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Hyperthyroidism - Graves Disease
My son aged 18 weight 49 was diagnosed with hyperthyroidism (Grave’s disease). Very high T3,T4 and FT4 ,TSH<0.01,TSHR-Ab : 20, AMA:146.
He was put on NeoMercazole (20mg) one time daily and continuing it for last 8 months.
Now his T3(85)/T4(5.7)/FT4(1.03) are in normal range but TSH is still <0.01 and AMA:33. Weight increased to 56.
To normalize TSH , the doctor advised to increase the dose to 30mg/day. We are confused whether to increase or decrease or continue with the same dose….our worry is T3/T4/FT4 might go below normal range and he might become hypo. Any suggestions are welcome.
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Normalisation of T4 and T3 and gaining weight are good indicators of the progress.Trust your doctor who has rightly increased the dose to 30 mg once a day .Till his TSH level is reach normal range dose could be increased upto 60 mg . Altering the dosage should be, strictly under the supervision of endocrinologist.
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Need few more details
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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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
Your doctor is right.the dose needs to be titrated till TSH is normalized.
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regular checkups required as directed by physician
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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.