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Thyroid T4
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Kindly do connect and consult with me for better treatment plan and advice on practo app
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I need some more history.
Your thyronorm dose needs to be changed.
Do consult for further treatment plan.
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Good news first — on Thyronorm, a slightly elevated Total T4 with a normal TSH (yours is 3.146, well within range) is actually expected and not a sign of overdose. TSH is the reliable marker when you’re on thyroid replacement, and yours is controlled. So your dose looks appropriate, no need to panic about the T4 number.
For the missed period with a negative beta hCG — at 41, the most common reasons are perimenopausal hormonal changes, stress, or sometimes thyroid-related cycle shifts. Pregnancy is reliably ruled out if the test was done after the due date passed. Nothing alarming in what you’ve shared, but the menstrual change deserves proper evaluation rather than guesswork.
Next Steps
• Continue Thyronorm 75 mcg as is — don’t stop or self-adjust
• Next time, get Free T4 (FT4) along with TSH — it’s more accurate than Total T4 when you’re on levothyroxine
• If period still hasn’t come in another 7-10 days, repeat the beta hCG once more just to be doubly sure
• For the missed period: an FSH, LH, prolactin, and a pelvic ultrasound would give clarity — these together tell us whether it’s perimenopause starting, a hormonal imbalance, or something else
• These results are best reviewed together in a consultation so the thyroid and menstrual picture can be connected rather than looked at separately
Helpful Tips / Word of Caution
• Take Thyronorm on an empty stomach, 30-45 minutes before food, tea, or coffee — only with plain water
• Keep a 4-hour gap from calcium or iron supplements
• Don’t stop the medication even if you feel completely fine — hypothyroidism management is long-term
• A short consultation would help me look at the full report (the 7-page health checkup) and tie it together with your symptoms — happy to guide you through it whenever you’re ready
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Consult nearby endocrinologist.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dose of thyronorm needs to be reduced, consult your endocrinologist.
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Consult
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Consult superspecialist for dose adjust
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Kindly consult with your physician. You need an adjustment in THYRONORM dosage.
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You need dose adjustment for thyronorm.
Next Steps
consult personally so that the case can be evaluated properly. Dont worry you wil be alright.
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Need dose adjustment for your primary hypothyroidism
Next Steps
kindly consult
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Your thyroid levels are elevated while on Thyronorm 75 mcg, which can explain the missed periods even with negative beta hCG.
This needs dose adjustment and proper evaluation. Book a quick consultation with me. I’ll review your reports in detail and guide the next steps clearly.
We’ll get this sorted.
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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. Gaurij Hood
General Physician
18 yrs exp
Valsad
Pls connect for further discussion and solution.Thyroid levels are affected by multiple factors like micronutrient deficiency,physical activity and diet.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Dose change
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Consult gynaecologist
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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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