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Hypothyroidism
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Normal thyroid function tests with 62.5 mcg thyronorm indicates that the dose is adequate.Your symptoms could be due to non thyroid issues.Get your serum iron profile, vitamin d,b 12, liver function tests and consult a physician in your area for appropriate management
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Share reports plz
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Itz due to thyroid issues ...continue medication and if not relieved consult a dermatologist...
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I think you need to get a proper evaluation done before starting on any random medicinal supplements. Atleast basic work up such a CBC, KFT, S. Proteins etc need to be done.
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Hairfall can be due to stress, vitamin and protein deficeincy.. Please consult me through practo or wattsap nine zero seven two two zero seven zero nine three for discussing more details of ur history
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I get what you’re saying — it’s frustrating when reports are “normal” but symptoms don’t improve. Since your TSH/T3/T4 are controlled on Thyronorm 62.5, the dose itself is likely fine. Hair fall, constipation, and weight gain in this situation are very commonly due to non-thyroid causes, not medicine failure.
Next Steps
Check Ferritin (iron stores), Vitamin D, Vitamin B12, and lipid profile
• Ensure adequate protein intake (often missed despite regular walking)
• Take thyroxine empty stomach, same time daily, no calcium/iron within 4 hrs
• Add strength training 2–3×/week along with walking (important for weight loss in hypothyroid)
Health Tips
Supplements shouldn’t be guessed — they need to match deficiencies, otherwise results stay poor. If you want, we can quickly review your diet, reports, and symptoms together and fine-tune supplements and lifestyle so you actually start seeing changes instead of just “normal reports.”
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Since your TSH, T3 and T4 levels are within normal range on Thyronorm 62.5, your thyroid dose appears adequate.
However, symptoms like hair fall, constipation, and weight gain can still occur due to other common deficiencies and lifestyle factors.
Important points:
These symptoms are not always due to thyroid alone
Very commonly associated causes are iron deficiency, vitamin D deficiency, vitamin B12 deficiency, and low protein intake
Recommended investigations:
Hemoglobin
Iron profile (serum ferritin)
Vitamin D
Vitamin B12
Supplements that may help (after testing):
Vitamin D (if low)
Vitamin B12 (if low)
Iron supplements only if deficiency is confirmed
Next Steps
Adequate daily protein intake
Continue regular walking
Add strength training 3–4 days/week along with walking
High-fiber diet for constipation (fruits, vegetables, oats, salads)
Increase protein: eggs, dal, paneer, curd, nuts, seeds
Drink enough water
Avoid excess junk food, sugar, and refined carbs
Take Thyronorm early morning on empty stomach
Health Tips
Avoid tea, coffee, milk, calcium, or iron for at least 45–60 minutes after tablet
If symptoms persist despite normal reports, dose adjustment or evaluation for metabolic causes.
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What is your height?
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High fiber diet, Protein and vitamin E, D
Tab. Dulcoflex. HS
Consult for more info.
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Even with normal thyroid levels some symptoms may persist
Need some history kindly consult for the same
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Sometimes after normal thyroid report also symptoms will be persisting
This symptoms will be due to lack of micronutrients and macronutrients.
Varoius mineral and vitamin symptoms also cause this symtoms
Next Steps
Start taking
tab Ato z 1 tab OD
SYP lactulose 20 ml HS
Tab calcium 1 tab daily
Tab uprise d3 once a week for 3 months
Health Tips
AVOID FAST FOOD
AVOID ALCOHOL BEVERAGES
AVOID
Cabbage
Cauliflower
Broccoli
Radish
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Even with normal TSH, T3, T4 on Thyronorm 62.5 mcg, many people with hypothyroidism still have persistent symptoms (hair fall, constipation, weight gain) because:
• Optimal TSH for symptom relief is often 0.5–2.0–2.5 (not just “normal”)
• Poor T4 → T3 conversion
• Nutrient deficiencies (common in long-standing hypothyroidism)
• Other factors (insulin resistance, inflammation, gut issues)
Your 1.5 hr daily walk is excellent, but at 70 kg symptoms persist → need targeted tweaks.
Next Steps
• Discuss with your endocrinologist:
• Check Free T3 + Reverse T3 (not just total)
• Repeat full thyroid panel + Ferritin, Vitamin D, B12, Selenium, Zinc
• Consider small dose increase (to 75 mcg) or trial of T3 addition (very low dose liothyronine) if conversion is poor
• Do not start supplements or change Thyronorm dose yourself — get bloodwork first.
Health Tips
• Iron/Ferritin — if low → gentle iron + vitamin C (hair fall & fatigue improve fast)
• Vitamin D — 2000–4000 IU/day if low (very common)
• Selenium — 100–200 mcg/day (supports T4→T3 conversion; Brazil nuts 2–3/day = natural source)
• Zinc — 15–30 mg/day if low (hair & thyroid support)
• Magnesium — 300–400 mg/day (helps constipation & muscle cramps)
• Probiotics — good gut health improves constipation & absorption
• Lifestyle:
• Add strength training 2–3×/week (builds muscle → better metabolism)
• Eat 25–30 g fiber/day + 1.5–2 L water
• Reduce refined carbs/sugar (helps weight & insulin sensitivity)
• Sleep 7–8 hrs (thyroid hates poor sleep)
Start small changes now (fiber, water, sleep, magnesium if no kidney issue).
For personalized supplement doses & thyroid adjustment, please consult with me online with your latest reports — I can guide better.
Take care
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For hair fall take high protein, vit d rich diet, get vit d checked, if low , get it treated. If dandruff in scalp treat it by using selsun shampoo twice a week.
For constipation, high fiber diet is useful Take glassful of hot water before sleeping and after getting up. Do regular physical exercise.
If constipation persists, take tab dulcolax 10mg after dinner for 7 days.
Get blood sugar random and Hba1c tested and share results.
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Polybion lc syr10 ml after dinner for weeks.
Trinergic L ONE at night for 4 weeks.
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Your thyroid profile is normal, you need to take also some antioxidants and vitamins to support your secondary symptoms also.please feel free to consult me on practo for further management and evaluation.
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Hey, don't worry. Good thing is reports are normal with regards to thyroid. Kindly consult with me on 94 two six eight six 78 nine six for guidance and treatment.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Need more details for to comment
Need more investigation for finding root cause of weight gain
Next Steps
Can consult one on one
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get tab B complex once a day for month
And tab Iron once a day for month
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Dr. Pavani B
General Physician
4 yrs exp
Guntur
Check ur vitamin D, B12 and Iron levels also. Then we can know what's the reason for hairfall, constipation. Weight gain can be due to stress too. Check that too.
Next Steps
consult me on practo for further treatment guidance
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Get Thyroid profile done and have a follow up
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Dr. Ashritha Reddy Rachamalla
General Physician
4 yrs exp
Varanasi
Based on your note,you are already on an appropriate dose of Thyronorm and since your TSH, T3 and T4 are normal, your thyroid levels are well controlled but it’s better to get checked for free T3&free T4.
The symptoms you are experiencing—hair fall, constipation and weight gain—are very common which often may not be due to the thyroid itself.
1)Take Thyronorm in a correct way: take it early morning on an empty stomach with plain water, wait at least 45–60 minutes before tea, coffee or breakfast, and keep a 4-hour gap from calcium, iron, multivitamins.
2) Check for common deficiencies which can cause the same symptoms—serum ferritin (iron stores), vitamin B12, vitamin D and CBC—because hair fall with normal thyroid reports is very often due to low iron or vitamin deficiencies, take supplements only if these values are low. 3)You can continue walking.
4) Get yourself checked for PCOS/PCOD.
5)Eat a balanced diet and use only iodized salt.
6)Ensure good sleep and stress control, as stress affects thyroid hormone action.
As of now there is no need to increase your Thyronorm dose .
There is a high chance that your symptoms will improve , once deficiencies are corrected over few months without changing your thyroid dose.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab zincovit
Cap evion for next three months
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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