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Suggest Treatment For Asymptotic Transamilase Elevation And Hypothyroidism

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Posted on Fri, 10 Apr 2015
Question: Hi I Am 35 years male. My SGot value is 55 and Sgpt 93. In addition my TSH is 53. The doctor has diognised asymptotic transamilase elevation and hypothyroidism. The doctor has prescibed thyronorm 125 and ursocol 300. Shall i proceed with the medication.
doctor
Answered by Dr. Divakara (1 hour later)
Brief Answer:
No need for ursocol

Detailed Answer:
Hi

Greetings from Dr.Divakara.P

Well the diagnosis is right but there is no need for ursocol as of now. You can repeat SGOT SGPT affer 6 weeks and if it is more than the present value you can start ursocol.

Regarding Thyronorm I think a 50 mcg dose is enough to start with. Repeat TSH after 6 weeks and review.

Hope this information was useful to you.

Any clarification feel free to ask.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Divakara (22 minutes later)
Thank you doctor!
I was also thinking on these lines. Can you tell whether I shall have to take thyroid medication for whole life or it can be cured. Actually I am a non- smoker and non-drinker. Also this was the first time i visited any doctor in the last 20 years of my life with the exception in XXXXXXX 2014 when I contracted chicken pox. It is my feeling that I developed some fatigue just after that period. Also shall I practice any diet restrictions. As of now I consume mutton or chicken and eggs daily. I am 6 ft 1and my weight is 90 kg.
doctor
Answered by Dr. Divakara (10 hours later)
Brief Answer:
Difficult to tell at present .

Detailed Answer:
HI

At this point it is very difficult to tell whether you require life long treatment for thyroid. In some people it gets cured with time ( 2-5 years ). So keep continuing treatment and repeat TSH after 2 months and revert .

Fatigue is due to Thyroid problem and will resolve slowly after initiation of treatment.

Diet for Thyroid : Avoid cabbage, Cauliflower and Spinach. ( life long )

Diet for Elevated SGPT,SGOT : Avoid non veg food , alcohol ( for 2 months )

Regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Divakara

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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Suggest Treatment For Asymptotic Transamilase Elevation And Hypothyroidism

Brief Answer: No need for ursocol Detailed Answer: Hi Greetings from Dr.Divakara.P Well the diagnosis is right but there is no need for ursocol as of now. You can repeat SGOT SGPT affer 6 weeks and if it is more than the present value you can start ursocol. Regarding Thyronorm I think a 50 mcg dose is enough to start with. Repeat TSH after 6 weeks and review. Hope this information was useful to you. Any clarification feel free to ask.