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How Can High TSH Levels And Obesity Be Managed?
Question: Hello doctor , i am XXXXXXX shah. I have hypothyrodism. I go for checkup on 6 months interrwal as per my endos instructions. I dont see any change in me from the day i take the thyroxin to till date. Everytime when i visit my endo, she tells me to cut down weight. I dont see any change at all, but as she is one of the best endo in XXXXXXX so as per my moms choice i continue going. This time she gave me 75mg thyroxin and neurokind d3 on alternate day, which i couldnt continue for long. But i took 75 mg regularly. Now she has suggested me calcium tsh and cholestrol tests. Except tsh i see all are normal. Tsh is 44.2 against the range of 0.5 to 4.4 . I want to know ur opinion. Is it just about my will power to loose weight,? Or some diagnosis needs more correction? Tomorrow i will be meeting my endo after almost 1 year. I feel like not seeing to her as it doesnt change my condition.
Brief Answer:
Your TSH leves show hypothyroidism.
Detailed Answer:
Hello and thanks for asking.
I have gone through your query.
I have seen your reports.
The TSH level is high.This level suggest that your hypothyroidism is not stabilised with the actual dosis of thyroxin and this dose must be adjusted.
It is necessary to increase the dosis of thyroxin and repeat the TSH level after 6 weeks.
The overweight or the difficulty to loose weight ,can be a symptom of your hypothyroidism and only when your thyroid function tests will be normalized,you will loose weight sucessfully.So,is not just your will power but is a result of your low metabolism due to hypothyroidism.
Hope i have clarified your doubts.
If you have other questions,feel free to ask.I will be happy to help.
Take care.
Your TSH leves show hypothyroidism.
Detailed Answer:
Hello and thanks for asking.
I have gone through your query.
I have seen your reports.
The TSH level is high.This level suggest that your hypothyroidism is not stabilised with the actual dosis of thyroxin and this dose must be adjusted.
It is necessary to increase the dosis of thyroxin and repeat the TSH level after 6 weeks.
The overweight or the difficulty to loose weight ,can be a symptom of your hypothyroidism and only when your thyroid function tests will be normalized,you will loose weight sucessfully.So,is not just your will power but is a result of your low metabolism due to hypothyroidism.
Hope i have clarified your doubts.
If you have other questions,feel free to ask.I will be happy to help.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Ok madam thanks for the response. Madam my endo suggested 125mg thyroxin. She advised to have insulin resistance and sgpt tests. Most frustrating thing is earlier while i had normal level of tsh, that time also i couldnt see change in the fatigue or other symtoms. All things were same. I want to become fit and healthy. I have a kid of 15 months. I am very enthusiastic person, i dont want to become looser due to such health issues. Please suggest something to become more healthy. Thanks again.
Brief Answer:
Ok,in my opinion 125 mcg thyroxin, your TSH will normalize soon.
Detailed Answer:
Hi again
The increased dosis of thyroxin will help you to feel better and to normalise your TSH.
As endocrinologist,i can say that if your symptoms persist even with normal level of TSH,this means that maybe there are even other causes that can explain your symptoms like anemia,stress,electrolyte imbalance,cortisol excess etc.
My advice for you( to become more healthy) is to make simple changes in diet, exercise, and stress management.
Here are some tips that can help you:
- Think positive .Research shows a healthy positive attitude helps build a healthier immune system and boosts overall health.
- Eat your vegetables
- Exercise daily
-Get a good night’s sleep
-Try to manage stress.
Hope this is helpful.
If you have other questions,feel free to ask.
Thank you for using HCM.
Best regards.
Ok,in my opinion 125 mcg thyroxin, your TSH will normalize soon.
Detailed Answer:
Hi again
The increased dosis of thyroxin will help you to feel better and to normalise your TSH.
As endocrinologist,i can say that if your symptoms persist even with normal level of TSH,this means that maybe there are even other causes that can explain your symptoms like anemia,stress,electrolyte imbalance,cortisol excess etc.
My advice for you( to become more healthy) is to make simple changes in diet, exercise, and stress management.
Here are some tips that can help you:
- Think positive .Research shows a healthy positive attitude helps build a healthier immune system and boosts overall health.
- Eat your vegetables
- Exercise daily
-Get a good night’s sleep
-Try to manage stress.
Hope this is helpful.
If you have other questions,feel free to ask.
Thank you for using HCM.
Best regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Madam thankyou so much for your response again. I will be update you with the sgpt levels and all. I am little streesed since while. Madam can i directly reach through HCM TO you in future ? Like i can select option of getting response from you ?
Brief Answer:
Ok,let me know your results.
Detailed Answer:
Hello XXXXXXX
I appologise for the late reply.
I have a very important advice for you:Don't stress,because this do not resolve your problems but create a lot of health problems.
If you are stressed all the time,a cascade of adrenaline, cortisol, and other stress hormones floods your system, raising your heart rate, increasing your blood pressure, making your blood more likely to clot, damaging your brain’s memory center, increasing belly fat storage, and generally wreaking havoc on your body.
Ok,Let me know your updated results and i will be happy to help.
For a personalized comprehensive evaluation, treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
Best regards.
Ok,let me know your results.
Detailed Answer:
Hello XXXXXXX
I appologise for the late reply.
I have a very important advice for you:Don't stress,because this do not resolve your problems but create a lot of health problems.
If you are stressed all the time,a cascade of adrenaline, cortisol, and other stress hormones floods your system, raising your heart rate, increasing your blood pressure, making your blood more likely to clot, damaging your brain’s memory center, increasing belly fat storage, and generally wreaking havoc on your body.
Ok,Let me know your updated results and i will be happy to help.
For a personalized comprehensive evaluation, treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
Best regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear madam, yeah i agree with your advice. I will try to be positive and will surely try to get back to normal life. I have a beautiful family. I will keep that in mind. Thanks again. I have attached the results of fbs, sgtp, blood, insulin resistamnce and B12.
Brief Answer:
Your problem is severe obesity.
Detailed Answer:
Hi XXXXXXX
I have carefully gone through your reports.
According to your test results,i can say that your general health condition is Ok.
You have a class 2 obesity and you are too close of a severe obesity and this is the cause of all your imbalances in insulin sensitivity.
For a personalized comprehensive evaluation, treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
Regards
Your problem is severe obesity.
Detailed Answer:
Hi XXXXXXX
I have carefully gone through your reports.
According to your test results,i can say that your general health condition is Ok.
You have a class 2 obesity and you are too close of a severe obesity and this is the cause of all your imbalances in insulin sensitivity.
For a personalized comprehensive evaluation, treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Madam tomorrow i will be meeting my endo, i will report you about the treament which she is recommending. Madam i dont understand the last line about personlised treatment and individual therapy?
Brief Answer:
Ok let me know.
Detailed Answer:
Dear XXXXXXX
The last line is my personal hcm link where you can directly reach me through HCM in future,for you health queries.
You can contact me in hcm platform, if you type: bit.do/hcm-Dr-Xhardo.
Ok,you can inform me what your endo will recommend for you, tomorrow.
We can discuss if you need a second opinion.
Wish you all the best.
Ok let me know.
Detailed Answer:
Dear XXXXXXX
The last line is my personal hcm link where you can directly reach me through HCM in future,for you health queries.
You can contact me in hcm platform, if you type: bit.do/hcm-Dr-Xhardo.
Ok,you can inform me what your endo will recommend for you, tomorrow.
We can discuss if you need a second opinion.
Wish you all the best.
Above answer was peer-reviewed by :
Dr. Prasad
I have attached the prescription of the doctor. She has recommended few medicines like neurokind D3 and b12 injections and one more with meta as suffix.
Brief Answer:
it is difficult to understand the handwriting.
Detailed Answer:
Hello again
I have seen the prescription.
I can't read her writing but I'm sure that your doctor has prescribed Janumet.
Janumet contains a combination of metformin and sitagliptin. Metformin and sitagliptin are oral diabetes medicines that help control blood sugar levels.
Your tests results show severe insulin resistance and this can be attributed to diabetes but even to your obesity.
I didn't see your HbA1C result.This is very important for the diagnosis of diabetes mellitus.
Have you done this test? Please let me know.
Regards.
it is difficult to understand the handwriting.
Detailed Answer:
Hello again
I have seen the prescription.
I can't read her writing but I'm sure that your doctor has prescribed Janumet.
Janumet contains a combination of metformin and sitagliptin. Metformin and sitagliptin are oral diabetes medicines that help control blood sugar levels.
Your tests results show severe insulin resistance and this can be attributed to diabetes but even to your obesity.
I didn't see your HbA1C result.This is very important for the diagnosis of diabetes mellitus.
Have you done this test? Please let me know.
Regards.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Yeah madam you are right that is janumet. HbA1C, i will be doing after 1 month. She has not recommended that. Meanwhile i have changed my lifestyle and trying to loose my weight. Currently i am taking 3 pills . 1. Janumet once a day 2. Metlong once a day and 3. Neurokind d3 once a week. And she has recommended to have b-12 injections. Thanks a lot for your kind help.
Brief Answer:
I agree with your endo prescription.
Detailed Answer:
Hello XXXXXXX
I see that your doctor has prescribed treatement for diabetes and the B12 injection will help you to stabilise your actual low B12level.
Nurokind D3 Tablet contains Alpha-Lipoic Acid, Folic Acid, Mecobalamin, Pyridoxine, and Vitamin D3 as active ingredients.These Tablets are used for Neuropathic Pain In Diabetes Patients, Vitamin D Deficiency, High Cholesterol or Poor Diet ,
As endocrinologist i suggest to monitor your blood sugar level after and 2 hours after each meal of the day and let me know your results.
The result will give the information if the treatement with Janumet and Metlong if effective.
The lifestyle changes ,a healthy diabetic diet and more physical activities will help you to loose weight and to feel better.
Ps. Don't forget thyroxin before breakfast every day,this is vital for your well-beeing.
Hope i have clarified your doubts.
If you have other questions,feel free to ask.I will be happy to help.
Take care.
I agree with your endo prescription.
Detailed Answer:
Hello XXXXXXX
I see that your doctor has prescribed treatement for diabetes and the B12 injection will help you to stabilise your actual low B12level.
Nurokind D3 Tablet contains Alpha-Lipoic Acid, Folic Acid, Mecobalamin, Pyridoxine, and Vitamin D3 as active ingredients.These Tablets are used for Neuropathic Pain In Diabetes Patients, Vitamin D Deficiency, High Cholesterol or Poor Diet ,
As endocrinologist i suggest to monitor your blood sugar level after and 2 hours after each meal of the day and let me know your results.
The result will give the information if the treatement with Janumet and Metlong if effective.
The lifestyle changes ,a healthy diabetic diet and more physical activities will help you to loose weight and to feel better.
Ps. Don't forget thyroxin before breakfast every day,this is vital for your well-beeing.
Hope i have clarified your doubts.
If you have other questions,feel free to ask.I will be happy to help.
Take care.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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