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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Hypothyroid With Chest Discomfort And Muscle Weakness

Dear Sir,I am 31 year old male hypothyroid diagnosed in 2006.I am also taking fluoxetine 60 mg for OCD and Telma AM for BP.I had a huge panic attack in sep 2007 which lasted overnight and I thought I was going to die.I started on 100 mcg when my TSH was 5.3.I cut it back to 50 mcg and then 25 mcg,but I never felt normal again.Pain all over body especially back,weak arms and legs,slight dizzy,chest discomfort,numbness in legs and hands and extreme nervousness,fatigue.I am again on 50 mcg with TSH of 3.8,symptoms are persisting.I lost my job 2 years back have terrible symptoms daily.I am so depressed.Kindly help.What should I do, I am in desperate need of help.Kindly suggest
Wed, 1 Feb 2017
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Endocrinologist,  's  Response
Hello and thank you for asking on HCM!
I read carefully your concern and understood your query.
The slightly elevated TSH level ( 5.3) that is normalized with levothyroxine can not be the cause of such situation.
I would recommend, except of a detailed clinical examination, to do also some blood tests;

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose level).
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Cortisol level at 8.00 am.
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Calcium

Will be a pleasure to give you further suggestions after the above results.

Kind regards,
Dr.Mirjeta
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Suggest Remedy For Hypothyroid With Chest Discomfort And Muscle Weakness

Hello and thank you for asking on HCM! I read carefully your concern and understood your query. The slightly elevated TSH level ( 5.3) that is normalized with levothyroxine can not be the cause of such situation. I would recommend, except of a detailed clinical examination, to do also some blood tests; CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months glucose level). Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) Cortisol level at 8.00 am. 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Calcium Will be a pleasure to give you further suggestions after the above results. Kind regards, Dr.Mirjeta