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.