Hello, Welcome to icliniq.com. I understand your concern. I suggest you increase the tablet Levothyroxine dose to 150 mcg daily. The other option for taking T3 (triiodothyronine) is to take Levothyroxine 100 mcg and Liothyronine 5 mcg daily. However, I strongly discourage this option if you have heart issues, osteoporosis, anxiety, palpitations, etc.
Hello, Welcome to icliniq.com. Your TSH (thyroid stimulating hormone) is normal, which is the most important and accurate test of the thyroid function tests. However, I do not understand why FT4 (thyroxine) is slightly low. I understand from your question that these tests were done to determine why you cannot lose weight. I would like to know the following: Are you taking any supplements or vitamins? Do you have any other medical conditions? How are your menstrual periods? How are your bowel movements? Do you have a headache or vision problems? Any other symptoms? You probably have normal thyroid function, and my recommendation is to repeat the TSH and Free T4 (thyroxine) after two months.
Hi, Welcome to icliniq.com. I understand your main concerns are that you are not able to lose weight, you have joint pains, edema, acne, cold hands or feet, and mood symptoms like anxiety, mid-afternoon panic attack-like symptoms, and irregular periods with pain during ovulation. From the laboratory reports (attachments removed to protect the patient's identity) I gather, that you have slightly elevated TSH (thyroid-stimulating hormone), high total testosterone, and higher LH: FSH (luteinizing hormone: follicle-stimulating hormone) ratio, others in the normal range. I need a bit more information: 1) Do you have excessive hair on the face, arms, chest, or thighs? 2) Do you have a long history of irregular periods? 3) Are you taking OCPs (oral contraceptive pills)? 4) Do you get headaches, nausea, vomiting, or easy bruising? You may likely have PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome). If you do not desire to get pregnant, I recommend you take OCPs along with Spironolactone, and it will likely help you with acne and irregular periods.
Hi, Welcome to icliniq.com. Your thyroid function and antibody levels are in the normal range. The dominant thyroid nodule on the right side by the report is a cyst and is usually benign. The other nodule is also of low risk according to the report and smaller, so repeating the ultrasound in 6 to 12 months is all that is needed for now. I would prefer to see the images of the nodules if available.
Hi, We welcome you to icliniq family. I appreciate the confidence you place in me for your healthcare consultation. Yes, the unhealthy diet, stress, and sedentary lifestyle in the recent past may have contributed to the changes you have noticed. Yes, it is possible to develop insulin resistance at any body weight. Body weight or BMI (body mass index) are not a foolproof way to measure normal fat mass. You already know the answer.
Hi, Welcome to icliniq.com. Leptin is a measure of fat tissue in your body. In rare genetic diseases where there are leptin hormone receptor problems, leptin hormone production problems, lipodystrophy problems, leptin is used as a medicine. Leptin measurement does not help in managing weight in overweight issues. The medications like Orlistat, Liraglutide, and Dulaglutide can help you lose weight, but you need to understand the possible side effects.
Hi, Welcome to icliniq.com. Some of the symptoms of hypercortisolism can overlap with neuropsychiatric conditions, including depression, stress, and obesity. The laboratories can also be misleading. Having said that, if you have symptoms and strong clinical suspicion, we should proceed with more tests. Since you have a few symptoms and are concerned, you can do additional tests like: 1.
Hi,Welcome to icliniq.com.I understand your concern.Before I proceed, I want to clarify something. As for the nodule: since it has increased in size in 1 dimension, although not to a significant degree and possibly due to small measurement errors, since it is large and may be growing, I suggest treating it rather than watching it. Also, I do not know if the nodule, besides having cosmetic concerns, causes any compressive symptoms.
Hi doctor, Welcome to icliniq.com. I can understand your concern. Your doctor will listen to you and support you to stay healthy. You seem to be doing a great job of following a healthy diet. Now, a BMI (body mass index) of 28 is bordering on obesity, and you have a higher risk of developing diabetes even at a lower BMI (body mass index).
Hello, Welcome to icliniq.com. I went through your query. I am here to provide expert opinions on your medical issues. I went through your reports (the attachments removed to protect the patient's identity). It seems you have a low-risk thyroid nodule.
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