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Fatigue post thyroidectomy
I am a 37 year old women I got diagnosed with papillary thyroid cancer in 2022, underwent thyroidectomy followed by radioiodine therapy.(last year in 2024 i gave birth to my son
Who i am currently breastfeeding,he was born preterm and I underwent blood transfusion).i
Recently did my blood tests which showed very
Low Tsh 0.02 i m taking 150 mcg thyroxine ,
USG was also normal showing reactive nodes.these days i constantly feel fatigued, lose my temper easily, sensitive to heat also tingling sensation in feet, i forget to take my calcium medications often . Kindly help me
Answers (1)
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You are on thyroxine replacement therapy as you have completely removed the thyroid by surgery and RAIA. The dose of thyroxine taken in this context has to be higher than usual, to obtain a more lower TSH (TSH suppression). But this needs to come down as much as 0.05 only. Yours is 0.02. You can try lowering your thyroid dose to 125 mcg once daily in the morning. Take on empty stomach and do not take food for one hour. The symptoms you mentioned are due to increased thyroid activity. Once you lower the dose, these symptoms will disappear. This change happened as there is more need for thyroid dose when you are carrying the baby, and that need comes down after delivery is over.
Next Steps
Reduce dose to 125 mcg OD . Repeat TSH after 3 weeks and inform.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.