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Medication for hypothyrodism - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi Dr here
User :   Hello Dr
Doctor :   how can i help you today?
User :   Dr I have received my report on thyroid profile; Thyroid Profile: T3 - 1.15 T4 - 7.71 TSH- 5.20
User :   I have hypothyrodism
Doctor :   ok
User :   and on medication from past 3 yrs, taking eltroxin 100mg
Doctor :   your thyroid levels T4 & TSH are within normal levels
User :   Do I need any change in dosage?
Doctor :   do u feel ok, do u have any symptoms like diarhea, high pulse rate etc ?
User :   feel very sleepy
Doctor :   any constipation, feeling depressed ?
User :   ya depressed
Doctor :   when was the last time, you went to the doctor for a check up and physical examination?
User :   This test was done just 4 days back
User :   General checkup must be more than 8 months
Doctor :   do u think your symptoms of depression have been increasing over time ?
Doctor :   ok
User :   Yes, I feel depressed for sure. Even stressed at office even though there is no much work, feel people irritable
Doctor :   as such, you need to have a slight increase in your meds, considering your symptoms could be due to hypothyroidism (though your tests are normal - clinically euthyroid)
Doctor :   you will need to get screened by your doc, for depression
Doctor :   are u following me
User :   Yes
Doctor :   what you can do, as its been very long that u have seen your doc,
User :   Do you want me to see a Endocrinologist
Doctor :   see your doc, within 2 weeks and then ask for change in the medicine dosage
Doctor :   just see your regular doctor, as he knows more about your condition
Doctor :   and will know if to change the meds or not
Doctor :   changing doctors frequently is not adviced
User :   Ok, but my family doctor is not available in town for next 2 months. So any general physician will be ok?
Doctor :   yes, seek advice from a Internist (MD)
Doctor :   in Medicine
User :   Sure, thanks for advice
Doctor :   you are welcome
Doctor :   Do u have any other query?
User :   Is my Lipid Profile ok? Lipid Profile: Triglyceride - 124 Total Cholesterol - 183 HDL - 52 LDL - 102 DL - 29 Cholesterol HDL ratio - 3.5
Doctor :   Triglyceride - 124 (IS OK) Total Cholesterol - 183 (is a bit high, should be less than 150) HDL - 52 (good value ) LDL - 102 (is good)
Doctor :   overall the lipid profile is ok
Doctor :   but make sure that you have a low fat diet, and use Olive oil , sunflower oil
User :   I am using safolla oil
Doctor :   avoid butter, dalda,
Doctor :   Saffola oil is good
User :   Yes I am too over weight 105kg... but started to workout regularly.
Doctor :   if in case you need a diet advice, you can avail, the diet service available on your panel
User :   I will for sure need that.
Doctor :   ok
User :   Thank you Doc
Doctor :   you can ask for a diet service and the CCE will get back to you
User :   Sure
Doctor :   do u have any other query?
User :   No
Doctor :   ok
Doctor :   please remember to leave ur feedback as u log out
User :   Thanks Doc
Doctor :   thanks for consulting me here
Doctor :   bye for now
User :   Sure
User :   Bye
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