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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypothyroidism, Low Vitamin D, TSH And Testosterone. On Levothyroxin. Should We Take Him To Endocrinologist?

I am 40 years old, male, height 5 10 weight 212 pounds; I have been treated for hypothyroidism since 2010; on Sept 16th, lab results came back indicating an extremely low level of TSH, very low Vitamin D and low (200) Testosterone. I have extreme fatigue and attention, concentration problems; I feel cognitively impaired and have started to notice troubles with my vision. My doc prescribed 50,000 IU Vitamin D, 0.088 MG of levothyroxin, and Testosterone IM injections. I knew something wasn t right weeks prior; since the findings and modification in treatment; I asked my doctor (an Internist) for a referral to an Endocrinologist for an evaluation. Thus far, I am getting the run-around from his office staff on the doctor needing to approve the referral. I called an endocrinologist s office, recited the same as above and was told they would definitely see me but needed the medical information from my Internist. I have a job with a lot of responsibility and must get to the bottom of the problem rather than treating symptoms, IMHO. Is there a credible reason my Internist would NOT want me to be evaluated by an Endocrinologist? I am beginning to wonder if my doctor s staff is incompetent, if not, it is hurting the level of Trust I have in my Internist. He showed the lab results to me and emphasized the seriousness of treatment. I m caught between a rock and a hard place. My question, I suppose, is why would my Internist NOT move more quickly on providing a referral or at least giving me the records so I can give them to the Endocrinologist? If this thyroid condition, vitamin, hormone condition is not a big deal, it sure feels like it. I have thyroid cancer history in my family and my father died of adreno-carcinoma. Any enlightenment would be very much appreciated.
Mon, 25 Nov 2013
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General & Family Physician 's  Response
Welcome to Healthcare-Magic
Greetings of the day

I would also agree that you require evaluation by endocrinologist. I am unable to figure out why your primary care physician is not referring you to the endocrinologist. Would suggest you to politely approach your internist and discuss the matter with him.
Take care
Regards
Dr T Shobha
MBBS MD
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Hypothyroidism, Low Vitamin D, TSH And Testosterone. On Levothyroxin. Should We Take Him To Endocrinologist?

Welcome to Healthcare-Magic Greetings of the day I would also agree that you require evaluation by endocrinologist. I am unable to figure out why your primary care physician is not referring you to the endocrinologist. Would suggest you to politely approach your internist and discuss the matter with him. Take care Regards Dr T Shobha MBBS MD