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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuating BP, Headaches And Fatigue Post Thyroidectomy?

I m 6 month post thyroidectomy and I am having the worst side effects e.g. pre-diabetes, high/low blood pressures, headaches, extreme fatigue, must take a daily nap, no energy and I ve lost 21 pounds. They ve changed my dosage 3 times now and nothing is working. I stay cold/hot and I m never hungry. I just changed my endocronologist so hopefully this will help. What do you think?
Tue, 22 Dec 2020
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Diabetologist 's  Response
Hello,

Post thyroidectomy there is a deficiency of thyroid hormone thyroxine that develops. It is indicated by very high TSH levels(normal 0. 5 to 5 mU/L(may vary depending upon the lab standards. High TSH (more than 10 mU/L or even much higher.)

This leads to development of all the symptoms of hypothyroidism like weight gain, cold intolerance, muscle and joint pains, constant tiredness, no interest in any activity, early fatigue, anxiety, stress, hair loss, slow heart rate, dry skin and hair. With development of hypothyroidism there will be a slow weight gain.

Since there is no mention of T4 and TSH levels it is difficult to know exactly what might be the situation.

Usually post thyroidiectomy all the patients are put on adequate dosage of Levothyroixne to bring TSH down to around 3 to 4 mU/L and control the symptoms of the disease.

Now that you are under the care of a competent endocrinologist you will be in good shape and all the symptoms will be in check.

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

Take care

Regards,
Dr. Prabhakar Laxman Jathar
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What Causes Fluctuating BP, Headaches And Fatigue Post Thyroidectomy?

Hello, Post thyroidectomy there is a deficiency of thyroid hormone thyroxine that develops. It is indicated by very high TSH levels(normal 0. 5 to 5 mU/L(may vary depending upon the lab standards. High TSH (more than 10 mU/L or even much higher.) This leads to development of all the symptoms of hypothyroidism like weight gain, cold intolerance, muscle and joint pains, constant tiredness, no interest in any activity, early fatigue, anxiety, stress, hair loss, slow heart rate, dry skin and hair. With development of hypothyroidism there will be a slow weight gain. Since there is no mention of T4 and TSH levels it is difficult to know exactly what might be the situation. Usually post thyroidiectomy all the patients are put on adequate dosage of Levothyroixne to bring TSH down to around 3 to 4 mU/L and control the symptoms of the disease. Now that you are under the care of a competent endocrinologist you will be in good shape and all the symptoms will be in check. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Prabhakar Laxman Jathar