Question: I am 57 years female suffering from hyperthyroidism since 2011. I have been monitoring thyroid levels by way of regular tests and medication. The relevant reports have been uploaded for your ready reference. I am very regular in taking medication.
There have been extraordinary elevation of TSH levels 76.53 (19/04/2013), 14.51 (03/06/2016) & elevation upto normal range 2.11 (04/05/2015) at times during which I was prescribed thyronorm alongwith thyrocarb.
I also had this episode of Positional Vertigo (BPPV) in XXXXXXX 2016.
I want to specifically state that
1.     Whenever I take thyronorm, I feel uneasy which is unexplainable.
2.     Post BPPV, there is a continuous but mild clinking ( XXXX ) in my head when I go to bed though it subsides after a while after I ignore it.
3.     I am confused regarding the use of thyronorm.
4.     Should I take iodized salt or plain salt.
You are requested to please give advice so that I may regulate my thyroid levels and lead a normal life. I want to humbly add that i have taken voluntary retirement in july 2013 because i was not able to cope with my job with my hyperthyroidism. Presently i am a pensioner and therefore i have to limit my expenditure of treatment.

with regards

XXXXXXX XXXXXXX

I am extremely grateful for your kind response Mam.
I would like to submit the following:
I was diagnosed with hyperthyroid way back in 2001. I have also undergone radio active Iodine tests if you refer my older reports (19/09/2012) which has also suggested hyperthyroidism.
I have uploaded 4 reports (starting from 2013 till date in 4 different files).
Recently, I was prescribed tab carbimazole 5mg for 7 d along with 25 microgram thyronorm for 7d by the family clinic on 7/02/17 as against the test report of t3-244.87, t4-10.9 and TSH-0.06 done in DiagnoLabs on 3/02/17. But I want to confess that I DID NOT TAKE THRONORM as is seemed illogical and I continued with 7.5 mg carbimazole daily on my own. I again got tested on 10/03/2017 and the levels reported are as t3-149.03, t4-9.08 and TSH-0.008 (Kotgirwar path lab). After these reports i have increased the dose to 12.5 mg carbimazole daily on my own. So right now i am not on both Thyrocab and Thyronorm.

These are the latest levels which suggests hyperthyroidism (Please correct me if I am wrong). And if I am correct should I take iodized salt or non-iodized salt. I need your help to interpret these results. Please suggest the medication with correct dose.
I also fail to understand why both Thyrocab and Thyronorm are being prescribed and as a matter of fact I have developed a phobia against Thyronorm because it makes me really uncomfortable.
This BPPV episode occurred only during XXXXXXX 2016 and now I am fine. I am not taking anything although I have been advised to take stugil tab if vertigo does recur.
I submit the above facts with all humility and without any hard feelings against anybody and request you to please help me. I just want to lead a healthy life and get the value for my money being a pensioner.
With regards XXXXXXX XXXXXXX

Thank you Mam.
There are some more queries:
1.     I was advised to take calcium earlier. Should I take some vitamin/calcium/iron supplement?
2.     My daughter is 19 years old and she is staying with us (Me and my husband) and studying. I want to know that if we stop using iodized salt, will there be some adverse health concerns for my daughter and husband? I want to add that we are non-vegetarian and take well-balanced nutritious diet.
3.     Is there any side effect of continuous use of carbimazole? If yes, how it can be mitigated?
4.     Are there any restrictions for particular food/vegetable/fruits in my case?
Thanking you again,
With regards,
XXXX XXXXXXX