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I Had My Thyroid Removed Been Thyroxine Is It Safe

Posted on Fri, 27 Oct 2023

Question: Ho, I had my thyroid removed in 2014 and been on thyroxine since. Today it's the highest it's been 4.25 . I had my gallbladder removed 2 months ago also and things just keep popping up. I am always dizzy with low blood pressure, ectopics and now weight gain , dizzy low blood pressure and always tired. I'm on 100mg a day and dr also told me my urea is 2.7. I'm worried. Please help answer these

Answered by Dr. Dr. Elona (27 hours later)

Brief Answer:
Hypothyroidism

Detailed Answer:
Hello,

Considering all your medical history i can say that you have symptoms of hypothyroidism.

I suggest to do a TSH test to see if you if your need to increase the dosis of thyroid medication.

Let me know the result and i will be happy to guide you further.

Wish you all the best.
Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Elona (5 hours later)

Did you read my question? I have all the results and the question about the urea? My ish was tested. You didn't read it properly please re read and answer me. I'm concerned about my symptoms, please

Answered by Dr. Dr. Elona (21 hours later)

Brief Answer:
Urea level is within te range

Detailed Answer:
Hi again
I read one more time your query, very carefully but i still cannot find a relationship between your urea level and your symptoms.

The normal range of urea are 1.8-7.1 mmol/l.This means that your reasult is within the range.
Anyway if you have a medical history of a known kidney condition, my advice is to check the creatinine test.
This is the right test to evaluate your actual kidney function.

If you were my patient,apart for hypothyroidism i will ask to do a cortisole test(in the morning) and an electrolyte panel.

These test are recommended when your doctor suspect an adrenal issue called Addison's disease that can explain all your symptoms.

Hope this is helpful.
Take care

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Dr. Elona (1 hour later)

Why aren't you listening please. My question! I'm concerned about my sudden increase in tsf and low t4 12.4. I'm dizzy and have low bp. Why has it jumped in a month? Cut off range is 4 for thyroid and urea in minimum of 3 I'm 2.7. How to increase urea? Why is it low? Why did tsh increase how to balance thyroid hormones as I had XXXXXXX in 2014 and am on 100mg a day and last month tsh was 3 amd now highest its been in a month jump

Answered by Dr. Dr. Elona (48 hours later)

Brief Answer:
High protein diet.

Detailed Answer:
Hi
It is necessary to increase the dosis of thyroid medication (125mcg/day)to feel better and normalise your TSH level.
At the same time i recommend to start a high protein diet in order to increase your urea production and normalise your urea test result.

Hope i have clarified your doubts.
Best regards.

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Above answer was peer-reviewed by : Dr. Nagamani Ng