Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Ways To Loose Weight
Question: my question is this I've had thyroid issues for along time I even took mess for a while, took blood work my thyroid was fine went off melds I Excercise all the time cardio and weight training so why am I still fat I want to loose weight save and effectively help plesae
Brief Answer:
Thyroid
Detailed Answer:
Sorry to learn about your weight issue.
There are 2 uncommon causes of weight gain.
One is Cushing's syndrome. A late night saliva cortisol test is a good way to screen for it.
The other is Acromegaly. A blood test called IGF1 is a screening test for this condition. It does not require fasting and can be done at any time o the day.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Thyroid
Detailed Answer:
Sorry to learn about your weight issue.
There are 2 uncommon causes of weight gain.
One is Cushing's syndrome. A late night saliva cortisol test is a good way to screen for it.
The other is Acromegaly. A blood test called IGF1 is a screening test for this condition. It does not require fasting and can be done at any time o the day.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I know your not my doctor but can you order these test for me I don't have insurance and these doctors around here think I'm crazy they tell me it's all anxiety and want me on medicine and I don't want to be on medicine, I don't like the side effects, I've had a full blood count and rather came back normal not the other test you mentioned like liver and saliva or cortisol test ,
I would be so greatly like if you could do this for me, these doctors I don't trust around her in n.y. Thanks for your time, I have had t4 test for thyroid and again all came back normal I was on thyroid medicine for awhile and there was no change that I saw. Thanks again.
I would be so greatly like if you could do this for me, these doctors I don't trust around her in n.y. Thanks for your time, I have had t4 test for thyroid and again all came back normal I was on thyroid medicine for awhile and there was no change that I saw. Thanks again.
Brief Answer:
Follow up
Detailed Answer:
If your TSH and free T4 are normal now it is extremely unlikely you have a thyroid problem.
Regarding ordering tests for you through an online forum, this is not legally permissible in USA.
Follow up
Detailed Answer:
If your TSH and free T4 are normal now it is extremely unlikely you have a thyroid problem.
Regarding ordering tests for you through an online forum, this is not legally permissible in USA.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
