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TSH level high, Vit. B12 and Vit. D low
Male
Age 20
Weight 85 kg
Height 5' 6"
Major problems:
1. Loose & irregular stool
2. Slow metabolism & digestion
3. Feeling dizzy & low memory
4. Sometimes pain in lower right abdomen (specially after eating something or drinking water)
Minor problems:
1. Regular cramps in legs & hand fingers
Past history:
1. Very bad sleep schedule from last 2 years
2. Very bad eating habit from last 2 years. Consumed lots of junk & processed foods, biscuits, bhujia, chocolates, etc.
3. No proper meal timing from last 2 years. Consumed junk foods at 1-3 am and slept whole day.
Ultrasound report:
1. Fatty liver
2. Irregular bowel movement
Blood test report:
1. TSH-11.4
2. T3-105, T4-5.24 (both in normal range)
3. Vitamin B-12: <100
4. 25-OH Vitamin D: 6.05
5. Lipoprotein (A) [LP(A)]: 56.3 (Immunoturbidimetry technology)
6. HDL: 38
7. LDL: 136
8. HbA1c: 5.1 ✅
9. Hemoglobin: 14.8 ✅
10. Anti-TPO: 0.9 (<9 for negative, >=9 for positive) ✅
Answers (14)
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Avoid fried and spicy food
Water intake more
Do connect and consult
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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 detailed discussion
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Your bp and sugar status need to be measured..altered sleep..ear issues if any needed to be treated..take plenty of water...hormone cardiac status need to be checked..conduction defect...ct brain tooo..psychiatrist consultation needed..ibs may be..you are having..bre ure lft rft..shud be checked...any history of falls..brain defects shud be checked..balanced life scheduling needed..need psychiatric review for sleep complaints..
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Please consult a physician physically for clinical examination and management accordingly.
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Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Tab neurokind od one at night for 2 months for b12
Thyroxine 100 mcg one in empty stomach before breakfast for two months not to stop follow up by md physician.
Add calcium as thyroxine is calcium depleting agent so bones become weak
Shalcal xt one at night.
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Your reports suggest subclinical hypothyroidism high TSH with normal T3 ,T4 along with low Vitamin B12 and Vitamin D, which can explain your fatigue, digestion issues, and low energy.
The good part this is completely manageable and reversible with the right treatment and lifestyle changes 👍
A quick consultation will help plan proper supplementation, diet correction, and decide if thyroid treatment is needed so you can recover faster and feel normal again.
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At age 20, your reports indicate a systemic metabolic imbalance primarily driven by Hypothyroidism (TSH 11.4) and severe nutritional deficiencies. A TSH level above 10, even with normal T3/T4, usually requires clinical intervention. Your symptoms of slow metabolism, memory fog, and leg cramps are directly linked to your TSH being high and your Vitamin B12 (<100) and Vitamin D (6.05) being at critically low levels. Additionally, the 'Fatty Liver' on ultrasound and right-side abdominal pain suggest that your poor dietary habits (late-night junk food) are causing hepatic strain and sluggish digestion."
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First of all ,main cause of all of your problem is sedentary lifestyles and dietary habits.you need to change this first.for vitamins you can take supplements for it ,no issue .other things like tsh is high but ,no need of start medicine until now.so your main goal is intake more protein rich and fibrous diet with adequate water and most important is lifestyle modifications.
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please go for a proper consultation for further evaluation. A detailed history and examination are needed to understand your symptoms correctly. Without this, it’s difficult to give the right treatment. Kindly bring any previous reports or prescriptions.
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