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Suggest Treatment For Hypothyroidism

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Posted on Mon, 27 Jun 2016
Question: Hi,
I am 29yr old recently married. I am suffering from Hypo thyroid since last 9 years.
My height is 162cm and weight is 68 kg.
Recently I take my thyroid test and my TSH is 16 now. From past 1 year is was under range 2 to 5.
I take Throx 125 mg from last 3 years. Please suggest is there any side effect as from past few days m not feeling well.
Also please advise me further. I take my dose daily empty stomach.

I undergoes with below problems daily -
____ My facial skin looks or feels thinner
____ My muscles feel weak, particularly the upper arms and thighs
____ I am having difficulty getting to sleep but some time staying asleep
____ I feel fatigued, exhausted all the time
____ I frequently require more than 8 hours of sleep at night
____ I feel better if I am able to take an afternoon nap every day but not possible as i m in a job.
____ I have less stamina or energy than others
____ My hair is coarse and dry, breaking, brittle, falling out
____ My skin is coarse, dry, scaly, thin
____ I frequently struggle with constipation
____ Sometime sweat badly and at the other moment feel colder
____ I am having more acne
____ I have pains, aches in joints, hands and feet
____ I experience numbness or tingling in my hands & fingers
____ I feel restless
____ I have puffiness and swelling around the eyes and face
____ My moods change easily
____ I have difficulty concentrating or focusing
____ I have more feelings of sadness
____ My hair is falling out
____ I can’t seem to remember things
____ My eyes feel gritty and dry
____ My eyes feel sensitive to light
____ I have a hoarse or gravely voice



doctor
Answered by Dr. Divakara (1 hour later)
Brief Answer:
Need to control your Hypothyroidsim

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for posting your query.

See, all your symptoms are due to Thyroid problem ( Hypothyroidism ). Also your TSH level is high. It indicates that your Hypothyroidism is not under control.

My recommendation to you is to increase the dosage of Thyrox to 150mcg . In addition you need to take Calcium supplements like Shelcal daily.

Also start going for walking , jogging or running every day. If you lose weight then it shall bring your Hypothyroidism under control .

Repeat TSH after 6 weeks and revert back with reports.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (29 minutes later)
Hello Doctor,

Thanks for your advise.
I also want to highlight that since last 3 months to control my weight I followed some diet plan also I consume green tea / coffee for weight loss.
Is it affect my thyroid. Last month was my marriage so it was all hectic and unplanned schedule to me, does it is responsible to increase TSH.
As since past 1 year I continue with Thyrox 125 mg and my TSH was under control.
doctor
Answered by Dr. Divakara (8 hours later)
Brief Answer:
Weight gain is due to Thyroid.

Detailed Answer:
HI

See the dose of thyroid medication is actually calculated as per your body weight . So initially for 125mcg of Thyrox was working well for your body weight but if your weight increases then for the same dose ( 125mcg ) will become a low dose and in turn your TSH increases.

So your weight gain is due to Thyroid and your thyroid is due to your weight gain ( both are inter linked ) No I don't think stress could increase your TSH .

Hope this information was useful to you.
Any clarifications feel free to ask.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (2 days later)
Hello Doctor,

Thanks for your revert.

Please suggest me guideline how can I defeat this thyroid. What steps should I take for this. What precaution should I take to control it.

Also I take supplement of uprise-d3 60k vitamin tablets.

What precaution need to take when I will be expecting. Any challenges in this regards. Please clarify this also. Thanks a lot in advance. Have a good day.
doctor
Answered by Dr. Divakara (20 hours later)
Brief Answer:
Nothing special needs to be done.

Detailed Answer:
HI

See thyroid disease sometimes heals by itself . But in some it may persists for life long. There is no medicine or diet which can cure the disease.

Just keep taking the medications , avoid Spinach, Cabbage and cauliflower.

Do daily exercise and lose weight .

If you conceive you need to test for Thyroid more frequently like every 6-8 weeks and take Thyroid medications correctly. If your Thyroid in under control then there is no problem in conceiving.

Hope this information was useful to you.
Any clarifications feel free to ask.

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

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

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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Suggest Treatment For Hypothyroidism

Brief Answer: Need to control your Hypothyroidsim Detailed Answer: HI Greetings from Dr.Divakara.P Thanks for posting your query. See, all your symptoms are due to Thyroid problem ( Hypothyroidism ). Also your TSH level is high. It indicates that your Hypothyroidism is not under control. My recommendation to you is to increase the dosage of Thyrox to 150mcg . In addition you need to take Calcium supplements like Shelcal daily. Also start going for walking , jogging or running every day. If you lose weight then it shall bring your Hypothyroidism under control . Repeat TSH after 6 weeks and revert back with reports. Regards.