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What Causes Tiredness And Mood Swings When Suffering From Hypothyroidism?

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Posted on Mon, 8 Dec 2014
Question: I was diagnosed with Graves disease in May of this year and had radiation iodine treatment 6 weeks ago. I began showing symptoms of hypothyroidism 2 weeks ago and my doctor prescribed me 25 mcg of levothyroxine as my TSH was 4.48 (0.35- 3.50) T4 12 (8-21).
One week ago I began getting daily nausea which lasted until supper time - then it vanished again. For the same thing to happen every day since.
I have had increasing symptoms of hypo such as extreme tiredness, feeling cold, knees, ankles and wrists ache and a low mood. I am not due to see or speak to my endocrine nurse for another week and wonder what could be causing the nausea? Could I have become hypothyroid and would this be the answer?
doctor
Answered by Dr. Binu Parameswaran Pillai (28 minutes later)
Brief Answer:
Beginning of Hypothyroidism

Detailed Answer:
Good day,
Noted your concern.
Usually radio idoine takes round 6-8 weeks for making you hypothyroid. What you had seen 2 weeks ago could have bee just the beginning of hypothyroidism. 25 mcg is just a small staring dose and you would eventually require ful replacement dose. Nausea as well as many of the other symptoms may be related to hypothyroidism. It may be worth increasing the dose to 50 mcg if you cant see your endocrine doc/nurse soon.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (41 minutes later)
Thank you,
I don`t think my GP can know much about thyroid conditions because he said that nausea was NOT a symptom of hypothyroid. This has worried me as I wondered what else could be causing it.
I tend to agree with you and believe I am going very quickly into hypo as I have so many of the symptoms and as you say it 2 weeks ago could have been the start.
I`ll arrange to see GP and hopefully get an increase in levothyroxine tomorrow.
doctor
Answered by Dr. Binu Parameswaran Pillai (10 hours later)
Brief Answer:
CAlcium profile and Vitamin D

Detailed Answer:
Thank you for the reply. Most symptoms of hypothyroidism are non specific. You may also get a CBC, ESR , Fasting calcium, Albumin, Phosphorus and Vitamin D done
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. Chakravarthy Mazumdar
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Answered by
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Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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What Causes Tiredness And Mood Swings When Suffering From Hypothyroidism?

Brief Answer: Beginning of Hypothyroidism Detailed Answer: Good day, Noted your concern. Usually radio idoine takes round 6-8 weeks for making you hypothyroid. What you had seen 2 weeks ago could have bee just the beginning of hypothyroidism. 25 mcg is just a small staring dose and you would eventually require ful replacement dose. Nausea as well as many of the other symptoms may be related to hypothyroidism. It may be worth increasing the dose to 50 mcg if you cant see your endocrine doc/nurse soon. Regards Binu