
Please Let Me Know If Any Medication Is Needed Of Tests For T3 And Urine Culture

Please let me know if any medication is needed.
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Detailed Answer:
Hello,
I can understand your concern. The elevated TSH with normal T3 and T4 levels suggests subclinical hypothyroidism. This means the thyroid is working harder than normal to maintain adequate hormone levels.
You are advised to switch to a healthy lifestyle & develop healthy eating habits.
Exercise & stress management can support thyroid function. You should get connected to a physical therapist for stress management & do regular exercises under observation.
Take lots of fruits, vegetables, lean proteins, and eggs. Include iodine-rich foods, like seafood and whole grains.
If you have symptoms of fatigue, weight gain, dry skin, etc., you are advised to get clinically examined by an endocrinologist to be on the safer side.
Most people with subclinical hypothyroidism don’t have symptoms. Commonly, subclinical hypothyroidism resolves on its own.
However, an endocrinologist may consider treating middle-aged people who have cardiovascular disease risk factors or have symptoms of mild hypothyroidism.
Treatment could potentially cause thyrotoxicosis in individuals over 65 years of age. You need not get bothered; you are only 43 years of age.
The other reports are not of much concern, though you can consider getting a repeat urine culture sensitivity (C/S) done as bacteria is indicated in R/E urine. You may need a course of antibiotics.
Keep yourself well hydrated & avoid using public washrooms. Take care of your hygiene.
For further management, get an appointment with an endocrinologist. I hope I have answered your question. Take care.
Regards,
Dr Nupur K
General & Family Physician

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