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Thyroid patient
Please see the report and advice as I taking 125 mg since 2 months. Before that it was 100 mg. Now days she feels cold since last two weeks. On blod test it found t4 has been increased 14 and rest t3, tsh normal. Then what should be done for doses qty. She is also patient of rheumatology and asthma
Answers (32)
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The normal t4 level ranges 5 to 12 microgram/dl. So increase in 2 units is not much significant. She can reduce the thyroxine level to 100mcg as tsh level is normal.
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The feeling cold can be due to asthma or decrease vitamin D levels.
It could also be due to the outside weather.
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Need detailed history
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share thyroid reports
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Details needed like complete thyroid profile.. consult me on practo
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It is correct to monitor just with TSH for your mother who is already on thyroxine.
She needs to carry on and have TSH checked every 6 months.
All the best
J G S R clinic
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Consult with your physician,don't change dose on ur own
✓Levothyroxine increases T4
But tissue-level conversion (T4 → T3) may be inefficient,reasons could be due to
Rheumatologic illness, inflammation, stress, steroid use .
Next Steps
✓feeling of frequent cold can be due to low
Low ferritin, B12, vitamin D ..
✓Before changing dose, check:
Ferritin
Vitamin B12
Vitamin D
CRP / ESR
Correcting deficiencies often improves symptoms without dose change
Health Tips
✓Take levothyroxine empty stomach
✓No tea/coffee/calcium/iron for 45–60 min
✓Avoid taking with steroids or antacids
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Continue same treatment
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Get some blood test for RF, anticcp,ESR,CRP for rheumatology
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Clinical symptom of feeling cold for the last 2 weeks does not correlate with hyperthyroidism, and isolated mild rise in T4 with normal TSH usually does not require immediate dose change.
At present, levothyroxine dose should be continued at the same level (125 µg). Sudden dose reduction is not advised based only on T4 value.
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Thyroid profile normal as your thyroid stimulating hormone also under normal range it means body response to tablets also normal range no need to worry continue same thing .
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Need detailed history to comment. Just based on reports thyroid medications cannot be changed.
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