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Tips to manage hypothyroidism - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2561 Questions
Doctor :   hi this is Dr XXX \
Doctor :   how may i halp you today?
Doctor :   Please proceed with your query.
User :   Hi doctor, i am worried for a thyroid related problem. i had hypothyroid with normal T3 and T4 but high (12.4) TSH. i was suggested medicine - first 50 mg of thyroxine which brought down my TSH much below normal. then 20 days back the doctor suggested 25 mg on alternate days - my blood test yesterday showed that my TSH is 0.01 (much below normal) but my T3 has now shot up to 213 (ver high)
Doctor :   OK, let me read what u have typed.
Doctor :   how often were u taking the medicine before ? (i mean 50mg tab)
User :   50 mg every day for 1 month that brought down immediately TSH from 12.4 to 0.01
Doctor :   i understand
Doctor :   now since u were on a higher dosage of the medicine, your doctor ahs reduced the dosage accordingly so mathc your requirement.
Doctor :   the thyroid levels will have to monitored every 4- 6 weeks, so that your medicines can be titrated according to your requirement
Doctor :   do u have any symptoms like constipation, weight gain, lethargy, etc ?
User :   yes
Doctor :   do u have it even now, after being on treatment for one month, or has it subsided inseverity ?
User :   has subsided
Doctor :   thats good news.
Doctor :   do u have any symptoms like palpitations, sweating, restlessness, sleeplessness , etc?
User :   yes occasionally
Doctor :   The basic thing of managing thyroid issues is to titrate the medicines , so that there is a euthyroid status (means normal thyroid status)
Doctor :   now since the medicines have been titrated, your symptoms like palpitations, sweating, restlessness, sleeplessness , etc will come down and u will feel better .
Doctor :   U should not worry much about the levels of T3 & TSH as these are induced by medications to treat your hypothyroidism, and will vary with time.
Doctor :   just concentrate on being regular with your medicines without fail, and comply with regular thyroid test evaluations in 4-6 weeks
Doctor :   over time, your need for thyroid medications, will regularise, and u can be maintained on a even dosage.
Doctor :   i hope i have solved your query.
Doctor :   let me know, if there is any other health query. thank you for consulting me
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