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Abnormal result and symptoms
Attaching my reports
I am very stressed all elevated results I am very
tensed please do help
Googling the symptoms all tends to something serious only
Please do help me what should I do
I have chest pressure and sudden palpitations ,too much anxiety
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You need to do the following
1. Start Thyronorm 25mcg once a day (this can be gradually increased by your local doctor)*Remember this is life long treatment *
2. Start oral Iron tablets 200mg (of ferrous sulphate) once a day for 6 weeks
3. Repeat blood tests in 4 weeks- CBP, SGOT/SGPT, Hepatitis B and Hepatitis C, TSH and TPO antibodies
You have underactive thyroid (and liver blood tests likely from that) and iron deficiency anaemia (which I suspect would be from your periods).
All the best.
J G S R clinic
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Please continue iron tablets and thyroid medication, and further you need to consult with a general physician.
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I have reviewed your attached reports carefully. The abnormalities seen are mild to moderate and explainable, and none suggest an emergency or life-threatening condition.
Key findings explained simply:
• Hemoglobin 11.4 g/dL → Mild anemia (very common in young females).
• MCV/MCH low → Suggests iron deficiency anemia, which can cause palpitations, chest discomfort, fatigue, and anxiety.
• Liver enzymes (SGOT, SGPT, GGT) mildly elevated → Can be due to stress, recent illness, medications, fatty liver, or lack of sleep. These levels are not dangerously high.
• ESR 30 mm/hr → Mild inflammation; non-specific, commonly elevated in stress, anemia, or minor infections.
• Thyroid (TSH 24.83, Total T4 low) → Hypothyroidism, which can cause anxiety, palpitations, chest tightness, fatigue, and weight/mood changes.
Overall, your symptoms (chest pressure, palpitations, anxiety) are well explained by a combination of anxiety + anemia + untreated hypothyroidism, rather than a serious heart problem.
Next Steps
1. Consult a physician/endocrinologist to start thyroid hormone replacement (levothyroxine).
2. Begin iron supplementation after doctor confirmation (iron deficiency pattern).
3. Repeat LFTs after 4–6 weeks (often normalize with lifestyle correction).
4. Get a baseline ECG for reassurance (very important for anxiety relief).
5. Adequate sleep, hydration, regular meals.
6. If anxiety persists, short-term anti-anxiety support or counseling may help.
Health Tips
• Your reports do NOT indicate cancer, heart attack, or organ failure.
• Hypothyroidism and anemia are treatable and reversible.
• Anxiety can amplify physical symptoms, especially chest sensations.
• Avoid Googling symptoms—it worsens panic.
• Go to ER only if chest pain is severe, crushing, radiating, associated with fainting, or breathlessness not settling.
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