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What Does My Lipid Profile Test Indicate?
Question: Hi...I am 40 yrs old female and my weight is 95.8kgs. For the past 2 months I have been watching what I eat mostly under 1500 calories per day and excersise atleast 3 times a week for 30 mins or more. I did not see any weight loss. In addition i have been under blood pressure medication Aten 50 twice a day for 8 yrs and most days my blood pressure behaves... Sometimes recently not so well..Reading was about 160/110. So I saw a doctor.. She wanted to change my medication and asked me to do a cholesterol profile test.. Cholesterol came back normal. Total cholesterol 155 mg/dl ( desirable range less than 200 mg/dl). Ldl 92.2 ( optimal<100). Hdl is low at 28mg/dl. My blood pressure medication was changed to olmezest beta once a Day.
Since I was doing a blood check and same blood would be used I also asked the lab to do a thyroid profile which showed T3 at 1.52 ng/ml ( range 0.7 - 2.0) and T4 at 11.60mcg /dl (range 4.5 to 11) and TSH at 7.11 mciu/ml ( range 0.4- 4.2). For this I have been prescribed levothyroxine 50 mcg daily.
My question is levothyroxine is synthetic T4... But since my t4 is on the higher side anyway is this the right medication or will it cause even more of an imbalance... I am already struggling with my weight, hair thinning and blood pressure... I don't want to make it worse. Please help.
Since I was doing a blood check and same blood would be used I also asked the lab to do a thyroid profile which showed T3 at 1.52 ng/ml ( range 0.7 - 2.0) and T4 at 11.60mcg /dl (range 4.5 to 11) and TSH at 7.11 mciu/ml ( range 0.4- 4.2). For this I have been prescribed levothyroxine 50 mcg daily.
My question is levothyroxine is synthetic T4... But since my t4 is on the higher side anyway is this the right medication or will it cause even more of an imbalance... I am already struggling with my weight, hair thinning and blood pressure... I don't want to make it worse. Please help.
Brief Answer:
thyroxine is the right decision.
Detailed Answer:
dear ma'm, hi Welcome to HCM.
Weight loss is always a challenge, specially so after 40. so it is a tough fight.
with this a subclinical hypothyroid, i.e. TSH 7 further worsens the scenario.
so first thing first. we must first control hypothyroidism, and bring TSH to 1 or less. so thyroxine is the right decision. Now as of T4 already on the higher side, it can be due to total T4 being high. Free T4 which you have not done, may be normal or even low. so let us forget that for time being and treat to bring TSH to normal. your high BP can as well be attributed to subclinical hypothyroid state.
aten 50 is not the right choice in your case. it has to be either ACE inhibitor or CCB. so your doctor was right in suggesting a change.
kindly do the needful, and build up exercise to 7 days a week.
regards!
thyroxine is the right decision.
Detailed Answer:
dear ma'm, hi Welcome to HCM.
Weight loss is always a challenge, specially so after 40. so it is a tough fight.
with this a subclinical hypothyroid, i.e. TSH 7 further worsens the scenario.
so first thing first. we must first control hypothyroidism, and bring TSH to 1 or less. so thyroxine is the right decision. Now as of T4 already on the higher side, it can be due to total T4 being high. Free T4 which you have not done, may be normal or even low. so let us forget that for time being and treat to bring TSH to normal. your high BP can as well be attributed to subclinical hypothyroid state.
aten 50 is not the right choice in your case. it has to be either ACE inhibitor or CCB. so your doctor was right in suggesting a change.
kindly do the needful, and build up exercise to 7 days a week.
regards!
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. Nagamani Ng
Answered by
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