Brief Answer:
Possible causes of
weight loss are given below
Detailed Answer:
Dear Mr. XXXX,
Thanks for your query.
Firstly, please clarify if you were diagnosed as
HYPERTHYROIDISM OR
HYPOTHYROIDISM. Actually,
Thyronorm is prescribed for Hypothyroidism and NOT hyperthyroidism.
Further, hyperthyroid cases- when treated with Radioactive Iodine- go into hypothyroid state, which necessitates lifelong Thyronorm.
Reverting back to your query regarding progressive weight loss. The possible causes in your case, are :-
1. Persisting hyperthyroidism. Further reduction of Thyronorm dose, so as to maintain
TSH between 1 and 2, will halt further weight reduction.
2. Underlying/undiagnosed chronic infection, particularly
tuberculosis, the incidence of which is much higher in diabetics. Get a chest-ray done to rule out/detect TB. Treatment of TB (if detected), will result into weight gain.
3. Your target should be to maintain your BMI between 24-25 (the ideal weight). I will be able to comment if your weight is below/above ideal weight, if you give me your height and present weight.
4. A daily Calorie intake less than required, also leads to weight loss. The shortfall in Calories is met by burning body fat/
proteins. Consult a dietician to formulate a suitable diet-chart to match your daily requirement.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Col (Dr.) Rakesh Karanwal