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Hypothyroidism
My wife's thyroid is abnormal, she is taking 100 mg, Last time one Dr suggested to take 25mg directly from 125mg and All three parameters went wrong, plesse suggest something, adding 5 months report,
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Kindly visit a good endocrinologist
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The patient is advised
1.Blood for anti-TPO antibody test,(Thyroid peroxidase test)
2.Thyroid scan
3.Blood for Free t3,Free t4,TSH
4.B.P,heart rate,Spo2/Temperature,body weight
5.To exclude goiter & any other allied metabolic disorder
Next Steps
Perform the investigation and send the report accordingly
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Take thyronorm100mcg once daily
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If she was taking 125mcg maybe the doctor had suggested decreasing by 25 mcg and not to 25 mcg.
You need to discuss with your doctor and dose needs to be increased again.
She may require certain other tests too so do discuss with your treating physician especially if you are planning a pregnancy
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This much Abrupt dose reduction should not be done .
Repeat TSH after 4-6 weeks of change in Dosage . Other factors also needs to be considered like weight, dietary pattern, Other Hormones status, etc. as thyroid function can be improved in many cases.
Next Steps
Consult with details for further Management.
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For proper treatment plz connect
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Need few more details
Kindly consult
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All the parameters are abnormal
Next Steps
Consultation for medication under prescription is advisable
Health Tips
Iodine rich diet may be beneficial
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Get a USG thyroid also done and take 125 thyronorm
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Does your wife had a swelling in the neck ( Goitre) when hypothyroidism was diagnosed ?
If yes …. And if it got reduced after treatment with thyrox in high dose …..
And now they have suddenly decreased it so much low that , it’s too less of a supplement than what our body needs , hence TSH had raised
Next Steps
Contact me …. Because I need a proper history so that I can help you out for further evaluation … so that we both are not confused
Health Tips
Get the thyroid tests done on a empty stomach if not done earlier
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Start 125 immediately
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Kindly connect
Will help you.
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Can help you with your concern. Your concern need to be evaluated in detail with history and possible examinations. Can contact for consultation via chat
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Excessive TSH level. Dose reduction so abrupt is not justified.
Dose reduction must be in interval of times.
With regular follow up.
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Hello,
How long has it been since your wife shifted to the current dosage and the name of the drug?
If it’s drug was changed in the past week,give it some more time
If not, you can take 50mg after consulting the primary physician.
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Do Consult m
Needs to be evaluated.
Tsh is still high.
So dose has been increased.
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Hi. The TSH levels are extremely high and its always important to taper the dose or even find the right maintenance dose for the patient. Kindly contact Carna health centre Nagarbhavi Bangalore for a consultation.
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Connect
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Dr. Danish Qureshi
General Physician
15 yrs exp
Jaipur
Please consult as medicine dose is to be regulated according to weight and symptoms
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Dr. Amol Gajanan Andhale
General Physician
4 yrs exp
Wardha
Kindly connect
Next Steps
Endocrinologist
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Please consult
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please do a USG thyroid
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Higher dose
Next Steps
consultation
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Pls connect
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Dr. Savita Thakur
General Physician
9 yrs exp
Delhi
Abruptly reducing the medicine dose is the reason for such results.
Next Steps
Please connect for more help.
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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. Nikhil Aggarwal
General Physician
10 yrs exp
Delhi
**Opinion:**
Your wife’s recent thyroid function tests show significant abnormalities. The Thyroid Stimulating Hormone (TSH) is extremely high (77.9 µµ/mL), indicating hypothyroidism, while Total Thyroxine (T4) is low (4.13 µg/dL), further supporting this diagnosis. The abrupt reduction in medication from 125mg to 25mg likely caused these imbalances. It’s crucial to adjust her medication carefully to restore thyroid function.
**Next Steps:**
1. **Consult Me Immediately:** Schedule an appointment to review her full medical history and current symptoms.
2. **Medication Adjustment:** Based on her latest results, her dosage needs to be carefully recalibrated. I recommend gradually increasing her current dose under medical supervision.
3. **Regular Monitoring:** Repeat thyroid function tests (TSH, T4) in 4-6 weeks after adjusting the medication to ensure levels are stabilizing.
4. **Symptom Tracking:** Note any symptoms like fatigue, weight changes, or mood swings, and report them during the consultation.
Let’s work together to stabilize her thyroid levels—book an appointment for a tailored treatment plan. Early intervention is key to avoiding complications.
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