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What Precautions Can Be Taken To Change Her Thyroxin Dosage?

Posted on Wed, 8 Nov 2023

Question: Hi My mother is 62. Her thyroid gland was removed two years ago in 2021 and before that she had the same surgery in 2010 as well. She has been on continuous medication since. Off late her TSH level had increased to around 12.5 therefore she started taking Thyroxin 100 mg from her initial 50mg dosage. Today she did a full body checkup where I can see that here TSH level has decreased beyond the normal limit. Her Calcium and Vitamin D levels are also down. She usually has low blood pressure as well and her height is 5ft and weighs around 62Kgs. I have attached her tests to this thread. Please let me know if she needs to change her Thyroxin dosage or any other precautions can be taken with regards to her diet based on the tests. Please let me know if you need any additional details. Thank you so much.

Answered by Dr. Dr diwashish biswas (4 hours later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi,
Please re-upload reports. As I could not find any reports.

Thank You

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Dr diwashish biswas (6 hours later)

Uploaded the test

Answered by Dr. Dr diwashish biswas (2 days later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi,

Her TSh level is low, so you need to down titrate the dose of thyroxin to 88 microgram from 100 microgram.
second thing for calcium and Vitamin D levels are low, so you should also start vitamin D supplement and Calcium supplement
I Hope Your Query is clear now.
Thank You

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Above answer was peer-reviewed by : Dr. Nagamani Ng