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What Does This Thyroid Test Report 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:
Thyroid
Detailed Answer:
Sorry to learn about your mother's bothersome symptoms.
There is a very small likelihood that the liver problems are due to the thyroid condition. It is most likely due to other reasons such a fat in the liver or gallstones as two examples of potential causes. A liver specialist is the best person to evaluate this.
For now perhaps a small reduction in the thyroxine dose can be considered but this decision can be taken only after an Endocrinologist has had the opportunity to examine her personally.
I have noted the elevated cholesterol and I suggest dietary changes will help.
Consult a dietitian to learn more about 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 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
Thyroid
Detailed Answer:
Sorry to learn about your mother's bothersome symptoms.
There is a very small likelihood that the liver problems are due to the thyroid condition. It is most likely due to other reasons such a fat in the liver or gallstones as two examples of potential causes. A liver specialist is the best person to evaluate this.
For now perhaps a small reduction in the thyroxine dose can be considered but this decision can be taken only after an Endocrinologist has had the opportunity to examine her personally.
I have noted the elevated cholesterol and I suggest dietary changes will help.
Consult a dietitian to learn more about 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 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
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
Answered by
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