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Suggest treatment for Hashimoto's thyroiditis

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Posted on Mon, 23 May 2016
Question: Hi .. I have recently been diagnised with Hashimotoes thyroidits i am anemic my B12 is at 247 ferratin at 32pernicious anemia in family what level treat me
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Answered by Dr. Shehzad Topiwala (28 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
This forum is not meant to prescribe treatment.

I can guide you regarding which matters need to be considered in order to decide which treatment options you need to go with:

If your TSH is abnormally high then it would be worth considering treatment with a medication called thyroxine.

With regards to the pernicious anemia there are tests available to determine if you have inherited this. They are called anti parietal cell antibodies and anti endomysial antibodies. If these tests are not conclusive, then further tests would be necessary.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
25 hydroxy Vitamin D None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shehzad Topiwala (21 minutes later)
My TSH was 3.2 but it was my anti bodies were peroxide were abnormal .. B12 was 247 do you think i should be treated with B12 as the depression and dry skin, dry hair, migraines, slow heart rate , liw blood pressure .. Infertility , vertigo and many more symptons
doctor
Answered by Dr. Shehzad Topiwala (10 hours later)
Brief Answer:
Follow up

Detailed Answer:
The normal range for thyroid antibodies varies from laboratory to laboratory.

If your report shows antibodies as high, it indicates that it is very likely your thyroid is not functioning well. So it was correct to start you on thyroid medication, often for life.

Regarding vitamin B12, it depends on the units of measurement used.

>300 pg/mL (>221 pmol/L) – Normal result; deficiency unlikely

●200 to 300 pg/mL (148 to 221 pmol/L) – Borderline result; deficiency possible

●<200 pg/mL (<148 pmol/L) – Low; consistent with deficiency


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest treatment for Hashimoto's thyroiditis

Brief Answer: Thyroid Detailed Answer: This forum is not meant to prescribe treatment. I can guide you regarding which matters need to be considered in order to decide which treatment options you need to go with: If your TSH is abnormally high then it would be worth considering treatment with a medication called thyroxine. With regards to the pernicious anemia there are tests available to determine if you have inherited this. They are called anti parietal cell antibodies and anti endomysial antibodies. If these tests are not conclusive, then further tests would be necessary. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH Free T4 25 hydroxy Vitamin D None of these tests require any fasting and can be done at any time of the day