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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Overactive Thyroid

Hi about 8 weeks ago I was diagnosed with overactive thyroid and put o 20 mg carbi.azole.It gave me an upset stomach and the doc decreased dose to 10 mg a day.after 6 weeks my thyoid levels went from 44 down to 11.doc has now put me on 5 mg a day and said to get bloods done in five months.I am worried that this is too long .may go underactive.how long do you thi.nk is reasonable until next blood test.thanks
Fri, 16 Jan 2015
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Endocrinologist,  's  Response
Hi,

Welcome to HCM. I had gone through your question and understand your concerns.

Please upload your thyroid function reports to answer your question better. Hope you are mentioning thyroid levels 44 and 11 is of total T4.

We go by T4 and TSH values in follow up of hyperthyroidism. The initial follow up in hyperthyroidism is every month till T4 is normalised. Then it is every 3 months. So I feel 5 months is a long time.

As you have nicely guessed you may go under active or may develop side effects of carbimazole if the follow up is too long. So I prefer you have a follow up after 3 months.

Hope I have answered your question. If you have any further questions I will be happy to help.


Regards
Dr Ajish TP
Consultant Endocrinologist
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Suggest Treatment For Overactive Thyroid

Hi, Welcome to HCM. I had gone through your question and understand your concerns. Please upload your thyroid function reports to answer your question better. Hope you are mentioning thyroid levels 44 and 11 is of total T4. We go by T4 and TSH values in follow up of hyperthyroidism. The initial follow up in hyperthyroidism is every month till T4 is normalised. Then it is every 3 months. So I feel 5 months is a long time. As you have nicely guessed you may go under active or may develop side effects of carbimazole if the follow up is too long. So I prefer you have a follow up after 3 months. Hope I have answered your question. If you have any further questions I will be happy to help. Regards Dr Ajish TP Consultant Endocrinologist