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Suggest Treatment For Symptoms Of Hypothyroidism
Question: Hello doctor, i am 29 having hypothyroidism. I feel always lack of energy, most of the time body pain. Mostly these isuues are due to gastric trouble, how can i overcome this? I am 114 kg now.
Brief Answer:
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms. You must check if your thyroid dose is adequate because if it is not then it can result in problems like the ones you are reporting. 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 checks your thyroid too) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
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
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms. You must check if your thyroid dose is adequate because if it is not then it can result in problems like the ones you are reporting. 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 checks your thyroid too) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
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
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
To answer to the tests, my endo has seen these all reports, and now i am taking 75mg thyroxin along with neurokind d3 on alternate days. All tests are normal. Initially i had auto immune thyroid, and antibodies also higher. Now all are normal. I dont understand kidney and liver function tests?
Brief Answer:
Follow up
Detailed Answer:
Possible causes of your symptoms can be:
1 Inadequate dose of thyroxin. This will be reflected in the form of an elevated TSH blood test value
2 Vitamin D deficiency
3 Anemia
4 Diabetes
5 Liver disease
6 Kidney disease
7 Electrolyte imbalance
That is why the above mentioned tests are important to do
Follow up
Detailed Answer:
Possible causes of your symptoms can be:
1 Inadequate dose of thyroxin. This will be reflected in the form of an elevated TSH blood test value
2 Vitamin D deficiency
3 Anemia
4 Diabetes
5 Liver disease
6 Kidney disease
7 Electrolyte imbalance
That is why the above mentioned tests are important to do
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
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