Hi,

Thanks for the query.

Your report suggests something like an autoimmune type of hypothyroidism since thyroid antibody is high which means you have permanent and progressive nature of disease though your disease status is under control after taking 125micrograms of thyroxine since T4 /TSH is normal.

Weight gain, swelling and other symptoms of hypothyroid may persist or worsen inspite of normal thyroid report on treatment because obesity per se is usually associated with hypothyroidism; impaired glucose tolerance and/ or metabolic syndrome which requires apropriate management so you can consult your physician regarding this matter.

Hope I have answered your query.

Wishing you good health.

Regards,

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Hi XXXXXXX

Thanks for your follow up query.

In my opinion after looking for oral glucose tolerance test, lipid profile and blood pressure monitoring we can decide if any thing to be done for metabolic syndrome.

We can review nutritional management as per your calorie requirement and in perticular diet to avoid water retention to be decided.

At last I would like to suggest you ORLISTAT the only antiobesity drug available, for atleast 9-18 months provided no particular concern related to prescribing this drug.

I think with this background information you can consult your physician.

Hoping answered your query and good luck.

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