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Thyroid patient
Please see the report and advice as I taking 125 mg since 2 months. Before that it was 100 mg. Now days she feels cold since last two weeks. On blod test it found t4 has been increased 14 and rest t3, tsh normal. Then what should be done for doses qty. She is also patient of rheumatology and asthma
Answers (31)
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Excessive cold may be due to seasonal variation, no need to increase the dosage
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Need a better and detailed history.
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The normal t4 level ranges 5 to 12 microgram/dl. So increase in 2 units is not much significant. She can reduce the thyroxine level to 100mcg as tsh level is normal.
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The feeling cold can be due to asthma or decrease vitamin D levels.
It could also be due to the outside weather.
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Need detailed history
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share thyroid reports
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Need detailed history to comment. Just based on reports thyroid medications cannot be changed.
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Ideally would be better to see a trend so sharing the previous report as well as this report would be helpful
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Details needed like complete thyroid profile.. consult me on practo
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It is correct to monitor just with TSH for your mother who is already on thyroxine.
She needs to carry on and have TSH checked every 6 months.
All the best
J G S R clinic
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Consult with your physician,don't change dose on ur own
✓Levothyroxine increases T4
But tissue-level conversion (T4 → T3) may be inefficient,reasons could be due to
Rheumatologic illness, inflammation, stress, steroid use .
Next Steps
✓feeling of frequent cold can be due to low
Low ferritin, B12, vitamin D ..
✓Before changing dose, check:
Ferritin
Vitamin B12
Vitamin D
CRP / ESR
Correcting deficiencies often improves symptoms without dose change
Health Tips
✓Take levothyroxine empty stomach
✓No tea/coffee/calcium/iron for 45–60 min
✓Avoid taking with steroids or antacids
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Continue with same dosage
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Possible dose adjustment to 112.5 µg
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Consult superspecialist like endocrinologist. As such unable to understand. Why don't you share report.?
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Pl consult a physician or endocrinologist physically.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Continue same treatment
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Get some blood test for RF, anticcp,ESR,CRP for rheumatology
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You should continue the same dose of thyroxine.
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Continue same dose of Thyroxine. Get good sunlight exposure .
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Check rheumatology panel too
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Clinical symptom of feeling cold for the last 2 weeks does not correlate with hyperthyroidism, and isolated mild rise in T4 with normal TSH usually does not require immediate dose change.
At present, levothyroxine dose should be continued at the same level (125 µg). Sudden dose reduction is not advised based only on T4 value.
Next Steps
1Repeat thyroid function test (TSH, T3, T4) after 6–8 weeks.
Ensure levothyroxine is taken-
Early morning, empty stomach With water only
-Gap of 30–45 minutes before tea/food
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Dr. Abeed Ahmed
Diabetologist
11 yrs exp
Hyderabad
Thyroid profile normal as your thyroid stimulating hormone also under normal range it means body response to tablets also normal range no need to worry continue same thing .
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Gaurij Hood
General Physician
16 yrs exp
Valsad
Pls.connect for further discussion and solution.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Need a thyroid profile report
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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. Vetsa Sri Krishna Chaitanya
General Physician
6 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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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Aryan Mehta
General Physician
Mumbai
Needs a more detailed evaluation
How can you just say she is a rheumatology patient too what diagnosis what treatment is she on currently
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Needs a more detailed workup
Health Tips
Contact for more detailed workup
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