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Hello Dr, I Am Rajesh G And I Am Raising

Posted on Sun, 15 Nov 2020

Question: Hello Dr,
I am Rajesh G and i am raising this query on behalf of my Wife Mrs. Sree Gayathri. We have taken regular blood and urine test and found that the following parameters are deviated from the reference value. Requesting you to please refer the attachment for the detailed Blood and Urine report. She is having irregular periods.
HbA1c - (HPLC) — 5.8 (Range Below 5.7%)
LYMPHOCYTE PERCENTAGE — 47.8 (Range 20.o - 40.0)
MONOCYTES - ABSOLUTE COUNT — 0.1 (Range 0.2-1.0)
BASOPHILS - ABSOLUTE COUNT — 0.01 (Range 0.02-0.1)
MEAN CORPUSCULAR VOLUME(MCV) — 82.6 (Range 83.0-101.0)
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) — 38.8 (Range 39.0-46.0)
TOTAL THYROXINE (T4) — 12.1 — (Range 4.5-12)

My wife is consuming 75 MG of Thyronorm tablet.

Thanks and Regards
Rajesh G

Answered by Dr. Shailja Puri (6 hours later)

Brief Answer:
T4 may be repeated within 1-2 months. PBS may be done

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
I have gone through you blood report.
All values for complete blood count, liver functions, renal functions, lipid profile, iron profile and urine examination are within normal biological limits.
In complete blood count, absolute lymphocyte count is slightly raised, however, other parameters like neutrophils count is within range so there is nothing to worry.
The MCV and RDW is slightly on lower side but it is insignificant. The iron profile is normal so there is nothing to worry. You may get a peripheral blood smear examination to know the red blood picture (PBS).
The T4 level is slightly raised which is almost normal.
However I suggest you to get T4 repeated within 1-2 months to check for any increase in level of T4.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Shailja Puri (17 hours later)

Hello Doctor,

Thanks a lot for the detailed Answer,

Can my wife continue to consume thyronorm 75 MG.
Will take the Peripheral Blood Smear test (PBS) and Thyroid Profile test again in a month.

Thanks and Regards
Rajesh G

Answered by Dr. Shailja Puri (32 minutes later)

Brief Answer:
a consultation with the treating doctor is suggested for Thyronorm dose

Detailed Answer:
Hello and welcome again.

I suggest you consult your treating doctor with thyroid function tests.
The dose of Thyronorm may need to be modified.

Thanks and take care
Dr Shailja Puri

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