Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Tab ciplar LA if heart rate persistently high and anxious/restless. Holter and 2d echo to be done

Endocrinologist  u required.

Once consult endocrinologist. Holter monitoring is helpful.

You may require to use beta blockers to control heart rate and use of anxiolytics maybe beneficial. An ecg and 24 hour Holtar monitoring might help in ruling out and associated arrythmias

Thank you for sharing your concerns regarding your Graves' disease and persistent symptoms despite normal thyroid tests. Here’s what you should know:  1. Thyroid Levels vs. Symptoms: While your TSH, T3, and T4 are now in range, symptoms like a heart rate of 160 bpm suggest that your Graves' disease may not yet be fully controlled. This could be due to:     - Delayed response to medication (carbimazole).     - Fluctuating hormone levels between tests.     - Possible adrenal or autonomic dysfunction.  2. Cardiac Evaluation: It’s reassuring that your ECG and echo are normal, but tachycardia (high heart rate) in Graves' disease can persist even after thyroid levels normalize. Beta-blockers (e.g., propranolol) are often used to manage this symptom.  3. Medication Review: Your current dose of carbimazole (10 mg BD) may need adjustment. Over-treatment can lead to hypothyroidism, while under-treatment may prolong symptoms. Regular monitoring is key.  4. Next Steps:     - Thyroid Antibodies Test: Check TRAb (TSH receptor antibodies) to assess Graves' disease activity.     - Holter Monitor: A 24-hour heart rate monitor to evaluate tachycardia episodes.     - Endocrinologist Consultation: Essential to fine-tune treatment and rule out complications like thyroid storm.  For a detailed evaluation and personalized management plan, I recommend scheduling a consultation with me. Your symptoms require careful assessment to ensure optimal control of Graves' disease and prevent long-term complications.  **To book an appointment or discuss further, you can reach me on WhatsApp at eight zero zero nine eight two one three three two.** 

Endocrinologist consultation.

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New few more details. Kindly consult for further evaluation

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

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Consult an endocrinologist

Need few more details Kindly consult

Since how many days

You are taking perfect medication but still life style modification will make difference kindly connect

Needs to be evaluated. Do Consult.

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

Consult an endocrinologist

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