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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Synthroid. Had A Hysterectomy For Uterine Cancer. Now Feeling Fatigued And Lightheaded. TSH Is A Bit Low. Cure For Symptoms?

I am on synthroid. 75mg. Had a hysterectomy in April for uterine cancer. In the past couple of weeks, I've started feeling very fatigued and lightheaded. Also feeling very depressed/sad. My TSH was 4.15 a year ago (I thought this was too high, but my dr said it was still in normal range). I think now my TSH must be way too high. Possibly the hysterectomy has also affected it? I am going for blood work tomorrow and a physical the following week. What do you think?
Tue, 11 Jun 2013
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General & Family Physician 's  Response
Hi and thanks for this query.
I am sorry about what you are experiencing.

TSH normal values vary slightly from one lab to the other. If your doctor said it was normal, then i believe him.
The symptoms you have cited make the diagnosis of under treated hypothyroidism very likely. It is a good thing that you are going in for blood work up and a physical.

Thyroid hormones supplementation dosages vary fro one patient to another. Even the same patient may need the doses t be reviewed several times in the course of his/her treatment. A simple adjustment will correct the identified problem.

Hysterectomy per se cannot be directly responsible. However, may be some other drugs and associated lifestyle changes caused by this procedure can be responsible.

I hope this answers your question.
I wish you good health.
Also, feel free to come back for more answers.
Dr. Ditah
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On Synthroid. Had A Hysterectomy For Uterine Cancer. Now Feeling Fatigued And Lightheaded. TSH Is A Bit Low. Cure For Symptoms?

Hi and thanks for this query. I am sorry about what you are experiencing. TSH normal values vary slightly from one lab to the other. If your doctor said it was normal, then i believe him. The symptoms you have cited make the diagnosis of under treated hypothyroidism very likely. It is a good thing that you are going in for blood work up and a physical. Thyroid hormones supplementation dosages vary fro one patient to another. Even the same patient may need the doses t be reviewed several times in the course of his/her treatment. A simple adjustment will correct the identified problem. Hysterectomy per se cannot be directly responsible. However, may be some other drugs and associated lifestyle changes caused by this procedure can be responsible. I hope this answers your question. I wish you good health. Also, feel free to come back for more answers. Dr. Ditah