Your
TSH level is quite elevated at 35, which indicates that your hypothyroidism is not currently well-controlled. It may be necessary to increase your dosage of Thyronorm, but the exact amount should be decided based on a clinical evaluation and periodic monitoring of your
thyroid function tests. Typically, a gradual increase in 12.5-25 mcg increments is recommended, but this should only be done under medical supervision.
Your
vitamin D level is also very low (18.5 ng/mL). For adults with vitamin D deficiency, a common supplementation regimen is around 60,000 IU once weekly for 8-12 weeks, followed by a maintenance dose of 1,000-2,000 IU daily. This would need to be adjusted based on repeat levels and your response to treatment.
Given your symptoms of tiredness, knee pain from OA, and low hemoglobin (Hb 10), it is essential to ensure that your anemia is addressed as well. Low Hb could be contributing to the breathlessness and fatigue. Iron supplementation or dietary changes may be necessary, depending on the underlying cause of anemia.
Menopause can further complicate these conditions, so a comprehensive approach that includes lifestyle modifications, dietary adjustments, and possibly hormone replacement therapy (if indicated) can be considered.
I recommend a detailed evaluation and regular follow-up for adjusting your thyroid medications, vitamin D supplementation, and managing menopausal symptoms effectively. You can reach me for a detailed consultation or further advice by WhatsApp on eight zero zero nine eight two one double three two.