
Suggest Treatment For Increased Weight Gain And Severe Muscle Spasms

Thyroid
Detailed Answer:
Sorry to learn about your challenges with thyroid dosing.
The fact of the matter is that TSH and Free T4 need to be kept in the target range. Anything outside of this is abnormal and harmful. So if your endocrinologist is aiming to keep your thyroid numbers in the goal range then he or she is doing a good service to you.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day


T3, Free 2.71 2.57-4.43 pg/mL
Free T4 (Thyroxine) 1.71 0.80-1.80 ng/dL
TSH 0.02 (L) 0.27-4.20 µIU/mL
Follow up
Detailed Answer:
In this case the TSH must be kept suppressed with slightly higher than usual doses. You need to be under the care of an endocrinologist who is experienced in management of patients with thyroid cancer

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