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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Below Test Report Suggest When Diagnosed With Hypothyroidism?

I have been diagnosed with hypothyroidism in 2012. Following is the history of my test reports.1. Dt. 8/2/2012T3- 0.86 (Normal Range - 0.52 - 1.90) T4 - 5.26 (Normal Range - 4.5 - 12.5) TSH - 8.93 (Normal Range - 0.40 - 4.67) 2. Dt. 8/3/2012Free T3- 3.20 (Normal Range - 2.7 - 4.3)Free T4 - 1.26 (Normal Range - 0.93 - 1.7)TSH - 4.73 (Normal Range - 0.27 - 4.9) Started Thyroid medication 25mg for 5 months and then stopped as per doctors advice and then following were my reports.3. Dt. 20/12/2012 T3- 102 (Normal Range - 80 - 200)T4 - 5.33 (Normal Range - 4.5 - 12) TSH – 11.13 (Normal Range - 0.27 – 4.9)Then doctor advised me to start the medication again and then after 3 months following were the reports 4. Dt. 8/3/2013T3- 3.2 (Normal Range - 2.7 - 4.3)T4 - 1.26 (Normal Range - 0.93 - 1.7)TSH – 4.73 (Normal Range - 0.27 – 4.9)5. Dt. 4/6/2013T3- 103.48 (Normal Range - 70 - 204)T4 - 4.86 (Normal Range - 4.87 - 11.72)TSH – 5.88 (Normal Range - 0.45 – 4.5)ANTI TPO - 389.88 (Normal Range - 0 - 35)Thyrogloublin Antibody (ATG) - 226.38 (Normal Range - upto 4.11)After this I started Ayurvedic Treatment since allopathy didn t cure my condition and stopped thyroid medication 25mg as per ayurvedic doctors advice. After stopping the thyroid medications I haven t started till date. Following were the results 6. Dt 20/11/2013 T3- 0.84 (Normal Range - 0.52 - 1.90) T4 - 5.29 (Normal Range - 4.5 - 12.5) TSH – 5.74 (Normal Range - 0.45 – 4.5)7. Dt. 13/2/2015 T3- 0.85 (Normal Range - 0.52 - 1.90) T4 - 5.65 (Normal Range - 4.5 - 12.5)TSH – 13.08 (Normal Range - 0.45 – 4.5)8. Dt. 8/9/2015 T3- 100 (Normal Range - 70 - 204) T4 -6.9 (Normal Range - 4.87 - 11.72)mTSH – 7.96 (Normal Range - 0.45 – 4.5)Started Regular workout on 15/1/20169. Dt. 6/1/2016 T3 - 96.8 (Normal Range - 70 - 204)T4 - 5.6 (Normal Range - 4.87 - 11.72) TSH – 4.41 (Normal Range - 0.45 – 4.5)10. Dt. 7/6/2017 T3 - 88.9 (Normal Range - 70 - 204)T4 - 5.5 (Normal Range - 4.87 - 11.72)TSH – 4.29 (Normal Range - 0.45 – 4.5)I had also taken lipid profile and sugar test. Sugar test were normal everytime and I don t have family history of diabetes or hypothyroidism. Lipid profile was also normal everytime but LDL slightly high. once it was 101 and then it was 135.ESR readings are between 20-23. Other reports were normal. After starting workout thyroid reports came normal everytime.Note: I haven t started thyroid medications till now after stopping as per ayurvedic doc s advice. Because he told me if body gets used to synthetic hormone the it will lose the ability to produce on its own and I will require to take the medications forever.Following are my questions:1. What are the complications of hypothyroidism.2. Does it worsen over time 3. How likely am I of getting diabetes knowing the fact that I do not have a family history of either of my parent.4. I will get married in 2 months. Will it affect my fertility.5. I work out regularly since 1.5 years but I am unable to gain muscle mass. I have a lean posture. is it directly related to hypothyroidism. What should I do to gain muscle mass.6. How does hypothyroid affect metabolism. explain in detail.7. Doctor said my TSH readings are not very high. Does is mean I have a milder hypothyroidism.8. My readings are normal since 1 year without medications. Dose it mean that my condition is about to cure.Dear doctor, I request you to answer in detail.
Wed, 20 Dec 2017
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Pathologist and Microbiologist,  's  Response
Thankyou for asking on Healthcaremagic. Hypothyroidism is associated with reduced metabolism and weight gain, intolerance to cold, lethargy, fatigue, loss of appetite, leg oedema, constipation etc. If you are unable to gain weight there's rarely any possibility of hypothyroidism. Thyroid disorders can worsen or reverse to the opposite like hypo can become hyper and vice versa with time. Regular testing with dose adjustment is the key. Yes hypothyroidism can affect fertility and optimum thyroid function is essential for fetal brain development even after conception. In case you have no family history of diabetes there's a rare chance you ll have it. When you get tested for thyroid do it fasting morning 8am. Tsh has diurnal variations. You can skip medication at the moment. But once you conceive or if you are unable to conceive then concentrate on getting your tsh in range with medications. Don't shun away allopathic in pregnancy. Reference ranges of tsh in pregnancy are different from normal population.
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What Does The Below Test Report Suggest When Diagnosed With Hypothyroidism?

Thankyou for asking on Healthcaremagic. Hypothyroidism is associated with reduced metabolism and weight gain, intolerance to cold, lethargy, fatigue, loss of appetite, leg oedema, constipation etc. If you are unable to gain weight there s rarely any possibility of hypothyroidism. Thyroid disorders can worsen or reverse to the opposite like hypo can become hyper and vice versa with time. Regular testing with dose adjustment is the key. Yes hypothyroidism can affect fertility and optimum thyroid function is essential for fetal brain development even after conception. In case you have no family history of diabetes there s a rare chance you ll have it. When you get tested for thyroid do it fasting morning 8am. Tsh has diurnal variations. You can skip medication at the moment. But once you conceive or if you are unable to conceive then concentrate on getting your tsh in range with medications. Don t shun away allopathic in pregnancy. Reference ranges of tsh in pregnancy are different from normal population.