Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

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.
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor