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Hight Cholesterol and thyroid
My mother recently had her blood tests done, and her thyroid and lipid profiles show elevated levels.
Here are her key abnormal readings:
• TSH: 29.200 µIU/mL (though her T3 and T4 are within the normal range)
• Total Cholesterol: 280 mg/dL
• Triglycerides: 355 mg/dL
• LDL (Bad Cholesterol): 175.66 mg/dL
• HDL (Good Cholesterol): 34 mg/d
She is already taking thyronum 150 everyday
Any suggestions or what medicine should we start
Answers (16)
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T atorvastatin 10mg hs for 1 mnth
Continue thyronorm..
Take tft mnthly checkup..
Review after 1 mnth with cholestrol panel and tft..
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TSH 29 is quite high, which means her thyroid is still not properly controlled even after taking Thyronorm 150. Make sure she takes the tablet early morning empty stomach with only water, and waits at least 45 minutes before tea or breakfast. Calcium or iron tablets should not be taken near the thyroid medicine. High cholesterol and triglycerides can happen because of uncontrolled thyroid levels. So first thyroid should be controlled properly. Repeat these tests after 6-8 weeks: TSH Free T4 Lipid profile Since LDL and triglycerides are also high, doctor may start a cholesterol medicine if needed after evaluation. avoid fried food, sweets, bakery items and sugary drinks daily walking/exercise eat more fiber, fruits and salads
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Please consult
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What is her weight? Any complaints???
Is she taking the thyronorm tablet daily early in the morning and keeping a gap of atleast and hour after it before proceeding to breakfast??
Dose adjustment is necessary here...also will require lipid lowering agents.
Next Steps
diet consultation is essential
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Needs adjustment in medicibe doses.
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.
ADD WALK.
HYPOTHYROIDISM
THYROXINE TO BE ADDEDBRAND NAME THYRONORM 175 MCG ONE BEFORE BREAKFAST FOR TWO MONTHS NOT TO STOP AS U NEED FOLLOW UP WITH MD PHYSICIAN.
ADD SHALCAL XT ONE AT NIGHT AFTER DINNER AS THYRONORM IS CALCIUM DEPLETING AGENT SO BONES BECOME WEAK.
ATEROVAST 40 ONE AT NIGHT AFTER DINNER FOR MONTHS.
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Avoid fried and spicy food
Water intake more
Do connect and consult
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There are some questions for further evaluation
Body weight?
For how long she is taking the drug?
Last TSH reading and when?
When is she taking the drug and also tell about all the drugs she is taking alongwith?
Next Steps
provide all information. but better to consult physically
Health Tips
dont ignore it.
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Her thyroid levels have not improved despite medication, and this also raises cholesterol and triglyceride levels. Since she is already on a high dose of Thyronorm, it’s important to review timing of medication, absorption issues, diet, other medicines and overall risk profile before changing treatment. A proper consultation can help adjust things systematically and prevent long term complications effectively 👍
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She is already on high dose of thyronorm. High cholesterol and triglycerides are most likely due to hypothyroidism. Consult your endocrinologist for ? Poor absorption, ? Drug interaction .
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A TSH of 29.2 while already on a high dose of Thyronorm (150mcg) is a major clinical red flag. It indicates that either the current dose is insufficient, the medication is not being absorbed properly, or there is a lack of compliance. Furthermore, the elevated lipid profile (Cholesterol 280, Triglycerides 355) is likely a secondary effect of the uncontrolled hypothyroidism, as thyroid hormones are essential for the liver to process and clear fats from the blood
Next Steps
To review her full medical history and decide if she needs a change in the brand or dosage of her thyroid medication, please book a full consultation session via my Practo profile."
Health Tips
Avoid Interacting Drugs: "Ensure she is not taking calcium or iron supplements within 4 hours of her thyroid tablet, as these minerals bind to the medication and render it useless."
Dietary Adjustments: "While the TSH is high, she should limit high-fat foods and refined sugars to help lower those triglycerides naturally alongside medication."
Caution: "Do not ignore a TSH of 29.2. Chronic severe hypothyroidism can lead to 'Myxedema'—a state of extreme metabolic slowing that can be life-threatening."
Red Flags: "Seek immediate medical attention if she develops extreme lethargy, sudden facial swelling, a very slow heart rate, or significant shortness of breath."
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Rosuvas 5
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be started on medications
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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