Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Low TSH Levels After Losing Weight Through Cabbage Diet?
Dear doctor,
I'm 19 year old girl from Montenegro.For 70 days I lost 18 kilograms due to strict cabbage diet.Accidentaly,i checked my blood and blood test showed low TSH level.Later,I have been sent to other blood test and these are results:
ASAT(GOT) 24 (to 37)
ALAT(GPT) 32 (to 40)
Alkaline phosphatase 77 (39-117)
TSH 0.004 (0.4-4.0)
T3 2.4 (1.1-2.8)
T4 158 (58-161)
FT3 5.9 (2.3-6.3)
FT4 23.2 (10.3-24.4)
ATG antibodies 33.6 (to 40)
ATA-Anti-Tpo-Ab 34 (to 35)
TSH-R-Ab 0.7 (reactive)
Ultrasound and color Doppler showed no changes on thyroid gland.It appears to be of normal size and structure on them.I have no symptoms except a very mild tremor of left hand.I have been to one endocrinologist and she told me its Graves disease and other two endocrinologists said it is not Graves,but it is caused due to my improper diet.I would like to ask you about your opinion about my results and is it Graves disease? I would be very grateful if you could help me.Sincerely yours,
Lolita from Montenegro
I'm 19 year old girl from Montenegro.For 70 days I lost 18 kilograms due to strict cabbage diet.Accidentaly,i checked my blood and blood test showed low TSH level.Later,I have been sent to other blood test and these are results:
ASAT(GOT) 24 (to 37)
ALAT(GPT) 32 (to 40)
Alkaline phosphatase 77 (39-117)
TSH 0.004 (0.4-4.0)
T3 2.4 (1.1-2.8)
T4 158 (58-161)
FT3 5.9 (2.3-6.3)
FT4 23.2 (10.3-24.4)
ATG antibodies 33.6 (to 40)
ATA-Anti-Tpo-Ab 34 (to 35)
TSH-R-Ab 0.7 (reactive)
Ultrasound and color Doppler showed no changes on thyroid gland.It appears to be of normal size and structure on them.I have no symptoms except a very mild tremor of left hand.I have been to one endocrinologist and she told me its Graves disease and other two endocrinologists said it is not Graves,but it is caused due to my improper diet.I would like to ask you about your opinion about my results and is it Graves disease? I would be very grateful if you could help me.Sincerely yours,
Lolita from Montenegro
Wed, 1 Feb 2017
Hello and thank you for asking!
I have gone carefully through your concern.
From the results you have reported it can not be Graves' disease, because Antireceptor antibodies are negative (I do agree with your treating physician, the low TSH level may be caused by the improper diet.
So i would recommend not to start treatment but to check the TSH level after 2 months. Meanwhile try to eat a healthy, well balanced diet.
For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. Guni
Best wishes.
Dr.Mirjeta
I have gone carefully through your concern.
From the results you have reported it can not be Graves' disease, because Antireceptor antibodies are negative (I do agree with your treating physician, the low TSH level may be caused by the improper diet.
So i would recommend not to start treatment but to check the TSH level after 2 months. Meanwhile try to eat a healthy, well balanced diet.
For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. Guni
Best wishes.
Dr.Mirjeta
I find this answer helpful
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.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Thyroid disease
Loading Online Doctors....