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What Do The Following Blood Test Reports When Diagnosed With Hypothyroidism Indicate?
Question: My mother is a 62 year old lady and was diagnosed with hypothyrodism a year back..
Last year Thyroid test report
Free T3. 4.01
Free T4. 12.5
T.S.H. 7.66
She has been prescribed by the medicine "thyroxine sodium tablet ip 100mg"(one pill a day) which she still continues to take till date
But for last few months , she started complaining about very weak digestive system, dry XXXXXXX in body ...when she has been undergone with the some blood test ..
The results seems alarming to me , it shows hyperthyroidism with TSH = 0.03 (attached is the report) .
Sir , please let me know
1) if she discontinue the medicine as the thyroid is overactive now and what needs to be done in this case.
Apart from this , I can see her Lipid test report( Total Cholestrol , LDL and Non HDL) and liver test report is not good too .
Sir , I need to know
2) is poor Liver test report is because of this thyroid problem?
3) She never complaint on any pain/fatigness related to her heart but lipid report says her heart is not at good health , her blood pressure use to be 110/70 .Please let me know what to be done from my side in this case.
4) Kindly have a view of the attached report and do let me know if I missed something and that need to be focused upon...thanks
Last year Thyroid test report
Free T3. 4.01
Free T4. 12.5
T.S.H. 7.66
She has been prescribed by the medicine "thyroxine sodium tablet ip 100mg"(one pill a day) which she still continues to take till date
But for last few months , she started complaining about very weak digestive system, dry XXXXXXX in body ...when she has been undergone with the some blood test ..
The results seems alarming to me , it shows hyperthyroidism with TSH = 0.03 (attached is the report) .
Sir , please let me know
1) if she discontinue the medicine as the thyroid is overactive now and what needs to be done in this case.
Apart from this , I can see her Lipid test report( Total Cholestrol , LDL and Non HDL) and liver test report is not good too .
Sir , I need to know
2) is poor Liver test report is because of this thyroid problem?
3) She never complaint on any pain/fatigness related to her heart but lipid report says her heart is not at good health , her blood pressure use to be 110/70 .Please let me know what to be done from my side in this case.
4) Kindly have a view of the attached report and do let me know if I missed something and that need to be focused upon...thanks
Brief Answer:
Hi
Detailed Answer:
The thyroxine dose should be reduced to 88 mcg since she is over replaced with thyroxine (100 mcg) and therefore her TSH is suppressed. Please do not stop giving her the tablet completely.
Her abnormal cholesterol levels have no direct relation to her current thyroid status. It is common is women of her age to have co existent cholesterol abnormalities. She should start taking medication for her cholesterol levels (Tab Atorvastatin 10 mg 0-0-1).
Her liver function tests (SGOT and SGPT) are normal for her age and we only need to worry if it goes by by 4 fold and it has no relation to her present thyroid status. Cholesterol abnormalities are asymptomatic and usually not associated with symptoms like aches and pains. The blood tests that you have attached is quite extensive and you do not need to do any further test right now.
Please repeat FT4 and TSH after 45 days and revert.
Dr. Tom Babu
Hi
Detailed Answer:
The thyroxine dose should be reduced to 88 mcg since she is over replaced with thyroxine (100 mcg) and therefore her TSH is suppressed. Please do not stop giving her the tablet completely.
Her abnormal cholesterol levels have no direct relation to her current thyroid status. It is common is women of her age to have co existent cholesterol abnormalities. She should start taking medication for her cholesterol levels (Tab Atorvastatin 10 mg 0-0-1).
Her liver function tests (SGOT and SGPT) are normal for her age and we only need to worry if it goes by by 4 fold and it has no relation to her present thyroid status. Cholesterol abnormalities are asymptomatic and usually not associated with symptoms like aches and pains. The blood tests that you have attached is quite extensive and you do not need to do any further test right now.
Please repeat FT4 and TSH after 45 days and revert.
Dr. Tom Babu
Above answer was peer-reviewed by :
Dr. Prasad
Thanks a lot Dr XXXXXXX ....your detailed explanation would really help my mother .
I am finding myself really fortunate to get my query answered by such a skillful professional....Thank you very much....
I am finding myself really fortunate to get my query answered by such a skillful professional....Thank you very much....
Brief Answer:
Thank you
Detailed Answer:
You are welcome
Thank you
Detailed Answer:
You are welcome
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Above answer was peer-reviewed by :
Dr. REMY KOSHY
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