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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes severe fatigue while treating hypothyroid?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Posted on Mon, 29 Aug 2016 in Thyroid Problem and Hormonal Problems
Question: HI,
I have Hypo Thyroid from past 5 years.
i am taking 75 mg everyday, still i feel tired everytime.
my weight is 48 kg , height is 5'3 and i m 26 years old.
my periods are regular on date but last only 2 days.
i might get married in a year, is this something to worry about?
please suggest me after how much time tsh should be done, and let me know for how much time i need to take this medicine and any exercise diet for it?
doctor
Answered by Dr. Shehzad Topiwala 2 hours later
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Make sure your TSH and Free T4 are in the target range. These are blood tests for the thyroid.
If these are at goal, then you need to explore other reasons for your tiredness such as anemia and vitamin D deficiency.

Moreover, see an Endocrinologist in-person to know if you really have lifelong permanent hypothyroidism.
If you truly do, then there is no diet or exercise that can reverse this.
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 last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

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
doctor
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Follow up: Dr. Shehzad Topiwala 12 hours later
thank you :)

Will surely do..

my tsh t4 are in range.
doctor
Answered by Dr. Shehzad Topiwala 11 hours later
Brief Answer:
Best wishes

Detailed Answer:
for good health
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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