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Losing weight but physically fit
She's 5 ft and is 36kg. No ailment. Only mild neuralgia on the forehead. Lab tests-- VitD 14. Haemoglobin 11.7
RBC 4.04. PCV 35.4. TSH 6.41. Serum Sodium 133.
My concern is why is she losing weight with symptoms of mild hypothyroidism..?She is also taking Telzy 20 mg twice a day and her BP is monitored.
All her other lab tests are normal. Her appetite is good and she is very active too. Her magnesium is good. Should she check her B12 too?
Please kindly advice
Thanks
Answers (14)
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Avoid fried and spicy food
Water intake more
Do connect and consult
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She is definitely underweight, with mild anemia. Get Hba1c, done. Please share details of her symptoms, lab results and any treatment taken so far.Then I can help her to heal.
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Yes you can check her B12 levels.
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Thanks for sending across your query.
There may be multiple reasons for weight loss - as her TSH was low means she may be having hyperthyroidism or may be there is some other issue also... It can be told like this only, need to go for a proper consultation and history and necessary test as per cause to diagnose the real culprit
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If she is vegetrian she should take curd ,some essential fatty acid like ghee in her diet.
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If she is vegetarian, she should check vit B12
Take plenty of green vegetables and milk products
Next Steps
consult any doctor and do a thyroid profile test
Health Tips
Just Relax and follow your normal healthy diet which includes green vegetables and fruits
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Vit d is low.other things is under control.you not mention b12 deficiency symptoms like numbness,weakness,diziness here.go for b12 test and better if you visit nearby hospital for physical examination by endocrinologist.
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Check RBS . At this age even mild hypothyroidism can lead to such symptoms. What about her viral parameters? Any episodes of indigestion?
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Dr. Jiyas A F
Family Physician
11 yrs exp
Kottayam
Possible cause
Iron deficiency anemia due to chronic blood loss
Gastrointestinal cancer
Chronic kidney disease
Malnutrition or malabsorption
Occult GI bleeding
Do investigation like
(CBC)
Iron studies
Stool occult blood test
Kidney function test
Liver function test
ESR ,CRP
Thyroid profile (TSH, T3, T4)
Endoscopy ,colonoscopy.
Hypothyroidism Evaluation
Check she on thyroid medication
TSH level ,weight gain
Forehead Neuralgia
causes:
Trigeminal neuralgia
Post-herpetic neuralgia (if past shingles)
Vitamin deficiencies (B12, D)
Check
Vitamin B12 level
Consider MRI brain
4. Vitamin D Deficiency
Bone pain
Muscle weakness
Increased fall risk
Treatment:
Vitamin D supplementation
Calcium support
Sunlight exposure
5. Hypertension
Check:
BP control
Kidney function test
concern for
Chronic disease
Malignancy
Nutritional deficiency
When to Act
Rapid weight loss
Black stools ,blood in stool
Severe weakness
dizziness
Persistent severe headache ,
neuralgia
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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. Annpurna Pai
Paediatrics
31 yrs exp
Mumbai
There is sarcopenia ( loss of muscle mass ) in elderly people . People of this age group are usually sedentary and loose muscle more so. Elevated TSH can be seen in this age group which is physiological if there are no symptoms of hypothyroidism.
Increase protein intake in foods and ask her to be more active .
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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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