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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Graves Disease?

I am a 43 year old female with Graves Disease. I have tingling in right arm from my elbow to my fingertips....sometimes just the ring and pinky and other times the entire hand. I have tingling in both calves and feet constantly. Feet are always cold / freezing. I have goosebumps or the tingling sensation of goosebumps on legs and arms. I have tingling sensations in my head at random times but occurring daily now. These sensations are at different locations in my head (sometimes back left, or right side, or left side etc). They feel like goosebumps / tingling that lasts from a few seconds to a couple minutes. I also have dizzy spells - I turn around and it takes a few seconds for everything to catch up . Sometimes it s difficult to watch tv - making me nauseous and dizzy - due to movement on the screen. Lastly, I ve been noticing some memory loss with individual words. This is a different feeling than just forgetting a simple word. It actually felt like there was a blank when trying to remember a vocab word.
Mon, 26 Sep 2016
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Endocrinologist 's  Response
Hello and thank you for asking!
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).
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)
Calcium

None of these tests require any fasting and can be done at any time of the day.
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What Is The Treatment For Graves Disease?

Hello and thank you for asking! 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). 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) Calcium None of these tests require any fasting and can be done at any time of the day.