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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Blood Test. Could Hypercholesterolemia Be A Result Of Hypothyroidism?

Hello Sir, I had a blood test done recently and found the following abnormalities, 1) total cholesterol- 218 2) trigylcerides- 165 3) LDL: 135 4) tsh : 5.140 I believe this is indicative of early hypothyroidism . Could the hypercholesterolemia be a result of my hypothyroidism. I am a 29 year old male with the following hypothyroid symptoms: - very tired :: feel like sleeping all day - body aches and pain - i am a graduate student and I feel that my memory is not as sharp as i used to be brain fog - moderate weight gain despite reduced appetite - bloated face sometimes - positive family history of hypothyroidism- mother has hypothyroidism and is taking Synthroid So my questions are the following: - what could be the cause of my hypothyroidism? could this be a case of Hashimotos thyroiditis (due to positive family history and I believe this is the most common cause for hypothroidism, correct?) - what further investigations do you recommend? (should I get Thyroid Peroxidase (TPO) Antibodies Blood Test to confirm Hashimoto s?) - will treatment with Synthroid need to be started in my case? - what advice do you recommend for my case? Thank You, Jay -
Tue, 8 Jan 2013
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General & Family Physician 's  Response
Hello,
1... You are right that most cases of hypothyroidism are due to HASHIMOTOS THYROIDITIS.
2.. Confirmation is done by doing the test for THYROID PEROXIDADE ANTIBODIES.
3.. You do require the treatment with synthetic thyroxine and generally it is needed for lifelong.
4..As far as your cholesterol is concerned ,you should start taking lifestyle measures like doing regular exercises and taking more of green vegetables and fresh fruits.Reduce your weight.avoid junk foods.
Goal is to reduce your total cholesterol below 180,reduce you LDL to below 100 and triglycerides to below 150.
There is no need to start anti cholesterol medicines as regular exercises and correction of hypothyroidism should make you all right.
Thanks
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Done Blood Test. Could Hypercholesterolemia Be A Result Of Hypothyroidism?

Hello, 1... You are right that most cases of hypothyroidism are due to HASHIMOTOS THYROIDITIS. 2.. Confirmation is done by doing the test for THYROID PEROXIDADE ANTIBODIES. 3.. You do require the treatment with synthetic thyroxine and generally it is needed for lifelong. 4..As far as your cholesterol is concerned ,you should start taking lifestyle measures like doing regular exercises and taking more of green vegetables and fresh fruits.Reduce your weight.avoid junk foods. Goal is to reduce your total cholesterol below 180,reduce you LDL to below 100 and triglycerides to below 150. There is no need to start anti cholesterol medicines as regular exercises and correction of hypothyroidism should make you all right. Thanks