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Dr. Andrew Rynne

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When does hypothyroidism treatment start showing its effect?

Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Posted on Sat, 9 Aug 2014 in Thyroid Problem and Hormonal Problems
Question: How long does it take to feel better after starting treatment for hypothyroidm? Which symptoms will start to subside snd feel better first? Thank You XXXXXXX
doctor
Answered by Dr. Shoaib Khan 1 hour later
Brief Answer:
Depends on medications, dosage, and level

Detailed Answer:
Hello XXXXXXX and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help.

That completely depends on the following ma'am, I shall explain it in an elaborate manner for your better understanding:

-Thyroid values: Symptoms of hypothyroidism appear due to a drop in the thyroid profile levels, and so if this level is corrected and values are within normal range, the symptoms will disappear. So it depends on your current levels and the dose of medications you have been advised to approximately predict by when your thyroid profile will normalise

-Medication and dosage: Depending on which medication has been prescribed and what dosage has been prescribed to you to help with regularisation of your thyroid values, we can predict by when your symptoms should start subsiding

But in my opinion, as soon as the medications are initiated the thyroid levels start approaching near-normal values and symptoms should start subsiding within 7-10 days time ma'am. You should soon observe the improvement yourself. You could also write back to me with the name of the medications, the dosage, and the last measured thyroid values.

I hope you find my response helpful ma'am. I am sure you shall soon observe the improvement yourself and return to a normal symptom-free life. Please feel free to write back to me for any further clarifications at any time. I am always available to help ma'am.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 hour later
Thank You for your quick response. I just had the blood test about a week ago and it was just the tsh level. It was 5.179. Now the main symptoms I have had are fatique, some sad feelings kinda teary at times . My nails and skin are dry. Some constsipation, stomach issues, not so much a cold feeling but more hot flash type feelings, my body temp is beliw normal ranges around 96.9 to 97.6. And a few other others, however Inthink some may be menspause 2 years no periods, I also have 4 grandkids I babysit for sinse they were all 6 weeks old, now 14.5, 7.5, 6.5 and 5. Think itsca combo of all if it!!! one real quick note cbc profile came out in normal ranges , glucose also and lipid panel are all really good. Not sure if I want to try a supplement first callef t- balance from womens health network. com awsome site or perscription. what do you think? Thank You XXXXXXX
doctor
Answered by Dr. Shoaib Khan 1 hour later
Brief Answer:
You are quite right; mixed feelings about supplemn

Detailed Answer:
Hello once again XXXXXXX

I can relate all your symptoms to menopause/pre-menopause and an under active thyroid, so you are quite right about it yourself.

Do not worry ma'am, your thyroid issues should stabilise soon with the help of medications, be patient and I am sure all will go well.

As for the supplements, there are two important facts I would like to state:

1. The t-balance supplement contains vitamins and herbs (source-ayurveda). Being of XXXXXXX origin, and knowing much about these herbs, I would like you to know that there is a world-wide drug control and release association, which tests all drugs on different levels before releasing them into the market for use by consumers. But, all herbs and ayurveda origin supplements are not tested before marketing and being made available to the consumers. This is important because we cannot really comment or predict its side effects. Because of this, I would not feel comfortable prescribing the same to any of my patients. Anything I do not know about, I would not market.

So please think twice before taking such supplements, and report to me or a doctor as soon as (god forbid, if at all) you experience any side effects ma'am.

2. As you are already on medications to help bring your thyroid profile to normal ranges, an added supplement (if effective) can add to achieving this goal and may possibly overshoot this. So please inform your treating doctor about the same before initiating these supplements ma'am, as I would not want you to go for an under active thyroid to an over-active one.

I hope you find my responses helpful. Please do not hesitate to write to me anytime, and about anything. I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 33 minutes later
Once again Thank You for getting back in such a timely manner. Im sorry I think I was not real clear in my first question. I have not yet gotten a prescription, I was wandering if the level of my tsh warranted a prescription. I know of the controversy of the normal referance range. And actually my doctor does not know about this yet as I went to Lab Corp and had all of my blood tests done. Much less expensive than going thru the labs my doctor uses. We have a 6000.00 deductible and have to pay for all if this ourselves. One other real quick thing, also I quit smokung January-12 of this year. After 30 + years. Could this also have put some stress on my body? Almost 7 months!! Thank you XXXXXXX
doctor
Answered by Dr. Shoaib Khan 11 hours later
Brief Answer:
Queries answered

Detailed Answer:
Hello once again ma'am.

If at all your TSH values were the same as stated and you did not have symptoms that depict hypothyroidism my answer to your question would be a 'No' to a prescription. But some of your symptoms are quite obviously due to hypothyroidism which is why my answer is a 'Yes' for a prescription ma'am; you will be needing one.

I doubt quitting smoking can put any stress on your body ma'am, in fact within a few days after smoking your bodily functions start improving due to various factors, and so this can only help and not cause damage in any way.

I hope this answers the queries you have XXXXXXX Please feel free to write to me anytime and about anything, you know I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 hour later
I will go ahead and contact my doctor and talk to him. Also curious about one other thing- sinse I have not had a period for 2 years obviously I am in menapause, but as I thought some of my symptoms are menapausal symptoms, but how long can you actually have symptoms? Sorry, hope that made sense. Also have had about a 5 pound weight gain but again that fould be either menapause, low thyroid or and from quitting smoking. All very confusing!!! Ne other quick note, I have always believed exercise is very important and have done daily for over 20 + years. Have changed out equiptment over rhe years, I now am using a treadmill and power walking along with bike riding (now that its summer) also always active the grandbabies and also very important I have always taken good vitamins for 30+ years. Thank You XXXXXXX
doctor
Answered by Dr. Shoaib Khan 18 minutes later
Brief Answer:
Correction of hormonal imbalance is required

Detailed Answer:
Hi XXXXXXX

It does seem like you are in menopause. Menopausal or pre-menopausal symptoms are mainly due to a hormonal imbalance that results from this. In order to correct these symptoms, we have to help stabilize the hormonal levels. For this reason, hormonal supplements are prescribed to women undergoing menopausal symptoms. So in conclusion, the symptoms will prevail as long as the hormonal imbalance exists. You should speak to your doctor who will elaborately evaluate your symptoms and prescribe a supplement most suited to your requirements.

The weight-gain as you have already guessed could be due to menopause, hypothyroidism or both together. By correction of the thyroid profile and following a good healthy diet that includes exercise, I am sure we might be able to tackle this issue to a certain extent.

I am really happy that you are health conscious and wish you all the luck you need to continue with the same lifestyle throughout. For everything else, you can always consult me.

Best wishes ma'am.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 6 minutes later
Thank You very much for your time and information, if I should need further information can I direct questions to you directly or once I accept your answer then would any further inquires go to another physcian? Thank You XXXXXXX
doctor
Answered by Dr. Shoaib Khan 12 minutes later
Brief Answer:
My direct link for you

Detailed Answer:
Hello XXXXXXX

Of course you can direct questions to me. You can just click on the below provided link anytime in the future to be able to post queries directly to me. I shall always be available to help.

http://doctor.healthcaremagic.com/doctors/dr-shoaib-khan/64581

Best wishes and God bless.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 hour later
Thank You very much I really appreciated your time and medical input. I would love to come to you for any future infirmation and guidance! Thank You XXXXXXX
doctor
Answered by Dr. Shoaib Khan 33 minutes later
Brief Answer:
The pleasure was mine entirely

Detailed Answer:
Hi XXXXXXX

Thank you for much for the kind words.

You are always welcome to keep in touch and write to me anytime of the day, month, year. I shall always be available to help you and guide you if need be (hoping you do not need my assistance, and live a healthy life ahead).

Best of luck ma'am.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 hour later
Thank you, just wanted to let you know I did talk to the nurse this morning and she said it sounds like my hormones are all having a party! Most likely definatly menspause, which the hormones probably started to go haywire during perimenspause and continuosly have gone even more awry for the last couple years and gotten my thyroid off track with probably also the adrenal gland hormones, so gonna do some more blood work to check all that out to begin with getting this figured out ! Thanks, XXXXXXX
doctor
Answered by Dr. Shoaib Khan 12 minutes later
Brief Answer:
Start supplementation as early as possible

Detailed Answer:
Hello XXXXXXX

That's good news because once we find the cause, it makes treatment much simpler. So once all the tests are conducted and the hormonal imbalance is pin-pointed then we can address the deficiency and hope for all your symptoms to gradually subside.

Hoping and wishing for nothing but the best for you, now and in the future.

God bless.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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