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Treatment related
Hello Doctor,
I recently got my Thyroid Profile tested and received the following results:
TSH: 13.55 µIU/mL (High; Reference: 0.35 – 4.94)
Total T4: 4.31 µg/dL (Low; Reference: 4.87 – 11.72)
Total T3: 0.80 ng/mL (Normal; Reference: 0.35 – 1.93)
Patient Details:
Age: 28 Years
Gender: Female
Weight: 67 kg
Height: 5'4"
Could you please evaluate these values and advise:
What starting dosage of thyroid medication (Levothyroxine) is recommended for my profile?
Do I need to get Free T3, Free T4, or Anti-TPO antibody tests done before starting treatment?
I have attached my lab report for your review. Thank you!"
Answers (13)
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Need a few more details please consult for further evaluation and treatment
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TSH 13.55 with a low Free T4 is overt hypothyroidism, so thyroxine is clearly indicated, not optional. Dose is weight based and started under supervision, usually a low-to-moderate morning dose on an empty stomach, then TSH rechecked at 6-8 weeks and titrated. Free T3 adds nothing to your decision; anti-TPO is worth doing once, only to confirm Hashimoto's as the cause. Do not self-start or copy someone else's dose - undertreatment keeps you tired, overtreatment gives palpitations and bone loss. Send me the report on a Practo consult or come to my OPD at Synergy Miraj and I will fix the exact starting dose for you.
Next Steps
Get anti-TPO done and start treatment on a proper prescription, then repeat TSH after 6-8 weeks to adjust. Keep calcium and iron 4 hours apart from the thyroid tablet. Book a consult with me on Practo with your report and I will start you correctly.
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Start thyroxine 50mcg, one before breakfast.
Repeat thyroid profile after 6 werks, dose can be increased accordingly if needed.
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A proper consultation is needed to assess and guide treatment.
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Yes you need a treatment, consult
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Start thyronorm
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Kindly get an online consultation for further management. We need to discuss your symptoms and signs before starting the dose.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
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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