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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For Weight Gain With Thyroid?

Hello Doctor I m a thyroid patient. ..its almost a year I m having this problem because of thyroid I gained lots of weight .. My thyroid level are like in 2013 feb T3-2.30 ug/dl T4-1.2 ug/dl TSH-6.85 ug/dl And in 2013 September levels are like T4-15.2 pmol/l T3-6.5 pmol/l TSH-3.130 And in 2014 feb levels are like T4-14.4 pmol/l T3-5.9 pmol/l TSH-4.340 Now problem is I take medicine for thyroid I mean my doctor prescribe me thyronorm 50 mcg after my first thyroid test then my doctor prescribed me thyronorm 25 mcg after my second thyroid test....but now my thyroid level is bit higher you ca see that so my thing is should I take same thyronorm 25 mcg or I shouldn t My name Is amy and I m 26 year old and my weight is 85kg my hight is 5.8..I do swimming for an hour everyday ...can you suggest me something for my weight ...I wanted loss my weight ...because of my weight I don t any friend ....even I rejected form ever job company ..I m sick and tired of this thing ..Please help me .. Thank you
Wed, 8 Oct 2014
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Endocrinologist,  's  Response
Hi,
1. Regarding your thyroid medication, you need to take thyronorm at a dose that can can bring down the TSH to 0.4-3 miu/l range. So if i were your doctor i would have increased your thyronorm dose to 50 mcg. You need to be regular with medications and have to take medications in empty stomach.

2. For weight gain you should get evaluated by a physician or endocrinologist. What i usually do is blood tests (Fasting and postprandial blood glucose, HbA1c,Liver function tests, Cortisol, electrolytes) and an ultrasound abdomen

If you are having simple obesity the treatment options are a) Diet and exercise; if not working b)Medications :like orlistat tablets, if not working c) Bariatric surgery (a laproscopic surgery to decrease weight)

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

With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
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What Is The Remedy For Weight Gain With Thyroid?

Hi, 1. Regarding your thyroid medication, you need to take thyronorm at a dose that can can bring down the TSH to 0.4-3 miu/l range. So if i were your doctor i would have increased your thyronorm dose to 50 mcg. You need to be regular with medications and have to take medications in empty stomach. 2. For weight gain you should get evaluated by a physician or endocrinologist. What i usually do is blood tests (Fasting and postprandial blood glucose, HbA1c,Liver function tests, Cortisol, electrolytes) and an ultrasound abdomen If you are having simple obesity the treatment options are a) Diet and exercise; if not working b)Medications :like orlistat tablets, if not working c) Bariatric surgery (a laproscopic surgery to decrease weight) Hope I have answered your query. If you have any further questions I will be happy to help. With warm regards, Dr Ajish TP (MD,DM) Consultant Endocrinologist.