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Thyroid test shows T3 is 1.27, T4 is 8.88, TSH is 8.90. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
Doctor:It seems you have moved out of the chat window.
Doctor:Please login again if you have any medical query.
Doctor:Welcome again.
User:Sorry. network was timed out
Doctor:How can I help you?
User:Are you Dr XXXXXXX C, who has answered my earlier query?
Doctor:No, I am Dr. XXXXXXX a general physician.
Doctor:Dr. XXXXXXX C is not available on live chat.
User:Ok, no problem
User:Recently I have done my Thyroid test and results look abnormal: T3 is 1.27 T4 is 8.88 TSH is 8.90
User:Please advise any medication is required.
User:I have noticed that even I am going to Gym, my weight is not decreasing and it is currently close to 78 kg. My height is 5 feet 6 inches.
Doctor:Let me brief you.
Doctor:Your reports suggest that you are suffering from hypothyroidism.
Doctor:Hypothyroidism is probably the cause why your not able to reduce weight.
Doctor:Starting thyroid supplements might help in both bringing your hormones to normal as well as reducing weight.
Doctor:In addition to the medications, you will need to continue with proper diet and exercise.
Doctor:This will benefit you in getting your weight and bring about hormonal equilibrium to normal.
Doctor:Have you followed?
User:Yes, I have.
Doctor:Is there any other query?
User:Could you let me know which medicine should I take?
Doctor:Thyroid supplements are available in the name of various brands.
Doctor:The most commonly prescribed drug are eltroxin.
Doctor:It comes in the doses of 25, 50 and 100micrograms.
Doctor:You would need to be started as per your needs which will be determined by your physician.
User:my wife is taking thyrox. Is that good?
Doctor:Yes, thyrox contains the same ingredients as eltroxin.
User:what would be mg to start with in my case?
Doctor:There are 2 approaches in treating it.
Doctor:Start with the higher dose and taper down depending on TSH levels
Doctor:or start with the lowest dose and increase it gradually.
Doctor:Depending on the clinical needs the best approach is decided.
Doctor:Considering you do not have any other associated symptoms apart from increased body weight, your physician may consider starting on 25 or 50micrograms for 2-3 months.
Doctor:They would repeat the test after 3-6 months and then titrate your dose accordingly.
Doctor:As the treatment is to be monitored to avoid adverse effects, it is best to avoid self treatment and to consult your physician or endocrinologist.
Doctor:Have you followed?
User:yes, I have. Thanks very much.
Doctor:Do you have any other query?
User:Currently I am out of station, will check with my doctor once i am back
User:no thanks.
Doctor:The treatment need not hurry.
Doctor:You can wait till you get back home and then start treatment.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:okay. Thanks to you and bye
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