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What Does This Thyroid Blood Test Report Indicate?

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Posted on Tue, 17 Jan 2017
Question: Hi ,

Please hlep me to understand my report. I am on post ptca medication from last 2.5 years. Please check my THyroid blood test report
doctor
Answered by Dr. Rishu Saxena (13 hours later)
Brief Answer:
Pathophysiology explained!

Detailed Answer:
Hi,
Thanks for choosing health care magic for your query!

TSH iS KNOWN AS THROID STIMULATING HORMONE , a increased TSH with normal T3 and T4 is indicative of a condition called hypothyroidism.
Hypothyroidism, also called underactive thyroid or low thyroid, is a common disorder of the endocrine system in which the thyroid gland does not produce enough thyroid hormone.

Too little iodine in the diet is the most common cause of hypothyroidism, but in people using iodised salt with enough iodine in the diet, the most common cause of hypothyroidism is the autoimmune condition Hashimoto's thyroiditis.
As the condition is autoimmune hence only treatment is to provide external thyroxine to body.


The hypothalamic–pituitary–thyroid axis plays a key role in maintaining thyroid hormone levels within normal limits. Production of TSH by the anterior pituitary gland(brain) is stimulated in turn by thyrotropin-releasing hormone (TRH), released from the hypothalamus(brain). Production of TSH and TRH is decreased by thyroxine by a negative feedback process. Not enough TRH, which is uncommon, can lead to not enough TSH and thereby to not enough thyroid hormone production,leading to a medical condition named Hypothyroidism.

Most people with hypothyroidism symptoms and confirmed thyroxine deficiency are treated with a synthetic long-acting form of thyroxine, known as levothyroxine (L-thyroxine), However in cardiac patient lowest possible dose should be started (usually 12.5 mg) and should be increased or decreased by monitoring TSH levels every 4- 6 weeks.

Untreated subclinical hypothyroidism may be associated with a modest increase in the risk of coronary artery disease,As you had a coronary event very early in your life, correction of thyroid is very important in your case.It will further improve your lipid profile and left ventricular functions.

You would be started with a dose of 12.5 mg once daily empty stomach , by a cardiologist and this dose will be increased by 12.5mg every 4th week till your TSH level returns back to normal, after that your doses will be tapered to minimum possible doses.

In case you need more explanations, i would be happy to help.
Thanks


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Rishu Saxena (1 hour later)
Thanks Dr, I have read Autoimmune dieses also link to Vitamin D deficency . As you know in my case Vitamin D deficet as my focus was to follow the strick norm to avoid fatty diet . Is it the cause of sudden elivation of Thyroid as it was normal in my previous reports. Can i focus on improving Vitamin D deficency first and then see the impact on thyroid.
doctor
Answered by Dr. Rishu Saxena (22 minutes later)
Brief Answer:
Vitamin D correction can not improve thyroid functions.

Detailed Answer:
Hi
Recent studies have revealed that 65-70 per cent Indians are Vitamin D deficient and another 15 per cent are insufficient. So though vitamin D deficiency can be linked with autoimmunity ;yet its a rare case scenario in context of XXXXXXX population.
I don't think its a good idea to improve thyroid functions by correcting vitamin D levels, There is no documented proof in cardiac literature which proves improvement in thyroid function secondary to vitamin d correction .
So my advice to you is that start taking thyroxin as soon as possible, as hypothyroidism can pose cardiac risks in future.A doctor follows what's written in standard books, and i don't think correction of thyroid by correcting vitamin d levels is mentioned any where in stndard cardiac text( don't follow google).

However normal vitamin D levels are good for cardiac health , hence you can take Tayo k 60k XXXXXXX once a week for 1 month and once a month for next four months.

Advice
Tab thyronorm 12.5mg once daily 6 a.m empty stomach. XXXXXXX Tayo k 60 k once a week for 4 weeks and once a month for four months
(To be taken after consulting a cardiologist)

Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Rishu Saxena (5 hours later)
Thanks Dr, I am working away from Ahemdabad in Kalol. Finding the local Dr would take some time. In interest of time i will share my history and reports with you over email .Thereafter , i shall wait for your confrimation and follow the treatment suggeated by you. Hope its fine . Thanks XXXX
doctor
Answered by Dr. Rishu Saxena (2 minutes later)
Brief Answer:
welcome

Detailed Answer:
Hi,

welcome!
Feel free to contact , i would be happy to help you !

Thanks
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Rishu Saxena (43 minutes later)
Thanks Dr i will do it today. Once my thyroid is controlled do i newdto stop the medicine or it will be life long?
doctor
Answered by Dr. Rishu Saxena (5 minutes later)
Brief Answer:
Usually life long ,depends on how your body responds!

Detailed Answer:
hello
In most of the cases patient has to take the pill life long,doses are titrated to the minimum.
Thanks!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Rishu Saxena (18 hours later)
Can i use Caldison D3 in place of Tayo as i could not get tayo XXXXXXX
doctor
Answered by Dr. Rishu Saxena (5 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hi,
YES THEY ARE THE SAME , CHECK THE DOSE TO BE 60,000 I.U .
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Rishu Saxena (3 minutes later)
Ok great .
doctor
Answered by Dr. Rishu Saxena (1 minute later)
Brief Answer:
good luck and have a safe recovery.

Detailed Answer:
good luck!
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. Remy Koshy
doctor
Answered by
Dr.
Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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What Does This Thyroid Blood Test Report Indicate?

Brief Answer: Pathophysiology explained! Detailed Answer: Hi, Thanks for choosing health care magic for your query! TSH iS KNOWN AS THROID STIMULATING HORMONE , a increased TSH with normal T3 and T4 is indicative of a condition called hypothyroidism. Hypothyroidism, also called underactive thyroid or low thyroid, is a common disorder of the endocrine system in which the thyroid gland does not produce enough thyroid hormone. Too little iodine in the diet is the most common cause of hypothyroidism, but in people using iodised salt with enough iodine in the diet, the most common cause of hypothyroidism is the autoimmune condition Hashimoto's thyroiditis. As the condition is autoimmune hence only treatment is to provide external thyroxine to body. The hypothalamic–pituitary–thyroid axis plays a key role in maintaining thyroid hormone levels within normal limits. Production of TSH by the anterior pituitary gland(brain) is stimulated in turn by thyrotropin-releasing hormone (TRH), released from the hypothalamus(brain). Production of TSH and TRH is decreased by thyroxine by a negative feedback process. Not enough TRH, which is uncommon, can lead to not enough TSH and thereby to not enough thyroid hormone production,leading to a medical condition named Hypothyroidism. Most people with hypothyroidism symptoms and confirmed thyroxine deficiency are treated with a synthetic long-acting form of thyroxine, known as levothyroxine (L-thyroxine), However in cardiac patient lowest possible dose should be started (usually 12.5 mg) and should be increased or decreased by monitoring TSH levels every 4- 6 weeks. Untreated subclinical hypothyroidism may be associated with a modest increase in the risk of coronary artery disease,As you had a coronary event very early in your life, correction of thyroid is very important in your case.It will further improve your lipid profile and left ventricular functions. You would be started with a dose of 12.5 mg once daily empty stomach , by a cardiologist and this dose will be increased by 12.5mg every 4th week till your TSH level returns back to normal, after that your doses will be tapered to minimum possible doses. In case you need more explanations, i would be happy to help. Thanks