Low free t3, free t4 as well as tsh

Question

Asked for Female, 23 Years

I am on medication for hypothyroidism for last 4 years,of late I am having a lot of weight gain,which is resistant to exercise and proper diet, occasional constipation and oligomenorrhea for last 2 menstrual cycle. On my latest blood test my free te, free t4 as well as tsh came low. Also I have a history of galactorrhea 7yrs back,and recently I have some visual acuity loss with mild eye muscle weakness. PS: I am a freshly passed mbbs, please anyone replying do not consider my entire source of knowledge to be from google.I am really worried, Thanks for replying in advance.

Answers (1)

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Dr. Rakesh Parikh Diabetologist 23 yrs exp Jaipur · Accepted Answer

Dr. Rakesh Parikh

Diabetologist 23 yrs exp Jaipur

If T3 T4 and TSH all are low it goes un favour of central hypothyroidism. In view of H/O galactorrhea I think S Prolactin should be done. Better to get MRI brain for pituitary done to look for central cause

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