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Inability to loose weight, irregular periods,headaches - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   im having many symptoms typical to hypothyroidism, they say my T3 and T4 levels are normal, but my TSH level was high (i know that indicated HYPERthyroidism) they suggested maybe I am depressed, even though I dont feel sad, any thought?
Doctor :   Hi
User :   Hello
Doctor :  
May I know your age and gender?
User :   22 years old, female
Doctor :   And what are your symptoms?
User :   I have 2 kids, 3 yrs old, 1 yr old
Doctor :  
User :   extreme fatigue, inability to lose weight, migraines,increasingly heavy periods, joint pain,
User :   brain fog
Doctor :  
User :   thats pretty much it
User :   oh sorry forgot 2
Doctor :  
Since when are you having these symptoms?
User :   constipation, and i had a random nosebleed that lasted for an hour and a half at a time for 2 days
User :   basically since I had my baby 15 months ago
User :   I've been to the doctors every two weeks since then
User :   testing everything possible
User :   at one point I was looking into holistic medicine and considering Candida Yeast Overgrowth
Doctor :  
High TSH levels mean hypothyroidism and not hyperthyroidism.
User :   i meant to say low sorry
User :   low TSH
User :   normal T3 and T4
Doctor :   Ok.
User :   is it possible for these tests to be misleading or incorrect?
Doctor :  
There are a few conditions where there can be low TSH values with normal T3 and T4 functions.
User :   such as?
Doctor :  
In such cases a complete thyroid function test including free T3 levels need to be tested
User :   its possible thats what I just had done, the nurse called me and simply said everything was normal
Doctor :   Basically high free T3 levels are also part of hyperthroidism
User :   I know they were specifically trying to rule out a thyroid issue
Doctor :  
But since your symptoms are not in line with those of hyperthroidism
User :   so if they indeed are "normal" I can definitively rule out hypo/hyperthyroidism?
Doctor :  
a repeat test of the TSH can be done after a few days or a month
User :   should I ask to be referred to an endocrinologist?
User :   I've had it done multiple times...
Doctor :   And has it been the same low values?
User :   no, first time
Doctor :   If it has been normal the rest of the times then probably not related to the throid dysfunctions.
User :   ok, any other suggestions?
User :   normal XXXXXXXX panel, normal hormone panel, slightly anemic (nothing to cause severe symptoms)
User :   my obgyn's theory (after seeing me for 16 months) is that perhaps I had some postpartum depression that turned into an ongoing mild depression...
Doctor :   May I know what other hormone analysis were done?
User :   I'm not sure, I don't have the results with me - I guess whatever a 'hormone panel' entails
Doctor :   Depression can explain all these symptoms, if other hormone analysis are normal
User :   even the inability to lose weight>?
User :   wouldn't i feel sad
User :   i'm not in the slightest bit sad or down
User :   have a little anxiety but i think thats due to the fact that i've been seeing all sorts of drs and doing tests and everything comes up inconclusive
Doctor :   weight gain may not be related to the depression, but the other symptoms may be.
User :   problem is, they blame my symptoms on my lifestyle, married, 2 kids, full time predent student, etc...
Doctor :  
I understand that, but if know other cause has been made then it is probably due to it.
Doctor :  
You can get an endocrinologist opinion too if you are not been convinced with what your doctors say.
User :   well its not really weight gain, its more like the inability to lose weight
Doctor :   If no other cause has been made, you may benefit from treatment of depression, and weight reduction programme.
User :   im on a weight reduction program, i have a personal trainer, eat SO healthy
User :   cant lose weight
User :   literally, my drs are stumped
Doctor :   Ok.
User :   ive always been 125 lbs, and after my 2nd baby it never went away
User :   so now im 150 and it wont budge
Doctor :   I would suggest you to get examined by an endocrinologist then,
Doctor :  
You may need a complete evaluation.
User :   ok
User :   another thing, if i go on antidepressants and i dont really need them, can it do harm
Doctor :   Not if you are having symptoms that is affecting your physical life.
User :   right, but if im not depressed and its the only diagnosis for my symptoms, and i take the meds, but dont need them, will it be harmful for me? will it be worse if i stop them?
User :   my dr thinks ill benefit from the side effects, weight loss, increased energy
Doctor :  
You can be treated with the symptomatic medications
User :   like
Doctor :  
that is if the depression symptoms are not severe to hamper your physical life.
Doctor :  
And since all your symptoms some of your symptoms can also be due to endocrine abnormalities.
User :   so that will probably be a good start
User :   before trying the meds
Doctor :  
it is better you take an opinion from the endocrinologist too before starting on the medications.
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   no, not at the moment, thank you
Doctor :  
Please fill the feed back form too before closing the session.
User :   ok, thanks
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   will do, thanks.
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