Hi XXXXXXX

Thyroid dysfunction i.e. hypothyroidism is associated with severe hair fall.

Elevated TSH with normal T3 T4 indicates subclinical hypothyroidism i.e. beginning of hypothyroidism.

Also there can be other many causes of hair loss like male pattern baldness, seborreic dermatitis, alopecia areata etc.

TSH level of 9 is not very high but levels of more than 5 is not normal.


You can wait for three months and repeat the tests and then also if TSH is high then low dose thyroxin tabs can be started.

To suggest better I would like to know a few more details regarding your condition. Please answer the following..

Do you have dandruff/scaly scalp?
Do you have scalp itching?
any visible abnormality of scalp?
Which part of scalp you are having hair loss?(frontal/temporal/diffuse)
Any family history of Male pattern baldness.
Have you done your haemoglobin levels recently?
Any history of recent illness /fever?

Treatment of hair fall depends on type of hair fall.
Blood test like Haemogram, ESR tests are must.
Also a Lipid profile is advisable in your case of raised TSH as it is associated with hypercholesterolaemia.


A physical examination is a must before any conclusion can be reached and therapy can be started.
I would suggest that you visit your general a dermatologist so that the lesion can be examined and appropriate therapy can be prescribed.

Awaiting your response.

Dr Sudarshan.

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Hi XXXXXXX

You need to follow a general nutritious diet.

Eat 1 fruit every day.

You can have some dry dates, anjir , other dry fruits.
In your case, vegetables like turnip, cabbage, cauliflower are to be avoided as these interfere with thyroid hormone-synthesis.

With thyroid problems, there is a tendency towards constipation, so high fibre-diet, and less of oily/fatty stuff should be had.

Some light exercises to avoid putting on excessive weight are recommended.

Increase the consumption of complex carbohydrates like whole wheat, millet (jowar) and barley (bajra).

Restrict refined products such as flour (maida) and its products such as bread, noodles, macaronis and pastas in regular diet.

Reduce the amount of sugars consumed.

Consume raw fruits and vegetables in form of salads and raitas in every meal. These provide adequate vitamins, minerals and fibre. Fibre is essential as it aids in digestion, has an effective role in managing obesity and cardiovascular problems.

Limit salt intake.

Have small portions of food at a time.

Do not skip meals.

Have regular meal timings.

Drink plenty of water (6-8 glasses) in a day.

This diet will also help in hair fall.

You can take vitamin supplements capsules containing Biotin ,cysteine, methionine as it helps in diffuse hair loss in your case.

For TSH (Thyroid Stimulating Hormone) rise and T3, T4 normal, nothing needs to be done, except repeat levels after 3 months.

Hope this helps.

Please accept my answer if you don’t have any further queries.

Regards.

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Hi XXXXXXX

Thank you for writing back.

Yes, you are right. Good diet and vitamin supplement will reduce hair fall.


TSH levels will come down on its own you just avoid vegetables like turnip, cabbage, cauliflower as these interfere with thyroid hormone-synthesis.

Take care.
Hope this helps.

Please accept my answer if you don’t have any further queries.

Regards.

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