Brief Answer:
It will take 3-4 months time improvement begins
Detailed Answer:
Hi XXXXXXX
Thanks for your query.
Firstly, all problems- except for increased appetite- are typical features of
Hypothyroidism, that is, thyroid gland is producing inadequate amount of the hormone called Thyroxin. I presume that you are on regular
Synthroid (thyroxin hormone).
Further, may I inform you that Thyroid hormone is one of the slowest acting hormone. It takes 3-4 months to see its effects, AFTER the
TSH level reaches near-target level. The target of TSH is to bring it down and maintain it to 1.0 or less.
Hence, as your TSH level has already come done to 1.5, you will start feeling better (onset of
weight loss, normalization of periods, reduction in fatigue, body aches and
hair fall, only AFTER 3-4 months from now. So, you have NO OPTION but to be patient!
In my medical practice since 33 years, I follow a slightly different regime : I keep on increasing the dose of Synthroid till TSH level comes down to less than 0.1
and maintain the dose of Synthroid till such time the patient is free from all symptoms and feels absolutely normal. Thereafter, I start reducing the dose of Synthroid gradually, letting TSH rise to between 1-2 and maintain it at that level.
Secondly, regarding your
headaches which- along with irritability and emotional upsets- point towards tension headache/migraine. I therefore recommend that a regular course of a combination of anti-depressants with anti-anxiety and beta-blockers, will not only relieve you of headaches, irritability and mood swings, but also cure your headaches completely.
You may therefore discuss my opinion/recommendation with your treating doctor, who- I am sure- will totally agree with me and, thereby prescribe the advised drugs in appropriate doses.
Lastly, rapid weight increase with increased appetite may indicate yet-undiagnosed
diabetes. Blood sugar levels will rule out or confirm early diabetes, as the case may be.
Hope you find my response helpful and informative. I will be only too happy to help you in case you have further queries, if any.
Dr. Rakesh Karanwal