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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Fatigue, Anxiety, Menstrual Problems And Low Bp

hello sir i have had throid for years intially levels had been 0-4.5 ; 5.4, 6.5, 9.1, 5.8 as various periods of time i was given medicine thyronorm 25 mcg. levels were ok then . but a year back my levels were fine so i stopped medicine . now my level is borderline 4.3. but i have had symtoms of thyrois fr years with or without medication like... Fatigue Muscle pain Muscle stiffness      Poor exercise tolerance Abnormal coldness Difficult menstrual cycles Irritability      Anxiety Insomnia Feel fatigued when you awaken Frequent urination Headaches - migraine or other Poor memory and concentration Afternoon fatigue Shortness of breath Dry skin or hair Pale or puffy skin Dry mucous membranes Low blood pressure Thick tongue Heat intolerance what should i do ?
Mon, 18 Jun 2018
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OBGYN,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.



The levels of thyroid hormones vary with age and lab. Some doctors may consider 1 to 2 units less to fix the normal level especially when treating thyroid patients compared with normal people. And the symptoms could be due to other possible causes like anemia, vitamins or protein deficiency and if you are of perimenopausal age group, hormonal imbalance can also lead to these type of symptoms. So, you better discuss these things with your doctor, get examined and if he suggests go for investigations like hemoglobin, blood sugar levels, serum proteins, serum electrolytes, serum calcium, B 12 etc. With this work up the possible cause of your problem can be identified and treatment can be taken accordingly. Estimation of serum FSH should be added if you are in perimenopausal age group.

You may need to start minimal dose of thyroid hormone along with these if your doctor suggests.



Hope I have answered your query. Let me know if I can assist you further.



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Suggest Remedy For Fatigue, Anxiety, Menstrual Problems And Low Bp

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The levels of thyroid hormones vary with age and lab. Some doctors may consider 1 to 2 units less to fix the normal level especially when treating thyroid patients compared with normal people. And the symptoms could be due to other possible causes like anemia, vitamins or protein deficiency and if you are of perimenopausal age group, hormonal imbalance can also lead to these type of symptoms. So, you better discuss these things with your doctor, get examined and if he suggests go for investigations like hemoglobin, blood sugar levels, serum proteins, serum electrolytes, serum calcium, B 12 etc. With this work up the possible cause of your problem can be identified and treatment can be taken accordingly. Estimation of serum FSH should be added if you are in perimenopausal age group. You may need to start minimal dose of thyroid hormone along with these if your doctor suggests. Hope I have answered your query. Let me know if I can assist you further.