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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest remedy for hypothyroidism

Answered by
Dr.
Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

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Posted on Thu, 26 Nov 2015 in Thyroid Problem and Hormonal Problems
Question: Hello Dr,
I am 24 years old lady diagnosed with hypothyroidism in the year 2011 & I was prescribed to start Eltroxin 50mg. I used to take this tablet till September 2015. I stopped after Sept because I wanted to check my thyroid levels & consult a Dr. I delivered a girl baby on July 8th 2015(Normal delivery). I have been breast feeding now. I got a lab test done on 10/10/2015. Please note that I had not taken the tablet on the day the test was done. My test results follows:

Thyroid Stimulating Hormone (Chemilumnescene) - <0.015mcIU/ml(Observed values)

Please advise further..
doctor
Answered by Dr. Ajish TP 10 hours later
Brief Answer:
Stop medications as of now, repeat test after 2 weeks

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns

Your tests are showing low TSH. So you are either over replaced with Eltroxin or your thyroid is producing excess thyroid hormones now.

There is a condition called post partum thyroiditis, in which your thyroid gland is damaged and hormones in thyroid gland are released to blood causing low TSH and high T4. This condition will proceed to hypothyroidism (high TSH) in 2-3 months time.

My suggestions for you

1. Stop Eltroxin now
2. Do Free T4, free T3,TSH and Anti TPO antibodies after 2 weeks
3. If TSH still low do not restart Eltroxin and retest after 2 months
4. Start medications after 2 months based on TFT values

Hope I have answered your question.
If you need any further clarifications please feel free to ask me.
Regards
Dr Ajish TP


Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Ajish TP 9 hours later
Thanks a lot for the kind response.. Is there any other information that I need to share with you as I do not have any historical reports. Since last week, I feel little tired & giddy when I sit sometimes..

Is it ok to wait for 2 months without medicines? Is this a serious concern that I need to worry about? What are your dietary suggestions to keep my thyroid levels under control..Would you suggest me to visit an endocrinologist personally to be examined ?

Thanks in advance!!
doctor
Answered by Dr. Ajish TP 20 hours later
Brief Answer:
See detailed answer

Detailed Answer:
Hi,

Welcome back. No need to worry. These type of fluctuations in thyroid functions are common post delivery.

Answers to your questions:

1. You can stop the medication for 2 weeks and then retest. There won't be any problem with stopping medicine for 2 weeks. If normal we usually retest after 45-60 days.

2. No dietary modifications needed for your thyroid disease.

3. It is always better to consult an endocrinologist and get yourself examined.


Regards
Dr Ajish TP
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajish TP 8 days later
Thanks a lot, Doctor! Will get the test done and revert with report shortly.
doctor
Answered by Dr. Ajish TP 9 hours later
Brief Answer:
Wishing you good health

Detailed Answer:
hi,
wishing you good health
regards
dr Ajish TP
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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