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What Does My Lab Test Report Indicate?

Posted on Mon, 2 Jan 2017

Question: I am medication of Hypothyroidism since April 2016.
Right now, I am taking thyronorm 150 daily in morning.

Here is the history of Thyroid profile test numbers from April 2016 and medication during those months.

April 2016
T3,T4 - Normal, TSH - 60 (Starts with Thyronorm 100 mg)
XXXXXXX 2016
T3,T4,FT3,FT4 - Normal, TSH - 87 (Doctor advised to take Thyronorm 125 mg)

July 2016
T3,T4,FT3,FT4 - Normal, TSH - 80 (Doctor advised to take Thyronorm 200 mg)

August 2016
FT3, FT4 - High, TSH - Normal (Doctor advise to lower the dose to Thyronorm 150 mg)

08 October 2016
FT3, FT4 - Normal, TSH - Normal (Consulted to doctor, he advised to continue the same dose i.e. thyronrm 150 mg)

16 Dec 2016
Find the attached latest report, that has normal range of T3, T4 and TSH

Please advise, should I stop taking the pills or lower the dose ?

Answered by Dr. Minal Mohit (37 minutes later)

Brief Answer:
continue the same plan.

Detailed Answer:
Dear xxxxxxxxxx, hi and welcome to HCM! I am dr. Minal. you are a case of primary hypothyroidism, on treatment with Thyronorm 150 mcg. now well balanced. ie. Euthyroid. so in this case you must continue taking the same dose without interfering with it.
important thing to know is other than lab report , how are you? I mean how do you feel. if there are no symptoms , it is really wonderful, but in spite of normal thyroid report, if you are facing any symptoms, any problems related to health, we must attend to that as well.
regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Minal Mohit (1 hour later)

Thanks for response. Most of the times, I feel good. But there is some concern as listed;

Its been few months, I think in start of August month I faced chest pain, anxiety and some heart palpitation kind of symptoms. I consulted to cardio physician, ECG and other tests were done. Every thing was normal in test. After August, I faced this kind of pain/feel 5-6 times. Every time, it last for 10 min XXXXXXX

I am not sure, if its related to hypothyroidism or some general chest or stress related issue.
Please advise.

Answered by Dr. Minal Mohit (30 minutes later)

Brief Answer:
iatrogenic hyperthyroidism is a possibility.

Detailed Answer:
Dear xxxxxxxxxxxx, if you look back, may be august was the time when you were on thyroxine 200mcg, August report suggested high FT4 and FT3. so this can explain your drug induced hyperthyroid state and may be this was responsible for your anxiety, palpitation and chest pain.
regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Minal Mohit (13 minutes later)

Yes, it could be the cause.
So I am continuing the same plan i.e. 150 mg thyronorm.

Any other specific thing that I need to take care of specially while food or liquid intake ?
Is there a way out that I can get rid of taking pills ?

Answered by Dr. Minal Mohit (5 hours later)

Brief Answer:
yes, please continue the same.

Detailed Answer:
Dear sir, please continue thyronorm 150 mcg. as of food is concerned, nothing is directly linked to thyroid. there are certain goitrogenic food like cabbage which you should avoid. iodized salt should be consumed , which anyways all salts are now as per govt. regulations.
no way out of pills. you have to be on thyroxine replacement all through. sorry for that.
regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Minal Mohit (3 hours later)

Thank you for detailed answers.

Answered by Dr. Minal Mohit (10 hours later)

Brief Answer:
you are welcome.

Detailed Answer:
Dear sir, pleasure is ours to help you out.
regards!

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Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar