Hyperthyroidism - Graves Disease

2023-03-09 09:22:08
My son aged 18 weight 49 was diagnosed with hyperthyroidism (Grave’s disease). Very high T3,T4 and FT4 ,TSH<0.01,TSHR-Ab : 20, AMA:146. He was put on NeoMercazole  (20mg) one time daily and continuing it for last 8 months. Now his T3(85)/T4(5.7)/FT4(1.03) are in normal range but TSH is still <0.01 and AMA:33. Weight increased to 56. To normalize TSH , the doctor advised to increase the dose to 30mg/day. We are confused whether to increase or decrease or continue with the same dose….our worry is T3/T4/FT4 might go below normal range and he might become hypo. Any suggestions are welcome.  
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2023-03-11 11:15:54

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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.

Answered2023-03-09 13:36:09

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Normalisation of T4 and T3 and gaining weight are   good indicators of the progress.Trust your doctor who has rightly increased the dose to 30 mg once a day .Till his TSH level is reach normal range dose could be increased upto 60 mg . Altering the dosage should be, strictly under the supervision of endocrinologist.

Answered2023-03-09 13:30:24

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Your doctor is right.the  dose needs to be titrated till TSH is normalized.
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regular checkups required as directed by physician

Answered2023-03-10 02:15:09

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Need few more details Kindly consult

Answered2023-03-09 13:15:26

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