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Suggest Treatment For Secondary Hypothroidism
Question: Again! After research my symptoms secondary hypothyroidism is in question I have hypothyroidism my years my current symptom worsen due to mutation 2, HRP is not possible 20 years of this is enough so and prolactin level ordered also TB2, the usual thyroid test are not true markers for 2nd hypothyroidism I did request MRI with gad of pituitary gland my pup has refused I am also diffulty swallowing lump in throat maternal family members have same hypothyroid and cousin died from thyroid cance I request endocrine to advis me as an apt 6months away for apt hot flashes skin disorder lichen scolerios carpel tunnel depression fatigue weight gain cold nose feet hands biopsy thyroid 15 years of thryroid neg.
soooo please advise me on secondary hypothyroidism though rare there has to be another cause other than menapause at this point
soooo please advise me on secondary hypothyroidism though rare there has to be another cause other than menapause at this point
Brief Answer:
Thyroid
Detailed Answer:
Sorry to note your bothersome symptoms.
As you rightly know, secondary hypothyroidism is fairly uncommon. It can be challenging to diagnose at times. However an endocrinologist is best qualified to make the correct diagnosis.
But I see your appointment is several months away.
That being said, you will benefit from a thorough in-person assessment only because you have multiple hormone-related issues.
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)
Calcium
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Total T3
Total T4
T3 resin uptake
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
Prolactin
8 am Serum Cortisol
FSH
LH
This will be a good start to see if there is a possibility of a pituitary problem causing secondary hypothyroidism
Thyroid
Detailed Answer:
Sorry to note your bothersome symptoms.
As you rightly know, secondary hypothyroidism is fairly uncommon. It can be challenging to diagnose at times. However an endocrinologist is best qualified to make the correct diagnosis.
But I see your appointment is several months away.
That being said, you will benefit from a thorough in-person assessment only because you have multiple hormone-related issues.
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)
Calcium
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Total T3
Total T4
T3 resin uptake
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
Prolactin
8 am Serum Cortisol
FSH
LH
This will be a good start to see if there is a possibility of a pituitary problem causing secondary hypothyroidism
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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