check. Since your tsh was high, dosage was increased. Now as the tsh has come down to lower limit of normal, it is necessary to reduce levothyroxine by 12.5 mcg. So you will have to shift to 87.6 (88 mcg) per day. Then after 6 weeks please do the test again to see if tsh has r...more
Asked for female, 48 years old from Muzaffarnagar
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Asked for male, 52 years old from Gurgaon
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BHMS

Homeopath•Hyderabad
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You should also focus on eating a healthy diet (read balanced diet with calorie count) and maintain good hydration. Try to learn Yoga which is gentle and will not strain your body. You can slowdown the Gym and observe how you feel. Do visit your gynecologist for a health checkup. You can talk about your periods and also discuss personal problems. You can also start Homeopathy which is holistic in its approach and addresses all the complaints and tries to improve the immunty as well as general we...more
Asked for male, 36 years old from Mohali
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Asked for female, 46 years old from new delhi
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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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Ankylosing spondylitis
ankylosing spondylitis is a cause of back pain in adolescents and young adults.
Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints
chronic inflammation in these areas causes pain and stiffness in and around the spine, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process refer...more
12 people found this helpful
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MBBS, CCEBDM, Diploma In Diabetology, Di...read more

Endocrinologist•Dharwad
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 we...more
191 people found this helpful
Asked for male, 32 years old from Shajapur
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BPTh/BPT

Physiotherapist•Hyderabad
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Ankylosing spondylitis (as) is a chronic inflammatory disease that primarily affects the spine, causing inflammation, pain, stiffness, and potentially leading to fusion of the vertebrae. While there is currently no cure for as, treatment aims to manage symptoms, prevent complications, and improve quality of life.
Ayurvedic medicine is a traditional system of medicine that originated in india and has been practiced for thousands of years. It utilizes a holistic approach, incorporating various...more
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I'm seeing a girl for a prospective matrimonial partner. She is 27 with a height of 5’3” and weight 55 kg. She reported that she has ongoing medication of thyroxine 25 mcg for subclinical thyroid. I want to know how critical is this illness. Whether it has some serious symptoms, and implications and is curable or not. Are there implications for pregnancy complications or possibility of pass it to the child?

she said her hypothyroidism was diagnosed when she had a bit of weight gain and hair fall a couple of years back with tsh levels of 8miu/l. Does tsh levels of 8miu/l indicate subclinical hypothyroidism? Some articles online suggest tsh 8mlu/l as overt hypothyroidism and not subclinical. After that doctor suggested thyroxine 25 mcg. Now her tsh is around 2.5miu/l with the medication. 

also, her mother is suffering from hypothyroidism. Is there anything to worry about? Can she live a healthy life with ongoing medication? Are there any dietary restrictions for this or does any other care need to be taken apart from the medication?

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MD Consultant Pathologist, CCEBDM Diabet...read more

Sexologist•Sri Ganganagar
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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.
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Asked for female, 29 years old from new delhi
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MD Consultant Pathologist, CCEBDM Diabet...read more

Sexologist•Sri Ganganagar
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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.
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Asked for female, 36 years old from Mumbai
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MD Consultant Pathologist, CCEBDM Diabet...read more

Sexologist•Sri Ganganagar
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According to report ,you seems to be a patient of hyperthyroidism.
Please tell symptoms and go for anti tpo test also.
19 people found this helpful
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MD Consultant Pathologist, CCEBDM Diabet...read more

Sexologist•Sri Ganganagar
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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.
37 people found this helpful
Asked for male, 57 years old from Pune
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MD - Internal Medicine, FELLOW IN DIABET...read more

Internal Medicine Specialist•Gandhidham
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Hi dear friend.
I noted down your history. Here are the few points I would like to add from my side.
1) your pulse rate was/is high because your hb was/is low. 2) now as it is better than before but still you should take some supplements for vitamin b12 as well. 3) consume diet rich in iron like spinach, beetroot, dryfruits, eggs etc.
4) if all the above is corrected and still pulse is high then need to see for other issues like anxiety.
Thanks and regards.
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Asked for female, 43 years old from Ernakulam
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MBBS, CCEBDM, Diploma In Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
Madam, I have seen the details. However, you have mentioned only tsh value, nothing about t3 & t4. It is necessary to know those values also. Tsh 4.6 mu/l is not really high. It must be with in the normal range mentioned in your lab report. In uncontrolled hypothyroidism tsh invariably goes uch higher and t4 values also may be low. Please come back with all the values also mention your weight & height. Thanks.
30 people found this helpful
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