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Suggest Treatment For Excessive Weight Gain

Posted on Thu, 3 Sep 2015

Question: Dear dr
I have uploaded my latest health check up report advice me what is your finding with my report and what is my actual problem and my weight is gaining and having thyroid

Answered by Dr. Ajish TP (3 hours later)

Brief Answer:
Please upload the reports again

Detailed Answer:
Hi,

Welcome to HCM. There was problem with upload of your lab tests. Please upload it again or contact our customer care for assistance.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (4 minutes later)

Dear Dr
uploaded again

Answered by Dr. Ajish TP (21 minutes later)

Brief Answer:
Please report the problem

Detailed Answer:
Hi XXXX,

There was some problem with uploading your reports. It is not yet uploaded to the web site. Please report the problem/ contact the customer care and re upload or ask for refund.

Sorry for the inconvenience caused. I will be available to give the opinion on lab reports once available.

Regards

Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (17 hours later)

Dear Dr
uploaded scan copy
Dear Doctor reports are attached now please review

Answered by Dr. Ajish TP (4 hours later)

Brief Answer:
Sub clinical hypothyroidism and dyslipidemia

Detailed Answer:
Hi XXXX,

Welcome back. I have gone through the lab reports. My comments and suggestions for treatment are:

1. Subclinical hypothyroidism: Your Thyroid Stimulating Hormone (TSH) is slightly elevated and thyroid hormones ( T3 & T4) are normal.

Suggestions: You need to be started on thyroid medications if you are planning pregnancy or if your cholesterol levels are high. Here your cholesterol is high, so you need to start on medications. Thyroxine ( Thyronorm or Eltroxin) tablets can be started at 25mcg dose after consulting a physician. You can repeat TSH after 6 weeks of medications.

2.LDL cholesterol ( bad cholesterol) is high and total cholesterol is borderline high

Suggestions : diet control and once started on thyroid medications your cholesterol and LDL cholesterol will come back to normal. If it not normalised within 3 months, you should start on medications.

3. Mild anemia: needs dietary modifications- iron rich food or iron supplements

4. Fasting blood sugars slightly high - diet modifications

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (17 minutes later)

dear dr
what is that fasting blood level
and thyroid tablet before food at what time

Answered by Dr. Ajish TP (1 hour later)

Brief Answer:
Morning empty stomach

Detailed Answer:
Hi,

Welcome back.

Fasting blood sugars (BLOOD GLUCOSE (F)) - Normal is 70 to 100 mg/dl, 100-125 mg/dl is prediabetes and above that is diabetes.

Thyroid tablets has to be taken in morning empty stomach. You can take it immediately after waking up with plain water and take tea/ coffee/ breakfast only after 1 hour of medication. There is no specific time for taking medications - just need to be taken in empty stomach.

Regards
Dr Ajish TP

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. Chakravarthy Mazumdar