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What Does My Lab Test Report Indicate?
Question: Dear Doctor,
One of my family member is known case of thyroid. She delivered baby boy four months back. They stay in Canada (Toronto). She is under medication as recommended by Doctors in Canada. Currently she is XXXXXXX for post maternity care. As a routine follow up and basis some physical appearance on the neck (seems to be swelling) she repeated TSH test and result is 7.77 (CLIA technology). Currently she is taking 37.5mg. NOW BASIS THE CURRENT TSH VALUE SOME SHOULD I INCREASE THE DOSE TO 75 MG OR WHAT NEEDS BE DONE. For some time she was taking 75mg. She will be going to back Canada in May. Hence, request you to please advise the proper dose to be taken and any other steps to be followed on urgent basis. Thanks in advance
One of my family member is known case of thyroid. She delivered baby boy four months back. They stay in Canada (Toronto). She is under medication as recommended by Doctors in Canada. Currently she is XXXXXXX for post maternity care. As a routine follow up and basis some physical appearance on the neck (seems to be swelling) she repeated TSH test and result is 7.77 (CLIA technology). Currently she is taking 37.5mg. NOW BASIS THE CURRENT TSH VALUE SOME SHOULD I INCREASE THE DOSE TO 75 MG OR WHAT NEEDS BE DONE. For some time she was taking 75mg. She will be going to back Canada in May. Hence, request you to please advise the proper dose to be taken and any other steps to be followed on urgent basis. Thanks in advance
Brief Answer:
Thyroid
Detailed Answer:
It is not the purpose of this forum to advise specific doses of medication. So she must consult an Endocrinologist in-person who will have the opportunity to examine her thoroughly and only then make exact recommendations of dose adjustments.
When I see someone like her in my practice, I typically raise the dose of thyronorm from 37.5 to 50 or perhaps even to 62.5 mcg based on findings on physical examination in addition to ordering the following blood tests :
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 too checks your thyroid) 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 Correct diagnosis and treatment requires the opportunity to examine the patient so she must see an endocrinologist in-person.
Thyroid
Detailed Answer:
It is not the purpose of this forum to advise specific doses of medication. So she must consult an Endocrinologist in-person who will have the opportunity to examine her thoroughly and only then make exact recommendations of dose adjustments.
When I see someone like her in my practice, I typically raise the dose of thyronorm from 37.5 to 50 or perhaps even to 62.5 mcg based on findings on physical examination in addition to ordering the following blood tests :
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 too checks your thyroid) 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 Correct diagnosis and treatment requires the opportunity to examine the patient so she must see an endocrinologist in-person.
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
Answered by
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