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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hair Loss And Facial Puffiness While Having Elevated TSH Levels?

hello im a female..im 15 kgs more than my normal weight..my hair loss is severe making my hair thinner ...i have a very problamatic dry and rough skin....my face has become puffy...my TSH levels are 16.63 and heamoglobin is 6.6.Im using thyronorm 100mg and livogen since one month.....please inform me how can I reduce my weight and promote hair growth
Mon, 14 Nov 2016
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General & Family Physician,  's  Response
Dear Madam, Hi & Welcome.
I can understand your concern.

Based on the history given you seem to have inadequate dose of Thyronorm for the treatment of hypothyroidism.

Kindly consult your treating doctor to increase the dose in such a way to keep TSH within the normal reference range (approximately 0.4 and 2.5 mU/L).

You will be asked to repeat the thyroid function tests (free T4 and TSH) after 4-6 weeks to check the response to the increment in the dose.

If the TSH remains above the normal reference range, the dose of T4 can be increased by 12 to 25 mcg/day.

Remember to ensure an adequate absorption from the gut, Thyronorm should be taken on an empty stomach, ideally an hour before breakfast.

You can do regular exercise, avoid taking high caloric diet, take plenty of vegetables and fruits which not only will reduce your body weight but also promote the hair growth.

Livogen Tablet which contains Ferrous Fumarate, and Folic Acid can be continued to correct the anemia.

Hope these answer your query.
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What Causes Hair Loss And Facial Puffiness While Having Elevated TSH Levels?

Dear Madam, Hi & Welcome. I can understand your concern. Based on the history given you seem to have inadequate dose of Thyronorm for the treatment of hypothyroidism. Kindly consult your treating doctor to increase the dose in such a way to keep TSH within the normal reference range (approximately 0.4 and 2.5 mU/L). You will be asked to repeat the thyroid function tests (free T4 and TSH) after 4-6 weeks to check the response to the increment in the dose. If the TSH remains above the normal reference range, the dose of T4 can be increased by 12 to 25 mcg/day. Remember to ensure an adequate absorption from the gut, Thyronorm should be taken on an empty stomach, ideally an hour before breakfast. You can do regular exercise, avoid taking high caloric diet, take plenty of vegetables and fruits which not only will reduce your body weight but also promote the hair growth. Livogen Tablet which contains Ferrous Fumarate, and Folic Acid can be continued to correct the anemia. Hope these answer your query.