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Hypothyroidism, increased TSH levels, medicines and dosage - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2497 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hello Doc
User :   I was discussing my thyroid prob with doc on sunday evening & he/she advised me to go in for a second blood test to confirm the status of thyroid
Doctor :  
Ok
Doctor :  
Continue with yoru queries
Doctor :  
Did you get it done?
User :   i have already done that & the results are T3 & T4 are normal while TSH is 7.11
User :   my last blood report done in sept end shows TSH as 7
Doctor :  
ok
Doctor :  
When was the exact date of the last report?
User :   13th oct 09
User :   i am getting tensed abt the increasing level of thyroid i am unable to understand the reason for increase
Doctor :   Ok

Doctor :  
I understand your agony
User :   what is the permanent cure for thyroid allopathy/ayurvedic/unani/homeopathy........ plz suggest some good solution & docs to be contacted
Doctor :  
You have Primary hypothyroidism which is that the thyroid gland in your neck is not secreting enough Thyroxine hormone which is most essential hormone for bodily functions at cell level
Doctor :  
There is not permanent cure for hypothyroidism except to take a life long course of Thyroxine hormone supplements
Doctor :  
These are available in the form of good brand names like Eltroxin, Thyronorm
User :   plz explain little more on this throxine hormone supplements
Doctor :  
The dose of these supplements are started at a low dose initially
Doctor :  
the response is taken after a month or two by repeat Thyroid tests
Doctor :  
If the TSH seems to be reducing then the dose is remained stable
User :   i am taking thyronorm 25mcg .... since aug 09 everyday after breafast still my count has increased from 5.81 - aug 09 to 7 in sept09 to 7.11oct 09
Doctor :  
If the TSH keeps increasing the supplements are increased
User :   my concern is when i am taking tab regularly then the count should be reducing rather than increasing ........... y is it so ?
Doctor :   I am trying to explain on the same thing
Doctor :  
The doctor starts on low dose and experiments with the low dose, if they keep increasing then he / she increases the dose on the next visit
Doctor :  
Every person is different on dose basis
Doctor :  
The doctor can critically analyse the results after the initial dose
Doctor :  
and then corrects it
Doctor :  
on case to case basis
Doctor :  
So you need not panic now, it is good that you have done a re test and known that the TSH is increasing
Doctor :  
So it is obvious now that the dose should be increased in you
User :   what abt the other related probs like hairfall, dry scalp, dry skin,tiredness, muscle cramps, joint pain all the time, weight gain .....
Doctor :  
They are obviously because of inadequate dose of Thyronorm
User :   u mean to say that if the dosage are appropriate than all these sympXXXXXXXXs will vanish
Doctor :  
yes within a week
Doctor :  
all shall vanis
User :   r u sure doc
Doctor :  
and more over Thyronorm should be taken on empty sXXXXXXXXach
Doctor :  
Are you sure that the doctor asked you to take after Breakfast
User :   yes my gynac told me this
Doctor :  
Ok, May I suggest you one thing
Doctor :  
I would otherwise ask you to see a Endocrinologist for the Thyroid problem
Doctor :  
as they are specialist in treating Thyroid problems
Doctor :  
The dose shall be increased and waited for 4 to 6 weeks
Doctor :  
and again the monitoring of response is done
User :   ok doc can u suggest good endocrinologist
Doctor :  
You may go to this link and search for one near your area
Doctor :  
WWW.WWWW.WW Doctor :  
If you like us to fix the appointment then you can click on the appointment fixing
Doctor :  
for a nominal payment and your appointment is fixed on your convenient time
Doctor :  
and informed you over phone.
User :   ok doc first let me discuss it with my family
Doctor :  
Sure, but the current dose is in adequate and you have chat with our doctors at right time
Doctor :  
There is need to increase the dose now since it is been 6 weeks already
User :   u plz adivse me the procedure & i get in touch with them latest by XXXXXXXX
Doctor :   Apart from these you have to be conscious about yur exercise
Doctor :  
and Diet
User :   what diet do u suggest doc
Doctor :  
You have to click on the same link and search
Doctor :  
for an appointment fixing
Doctor :  
it is auXXXXXXXXated
Doctor :  
The diet is suggested by the Dietitians usually, there is a specialised diet plan
Doctor :  
There are no specific restrictions as such
Doctor :   WWW.WWWW.WW
Doctor :   Hello are you there
Doctor :   I have to close the window as you are not responding, please login here for more queries.
User :   ok doc thanks .............let me disscuss with my family & my fiance & i will surely get the appointment fixed within a day or 2
Doctor :  
Ok
Doctor :  
Please fill the feedback form
Doctor :  
say done when done
Doctor :   You can follow up with me whenever you have any query on this regard

Doctor :  
Remember hypothyroidism is very much under control
Doctor :  
controlled* with regualr medicine and other lifestyle modificaitons
Doctor :  
Thanks for consulting us
Doctor :  
Bye for now.
Doctor :   Hello are you back?
Doctor :  
I have to close the window as you are not responding, please login here for more queries.
User :   hello
Doctor :   Yes
Doctor :  
Do you have more queries
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