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Body Composition Test Done. Advised For Thyroid Test. Which Test Should Be Done?

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Posted on Mon, 15 Oct 2012
Question: Hi,
Recently I took a body composition test.
Ht 5' 7"
Wt: 68.8 Kg
Waist: 33"
Fat: 23% (Ideal 17%)
Visceral fat: 8 (Ideal 1-9)
Resting metabloism: 1575

1. I was advised to take thyroid related tests. Which tests should I take so that thyroid related issues, if any, can be diagnosed accurately?
2. What can I do to reduce visceral fat? Would you recommed a keto diet?
Thanks.
doctor
Answered by Dr. Ashish Mittal (25 hours later)
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation for control of weight.

Your questions:
1. I was advised to take thyroid related tests. Which tests should I take so that thyroid related issues, if any, can be diagnosed accurately?
Answer: You can go for estimation of hormones related to thyroid gland like: Serum T3, Serum T4 and Serum TSH level. For accurate results, get your test from good lab like: Lab of government or good corporate hospital, Lal Path Lab etc.

2. What can I do to reduce visceral fat? Would you recommed a keto diet?
Answer: Your visceral fat appear to in normal limit. There is no intervention needed to reduce it specifically. To know about ideal weight of person we use an index called BODY MASS INDEX (BMI).
BMI is calculated with the simple formula: BMI= weight in kg/height in metre²=68.8/1.7/1.7
According to BMI we can categorise people in three categories:
•     Underweight from 16.0 to 18.5
•     Normal from 18.5 to 25
•     Overweight from 25 to 30
•     Obese from 30 onward
As your BMI is 23.80 from above calculation and you fall in normal category. So no need to worry about weight. If your are weight conscious then just have minimal fat intake in diet and incorporate aerobic exercise in routine life.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashish Mittal (34 minutes later)
Dear Dr Mittal

Thanks a lot for your reply. I am planning on taking the Thyroid tests tomorrow. I am not clear about which tests I need to take for an accurate analysis.

1. TSH: Ok will be taking it.
2. I have read that FT3 and FT4 (Free T3 and T4) are of more significance than Total T3, T4. Should I take only FT3 and FT4 or take the total T3 and Total T4 as well?
3. There are separate tests for Antibodies ("Thyroid-Stimulating Immunoglobulins", "TSH stimulating antibodies" etc.) which are recommended to diagnose the actual reason for thyroid abnormality. Should I take these tests also?
4. Are there any guidelines for what time of the day to take the thyroid tests or any other such instructions in order to get an accurate reading?
5. Can I share the results of the test with you once I get the results? Also, if you could refer me to any specialist doctors for thyroid related problems in Mumbai area it would be great. I live in Mumbai suburbs in Andheri area.

6. Thanks for reply on visceral fat / BMI. The main problem I have is that the rest of my body is normal but fat appears to be concentrated around the abdomen area. This "visceral fat" is what was highlighted by the fitness guy who analyzed the results of my tests.

Thanks again.
doctor
Answered by Dr. Ashish Mittal (1 hour later)
Hello again,
Thanks for follow up.

1. TSH: Ok will be taking it.
2. I have read that FT3 and FT4 (Free T3 and T4) are of more significance than Total T3, T4. Should I take only FT3 and FT4 or take the total T3 and Total T4 as well?
Answer: Get FT3/FT4 and TSH done.

3. There are separate tests for Antibodies ("Thyroid-Stimulating Immunoglobulins", "TSH stimulating antibodies" etc.) which are recommended to diagnose the actual reason for thyroid abnormality. Should I take these tests also?
Answer: No need for antibody test currently. If FT3/FT4 or TSH come abnormal then you may go for antibody test, on advise by physician.

4. Are there any guidelines for what time of the day to take the thyroid tests or any other such instructions in order to get an accurate reading?
Answer: Give morning fasting blood sample.

5. Can I share the results of the test with you once I get the results? Also, if you could refer me to any specialist doctors for thyroid related problems in Mumbai area it would be great. I live in Mumbai suburbs in Andheri area.
Answer: You can share to me or you can use XXXXXXX service to search endocrinologist in your area.

6. Thanks for reply on visceral fat / BMI. The main problem I have is that the rest of my body is normal but fat appears to be concentrated around the abdomen area. This "visceral fat" is what was highlighted by the fitness guy who analyzed the results of my tests.
Answer: Try to reduce it by exercise and less fat diet.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

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Body Composition Test Done. Advised For Thyroid Test. Which Test Should Be Done?

Hello,
Thanks for your query.
I appreciate your efforts for medical consultation for control of weight.

Your questions:
1. I was advised to take thyroid related tests. Which tests should I take so that thyroid related issues, if any, can be diagnosed accurately?
Answer: You can go for estimation of hormones related to thyroid gland like: Serum T3, Serum T4 and Serum TSH level. For accurate results, get your test from good lab like: Lab of government or good corporate hospital, Lal Path Lab etc.

2. What can I do to reduce visceral fat? Would you recommed a keto diet?
Answer: Your visceral fat appear to in normal limit. There is no intervention needed to reduce it specifically. To know about ideal weight of person we use an index called BODY MASS INDEX (BMI).
BMI is calculated with the simple formula: BMI= weight in kg/height in metre²=68.8/1.7/1.7
According to BMI we can categorise people in three categories:
•     Underweight from 16.0 to 18.5
•     Normal from 18.5 to 25
•     Overweight from 25 to 30
•     Obese from 30 onward
As your BMI is 23.80 from above calculation and you fall in normal category. So no need to worry about weight. If your are weight conscious then just have minimal fat intake in diet and incorporate aerobic exercise in routine life.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,