Rosuvas 5

T atorvastatin 10mg hs for 1 mnth Continue thyronorm.. Take tft mnthly checkup.. Review after 1 mnth with cholestrol panel and tft..

TSH 29 is quite high, which means her thyroid is still not properly controlled even after taking Thyronorm 150. Make sure she takes the tablet early morning empty stomach with only water, and waits at least 45 minutes before tea or breakfast. Calcium or iron tablets should not be taken near the thyroid medicine. High cholesterol and triglycerides can happen because of uncontrolled thyroid levels. So first thyroid should be controlled properly. Repeat these tests after 6-8 weeks: TSH Free T4 Lipid profile Since LDL and triglycerides are also high, doctor may start a cholesterol medicine if needed after evaluation. avoid fried food, sweets, bakery items and sugary drinks daily walking/exercise eat more fiber, fruits and salads

Need few more details for further evaluation. Kindly consult

Needs adjustment in medicibe doses.

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY. ADD WALK. HYPOTHYROIDISM THYROXINE TO BE ADDEDBRAND NAME THYRONORM 175 MCG ONE BEFORE BREAKFAST FOR TWO MONTHS NOT TO STOP AS U NEED FOLLOW UP WITH MD PHYSICIAN. ADD SHALCAL XT ONE AT NIGHT AFTER DINNER AS THYRONORM IS CALCIUM DEPLETING AGENT SO BONES BECOME WEAK. ATEROVAST 40 ONE AT NIGHT AFTER DINNER FOR MONTHS.

There are some questions for further evaluation Body weight? For how long she is taking the drug? Last TSH reading and when? When is she taking the drug and also tell about all the drugs she is taking alongwith?

Her thyroid levels have not improved despite medication, and this also raises cholesterol and triglyceride levels. Since she is already on a high dose of Thyronorm, it’s important to review timing of medication, absorption issues, diet, other medicines and overall risk profile before changing treatment. A proper consultation can help adjust things systematically and prevent long term complications effectively 👍

She is already on high dose of thyronorm. High cholesterol and triglycerides are most likely due to hypothyroidism.  Consult your endocrinologist for ? Poor absorption,  ? Drug interaction .

A TSH of 29.2 while already on a high dose of Thyronorm (150mcg) is a major clinical red flag. It indicates that either the current dose is insufficient, the medication is not being absorbed properly, or there is a lack of compliance. Furthermore, the elevated lipid profile (Cholesterol 280, Triglycerides 355) is likely a secondary effect of the uncontrolled hypothyroidism, as thyroid hormones are essential for the liver to process and clear fats from the blood

Need a few more details please consult for further evaluation and treatment

Please consult

What is her weight? Any complaints??? Is she taking the thyronorm tablet daily early in the morning and keeping a gap of atleast and hour after it before proceeding to breakfast?? Dose adjustment is necessary here...also will require lipid lowering agents.

Needs to be started on medications

Avoid fried and spicy food Water intake more Do connect and consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management