Brief Answer:
Need to reduce the dose,take 75 microgram instead of 100.

Detailed Answer:
Hi,

Welcome to health care magic,

I have read all your query and saw the attached report carefully.

Serum TSH has gone down 0.08 (below normal 0.4),so you may need to reduce dose by 25 microgram means instead of of taking 100,you should take 75 microgram once daily and repeat S.TSH after 1 month to check the response.

You can discuss it to your treating physician.

As your calcium is slightly low,I would also suggest you to take calcium supplements, either alternate day or alternate months to prevent drug induced bone weakness.

Hope this will help you.

Regards,

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Brief Answer:
Hemoglobin is low and vitamin D insufficient.

Detailed Answer:
Hi,
Thanks for your quick follow-up.

Hemoglobin is low and vitamin D level is insufficient which needs to be corrected.

Hb 8.50 mg/dl is considered as a mild to moderate anemia for which you should take iron supplements (Tab.Orofer-XT) once daily.

Your slightly high ESR does not have any clinical significance in the absence of clinical symptoms.

Also,as per your attached report vitamin D is 51.76 nmol/L which is not low but insufficient for which you can take vitamin D3 (cholecalciferol) in sachets or tablets 60,000 IU once weekly.

The major concern of vitamin D deficiency in woman is lack of proper sun exposure or remains covered throughout the day.

Apart from medicines, you should have adequate sun light exposure preferably in morning hours around 8 AM for about 15 to 20 minutes daily which will be sufficient to restore vitamin D level.

Your treating physician will know about all this and can prescribe you,so no need to worry.
(when you consult for your thyroid prescription although they are available over the counter also)

You can repeat your hemoglobin level along with S.TSH after 1 month to check the response.

Hope this will help and need more clarification,I will be happy to answer that.

Regards,

Dr.Sandip Kabra

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