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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For Thyroid & Blurry Vision

I am a 59 year old female. I weigh 260 lbs. Only gained this weight since Jan.2010. I almost died with staph in my blood. Blood clots and I was on a resperator for over a week. I nomally weigh about 160lbs. But since I was released from the hosp, I have gained over 100lbs. My tyroids don't work , I take meds for that. But the left side of my head is the problem. I have always had a problem with my left ear. But not like this. I hear my heart beat in my left ear. I have trouble with blurry vision. And I have migraines once a month.
Tue, 11 Jul 2017
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  Anonymous's Response
's  Response
Thanks for asking.
few queries
Any associated weight gain/ hairloss/ tiredness/ constipation?
*Any history of recurrent fever / thyroid pain/ eye pain / bulging eye ball/ tiredness?
*Periods- is it regular?
*How is your quality of life?
*Any family history of thyroid disease/ goiter or thyroid malignancy?

any history of thigh or arm muscle weakness/ hump/striae?

few tests needs to be done before weight loss regimen. To exclude hormonal disorder.

TSH/free T4/ calcium /fasting lipid profile/ ALT /
Calcium/phosphorus/HBA1C

currently approved weight loss drugs by FDA


1) tab orlistat taken orally it decreased fat absorption from gut. Average weight loss is 3-4kg per month if the person 's diet predominantly fat based.

2) inj. liraglutide it's a GLP 1 analogue approved once a day injection taken , it decreased appetite. average weight loss 4-5 kg in guidelines. But in my experience I have seen 10 kg in one month.

Hope I have answered your question. If you have any further questions I will be happy to help. Thankyou. Wish you good health





first of all treatment for hypothyroidism is only required if TSH is more than 10
and you don't just increase dose with symptoms but only with increased TSH values kindly taper the dose to check whether you need the drug

there are 3 test with thyroid
TSH
T3
T4
thyroid problems occur with combination of these tests
if TSH low T3 and T4 high- it's thyrotoxicosis
if TSH high T3 and T4 low-its hypothyroidism
if TSH high only - hypothyroidism
treatment for hypothyroidism is only required if TSH is more than 10 unless in pregnancy where the TSH should be less than 2.5
if TSH is low only it's subclinical toxicity

treatment for thyrotoxicosis with antithyroid drugs is only required when thyrotoxicosis persists for more than 6 weeks with long duration symptoms or unless proven earlier with uptake scan.


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.
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Suggest Medications For Thyroid & Blurry Vision

Thanks for asking. few queries Any associated weight gain/ hairloss/ tiredness/ constipation? *Any history of recurrent fever / thyroid pain/ eye pain / bulging eye ball/ tiredness? *Periods- is it regular? *How is your quality of life? *Any family history of thyroid disease/ goiter or thyroid malignancy? any history of thigh or arm muscle weakness/ hump/striae? few tests needs to be done before weight loss regimen. To exclude hormonal disorder. TSH/free T4/ calcium /fasting lipid profile/ ALT / Calcium/phosphorus/HBA1C currently approved weight loss drugs by FDA 1) tab orlistat taken orally it decreased fat absorption from gut. Average weight loss is 3-4kg per month if the person s diet predominantly fat based. 2) inj. liraglutide it s a GLP 1 analogue approved once a day injection taken , it decreased appetite. average weight loss 4-5 kg in guidelines. But in my experience I have seen 10 kg in one month. Hope I have answered your question. If you have any further questions I will be happy to help. Thankyou. Wish you good health first of all treatment for hypothyroidism is only required if TSH is more than 10 and you don t just increase dose with symptoms but only with increased TSH values kindly taper the dose to check whether you need the drug there are 3 test with thyroid TSH T3 T4 thyroid problems occur with combination of these tests if TSH low T3 and T4 high- it s thyrotoxicosis if TSH high T3 and T4 low-its hypothyroidism if TSH high only - hypothyroidism treatment for hypothyroidism is only required if TSH is more than 10 unless in pregnancy where the TSH should be less than 2.5 if TSH is low only it s subclinical toxicity treatment for thyrotoxicosis with antithyroid drugs is only required when thyrotoxicosis persists for more than 6 weeks with long duration symptoms or unless proven earlier with uptake scan.