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Sufferring from knee pain and fatigue
I am sufferring from a general fatigue and knee pain since last 1 year. X-Ray and MRI scan of the knee did not show any significant findindings apart from mild effusion at knee joint. Recently done a blood test. Vit D3 is 14.1 ng/ml. TSH is 7.84 uIU/ml. Total cholesterol is 214 mg/dl. I am a non-smoker and do not take any regular medicine. My doctor suggested a weekly 60K course of Vit D3 for 8 weeks along with daily Shelcal 500 to continue. No thyroid medicine is suggested. However the lethargy and fatigue is still there with occassional palpitations.
Is any dose of thyroxine required or any other medications? Please suggest
Answers (12)
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A slight effusion in the knee joint could cause pain,but the cause should be determined if the MRI does not show any other changes.Generally if the t3, t4 are normal and the TSH is elevated,it known as subclinical hypothyroidism.Treatment is initiated when the TSH is above 10 and if any symptoms related to hypothyroidism are present.
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Tests to Determine the Cause:
1. Complete Blood Count (CBC)
2. Blood sugar tests
3. Thyroid function tests/Vitamin profile
4. Cortisol levels
5. Sleep studies
6. Mental health evaluations
7. Physical exams
Next Steps
Remember to consult a healthcare professional if fatigue persists or worsens.
Health Tips
1. Get enough sleep (7-8 hours)
2. Exercise regularly
3. Stay hydrated
4. Eat a balanced diet
5. Practice stress-reducing techniques (e.g., meditation, yoga)
6. Take breaks and rest
7. Consider supplements (e.g., iron, B12, magnesium)
8. Limit caffeine and alcohol
9. Try relaxation techniques (e.g., deep breathing, progressive muscle relaxation)
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According to your query and sign and know about the disease and cause and it's best Treatment as you have mentioned as above .
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow any medicine or advise after consultation only from a good doctor.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
please keep positive attitude to fight any disease and any problem of your life
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