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Despite Depression , Personality Changes Recently, Speech Is Getting Apparently

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Posted on Thu, 12 Sep 2019
Question: Despite depression, personality changes recently, speech is getting apparently difficult to understand, mood swings, irritable for no reason, weight gain, sweating profusely with normal stress. Hypothyroldism i suspect but TSH, T4 and free T4 are WNL. I do have psoriatic arthritis.
doctor
Answered by Dr. Mirjeta Guni (2 hours later)
Brief Answer:
Thyroid excluded;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
The symptoms you described can be caused by severe hypothyroidism that in your case is excluded by checking thyroid hormones that resulted normal.
There are some other pathologies to be excluded before we "blame" depression responsible for them, but a detailed clinical examination and history is needed to get a better orientation in what field to be focused.
Hope the information will help.
Wishing you good health,
Dr.mirjeta
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Mirjeta Guni (16 hours later)
Can TSH start trending upward over time? I know there can be fluctuations but is trending upward an indication?
doctor
Answered by Dr. Mirjeta Guni (5 hours later)
Brief Answer:
About TSH level;

Detailed Answer:
Hi again,

As far as it is within the normal ranges the trend to go upward is not significant.
If it reaches the upper normal limit, you need to check thyroid antibodies to exclude Hashimoto thyroiditis and monitor TSH every 6 months if they result positive.

Regards,
Dr.Mirjeta
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. Arnab Banerjee
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Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Despite Depression , Personality Changes Recently, Speech Is Getting Apparently

Brief Answer: Thyroid excluded; Detailed Answer: Hello and thank you for asking! I have gone carefully through your concern. The symptoms you described can be caused by severe hypothyroidism that in your case is excluded by checking thyroid hormones that resulted normal. There are some other pathologies to be excluded before we "blame" depression responsible for them, but a detailed clinical examination and history is needed to get a better orientation in what field to be focused. Hope the information will help. Wishing you good health, Dr.mirjeta