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Hyper thyroid patient, weight gaining, ankle pain. What to do?

Hello Dr, I am 29 years old girl from Ujjain . I am hyper thyroid patient my tsh is 12.57 . Sir, my weight is gaining now it is 75 kg. I want to reduce my weight and ankle is paining since 10 days. Ujjain Dr. suggest me eltroxin 100 in early moring and eltroxin 25 at evening. U also suggest me wat can i do ? Regards Rashmi sharma
Asked On : Sun, 28 Apr 2013
Answers:  2 Views:  35
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General & Family Physician 's  Response
Hello Good evening,

First of all I want to clear one thing that your disease is HYPOthyroidism not HYPERthyroidism.
TSH raised above the normal values indicates hypothyroidism and thyroxin(Eltroxin) supplement is given orally to manage it.
In your case you have not mentioned that, since when you are diagnosed and taking treatment.
According to my opinion you should take 100 microgram eltroxin in the morning (empty stomach) is sufficient, no need of evening dose.
After 2 months, you have to check your TSH level again to manage the eltroxin dose.
Your ankle pain will subside slowly, for some relief, you can take some analgesics (painkillers).
Along with eltroxin, oral calcium tablets should be started.
Answered: Sat, 22 Jun 2013
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General & Family Physician Dr. Polash Sannigrahi's  Response
Jun 2015
Dear Rashmi,

Elevated levels of TSH indicates the inability of thyroid gland to produce adequate amount of Thyroid hormones.
The medicine Eltroxin helps in maintaining the levels of thyroid hormones.
So, please take them as advised.

Symptomatic relief from ankle pain can be obtained with analgesic and anti inflammatory agents.
To tackle the problem of gaining weight, a low calorie low fat diet should be followed along with regular exercise & intake of medications.

1. Avoid eating white breads, rice and pasta. They have high calories and increases the blood sugar level.
2. It is better to have complex carbohydrates such as whole wheat bread, oatmeal and brown rice.
3. Consume low fat versions of milk and cheese and avoid oily foods.
4. Have a diet rich in low calorie protein foods such as egg whites, skinless chicken, fish, etc.
5. It is better to avoid soft drinks and fruit juices which are rich in calories.
Instead, drink large amount of water (about 6 to 8 glasses) throughout the day.
6. Dietary fiber such as whole grains, vegetables, fruits, and nuts can also be included in the diet.

Wishing you a Good Health.
Thanks & take care.
Answered: Sun, 23 Jun 2013
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