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Thyroidism
Hello, i was suffering from hypothyroidism since 2015. TSH was fluctuating a lot since then. Now, i am on medication thyronorm 75mg, with that my TSH is brought under controlled in normal range. My weight is 70kg. I taking fruits700gm from morning waking time till 12p.m, as lunch i take 350gm fresh Vegas and then cooked food 150gm, in dinner same as the lunch. bp is normal. Let me know please what should be the modification next? My recent tsh is 5 after skipping the dose for 3days.
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Hypothyroidism
Myxedema = severe hypothyroidism.
SX â weakness/fatigue, feel cold, dec memory, constipation, weight gain, depression, bradycardia, dec DTRs.
PE â all (look for weight gain, dry skin, loss of hair, macroglossia, goiter, non-pitting edema (myxedema).
Next Steps
DX â TSH (increased), Free T4 (decreased). Antibodies against thyroid peroxidase (positive in Hashimotoâs Thyroiditis). ⢠CBC, CMP, fasting lipid panel.
Health Tips
TX â maintain a euthyroid state, w/ F/U Q6 wks. ⢠Levothyroxine, start 1.6 mcg/kg PO QD. Then adjust by 12.5-25 mcg/day q4-6wks. ⢠2/3 the dose in elderly.
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