Brief Answer:
Pathophysiology explained!

Detailed Answer:
Hi,
Thanks for choosing health care magic for your query!

TSH iS KNOWN AS THROID STIMULATING HORMONE , a increased TSH with normal T3 and T4 is indicative of a condition called hypothyroidism.
Hypothyroidism, also called underactive thyroid or low thyroid, is a common disorder of the endocrine system in which the thyroid gland does not produce enough thyroid hormone.

Too little iodine in the diet is the most common cause of hypothyroidism, but in people using iodised salt with enough iodine in the diet, the most common cause of hypothyroidism is the autoimmune condition Hashimoto's thyroiditis.
As the condition is autoimmune hence only treatment is to provide external thyroxine to body.


The hypothalamic–pituitary–thyroid axis plays a key role in maintaining thyroid hormone levels within normal limits. Production of TSH by the anterior pituitary gland(brain) is stimulated in turn by thyrotropin-releasing hormone (TRH), released from the hypothalamus(brain). Production of TSH and TRH is decreased by thyroxine by a negative feedback process. Not enough TRH, which is uncommon, can lead to not enough TSH and thereby to not enough thyroid hormone production,leading to a medical condition named Hypothyroidism.

Most people with hypothyroidism symptoms and confirmed thyroxine deficiency are treated with a synthetic long-acting form of thyroxine, known as levothyroxine (L-thyroxine), However in cardiac patient lowest possible dose should be started (usually 12.5 mg) and should be increased or decreased by monitoring TSH levels every 4- 6 weeks.

Untreated subclinical hypothyroidism may be associated with a modest increase in the risk of coronary artery disease,As you had a coronary event very early in your life, correction of thyroid is very important in your case.It will further improve your lipid profile and left ventricular functions.

You would be started with a dose of 12.5 mg once daily empty stomach , by a cardiologist and this dose will be increased by 12.5mg every 4th week till your TSH level returns back to normal, after that your doses will be tapered to minimum possible doses.

In case you need more explanations, i would be happy to help.
Thanks

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Brief Answer:
Vitamin D correction can not improve thyroid functions.

Detailed Answer:
Hi
Recent studies have revealed that 65-70 per cent Indians are Vitamin D deficient and another 15 per cent are insufficient. So though vitamin D deficiency can be linked with autoimmunity ;yet its a rare case scenario in context of XXXXXXX population.
I don't think its a good idea to improve thyroid functions by correcting vitamin D levels, There is no documented proof in cardiac literature which proves improvement in thyroid function secondary to vitamin d correction .
So my advice to you is that start taking thyroxin as soon as possible, as hypothyroidism can pose cardiac risks in future.A doctor follows what's written in standard books, and i don't think correction of thyroid by correcting vitamin d levels is mentioned any where in stndard cardiac text( don't follow google).

However normal vitamin D levels are good for cardiac health , hence you can take Tayo k 60k XXXXXXX once a week for 1 month and once a month for next four months.

Advice
Tab thyronorm 12.5mg once daily 6 a.m empty stomach. XXXXXXX Tayo k 60 k once a week for 4 weeks and once a month for four months
(To be taken after consulting a cardiologist)

Thanks

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Brief Answer:
welcome

Detailed Answer:
Hi,

welcome!
Feel free to contact , i would be happy to help you !

Thanks

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Brief Answer:
Usually life long ,depends on how your body responds!

Detailed Answer:
hello
In most of the cases patient has to take the pill life long,doses are titrated to the minimum.
Thanks!

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Brief Answer:
Yes

Detailed Answer:
Hi,
YES THEY ARE THE SAME , CHECK THE DOSE TO BE 60,000 I.U .

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Brief Answer:
good luck and have a safe recovery.

Detailed Answer:
good luck!

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