Hello XXXXXXX XXXXXXX

I am Dr.Omer and I am here to help with your query

As you have said that you are having TSH of 6.5 having depression , insomnia which leads to a medical condition known as HYPOTHYROIDISM

YES you are right that your TSH is borderline but at the same time you have mood swings (anxiety/depression), insomnia/hypersomnia(excessive sleep) disorder, which are the symptoms of HYPOTHYROIDISM, hypothyroidism can remain undiagnosed for years.


And you started on THYRONORM , and felt tiredness, dizziness, again are the symptoms of progressive hypothyroidism rather than thyronorm side effects

Usually thyronorm takes a week to start acting and getting TSH normalized over a month with almost abolishing all your symptoms, you will free fresh

Mood swings, with sleep disorder is common in young females

Normalization of TSH (<4.0 ) is important in prevention of heart diseases and blood pressure

Gas and burning sensation in stomach, with slight loose after eating food/constipation cycle, again a symptom of HYPOTHYROIDISM, IBS (irritable bowel syndrome)

I would strongly suggest to start thyronorm from 25 micrograms and then increasing it to 50 in a week

Your dose of thyronorm is 1.6 x your weight in Kgs , and taking thyronorm in morning empty stomach and you will be healthy and happy again

I hope this helps

Your feed back is very important to US

Take care

---

Hello again XXXXXXX XXXXXXX

Thankyou for understanding

Different patients have different response to thyroxine minimal dose, for some patients 25 is enough and for some 50 or 100

I would suggest You can continue 25 microgram dose for another 3 weeks , and get a tsh result , or IF your symptoms persist or increases with 25, then you have to increase the dose

But as you have said in this message that your tiredness and dizziness is improving then I think your 25 dose is enough , but still get a TSH result after a month

The duration of thyroxine treatment depends upon the cause of your hypothyroidism, if its Hashimotos then life long, if viral thyroidistis then for 3-6 months and so on

You need to ask your doctor for this , so he or she will do the required testing for the cause of hypothyroidism

I hope this helps

Your feedback is important for us

Take care

---

Hello again

I am so happy that you have done the right thing to start the thyroxine for your hypothyroidism

As i have told you that your insomnia , low mood will improve with thyroxine , continue the drug for atlest few months

The duration of treatment of thyroxine depends upon the cause of your hypothyroidism

For example , hashimoto hypothyroidism treatment is life long

Thyroiditis hypothyroidism has treatment for 3-6 months

For the cause of your hypothyroidism , i would suggest you to go to your endocrinologist / GP for antibody testing of thyroid , ultrasound thyroid , to determine the cause

I would suggest that you continue your thyroxine , with monthly TSH level testing

Your mood and insomnia will improve significantly after one month of use

Yes, thyroxine does causes mentrual irregularities e.g delay in menses , low bleeding , high bleeding , but it will settle down after 1 month use of thyroxine , and your menses will come at regular time after a month

If after a month they do not become regular, I would recommend a gynaecologist review

Your doctor won't allow you to stop the thyroxine till your cause is determined and your TSH levels stay normal for few months after leaving the thyroxine

If you have thyroiditis hypothyroidism , treatment with thyroxine will solve your mood problem , and you can discontinue it after few months

I hope this solves your query.

Take care

---

Hello XXXXXXX XXXXXXX

Thankyou for understanding

Clinets 100 % satisfaction is our prime Goal

If satisfied with answers , kindly write a review , obliged

Stay happy and healthy

Take care

---