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Suggest Treatment For Inexplicable Weight Gain And Nerve Pull

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Posted on Mon, 16 May 2022
Question: Hello doc,

I am a woman, 36yrs old.. Recently my weight gain was much higher side.. Nerve pull.. Chked my b12 and thyroid.. B12.. Is 164..and tsh is 5.9...t3and t4 normal.. What medicine can i tak
doctor
Answered by Dr. Dr. Parth Goswami (1 hour later)
Brief Answer:
No need of any treatment. Detailed below.

Detailed Answer:

Hi,

Your TSH level is borderline high and thyroid hormones levels were within limit.
So for that no treatment is needed as your thyroid hormones are within range and TSH not much high.
You have to repeat TSH estimation and free T4 estimation after one month and revert back with that reports.

Your B12 level is in borderline range. If it is less than 150 than deficiency can be considered.
However if weakness and tingling present than B12 injection once a week for six week can be prescribed.It's advisable to investigate with CBC as well to check your hemoglobin level.

For your weight gain problem I suggest you get evaluated for Hormonal imbalance problem by serum FSH, LH, DHEA and progesterone estimation.

Regular active exercise of 30 minute to one hour, less fatty food intake, fruits and green leafy vegetables more etc. Can be beneficial in reducing your weight.

Hope I have answered your question. Let me know if I can assist you further.
Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Parth Goswami (33 minutes later)
Doc, I have attached my previous reports.. It was taken a month ago... That time all were gud.. Y is d sudden change... No tablets for Tsh also?
doctor
Answered by Dr. Dr. Parth Goswami (2 hours later)
Brief Answer:
Follow up question.

Detailed Answer:

Hello,

There no need of treatment for high TSH.
Your TSH value is not much high. It's a borderline value. Moreover your T4 is within limit.
Non thyroid illness and mild inflammation also can alter TSH value.
So just repeat TSH after few days. No need of taking treatment for that.

Your vitamin B12 seems to be less as per provided range in your laboratory report. The decrease in B12 could be from dietary deficiency, malabsorption of B12 or pernicious anemia like cause.

If you have any gastrointestinal disease history like tropical sprue, enteritis, fish tapeworm infestation etc than it can be causative.
For pernicious anemia intrinsic factor estimation can be done.
For B12 deficiency, you need to be treated with cyanocobalamine injection once a week for six week.

For your sudden weight gain you can rule out Hormonal imbalance as suggested in my previous answer.
Avoid sedentary life style and do regular active exercise.

You can discuss all these with your treating doctor.

Hope I have answered your question. Let me know if I can assist you further.
Regards.
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. Prasad
doctor
Answered by
Dr.
Dr. Dr. Parth Goswami

General & Family Physician

Practicing since :2012

Answered : 9717 Questions

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Suggest Treatment For Inexplicable Weight Gain And Nerve Pull

Brief Answer: No need of any treatment. Detailed below. Detailed Answer: Hi, Your TSH level is borderline high and thyroid hormones levels were within limit. So for that no treatment is needed as your thyroid hormones are within range and TSH not much high. You have to repeat TSH estimation and free T4 estimation after one month and revert back with that reports. Your B12 level is in borderline range. If it is less than 150 than deficiency can be considered. However if weakness and tingling present than B12 injection once a week for six week can be prescribed.It's advisable to investigate with CBC as well to check your hemoglobin level. For your weight gain problem I suggest you get evaluated for Hormonal imbalance problem by serum FSH, LH, DHEA and progesterone estimation. Regular active exercise of 30 minute to one hour, less fatty food intake, fruits and green leafy vegetables more etc. Can be beneficial in reducing your weight. Hope I have answered your question. Let me know if I can assist you further. Regards