Dr. Shaikh Sadaf
Endocrinology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I am a 50-year-old female taking bioidentical hormones for the past six months due to hot flashes and night sweats for the past six years, and it worsened last year. I also take NP Thyroid 60 mg, Testosterone, Estrogen, vitamin D3 tablets, multivitamins, MethylAssist tablets, zinc tablets, Quercetin, Curcumin, and Primrose supplements, and use progesterone cream. My blood test shows high B12 of 116.5 ng/dL, high testosterone of 240 ng/dL, low TSH of 4 mlU/mL, and low vitamin D of 10.3 ng/mL. Now I have hyperthyroidism with irregular menstruation, like once every three to five months. I did not have periods for the past three months. I have attached my reports.
Hello,
Welcome to icliniq.com.
From the reports attached (attachment removed to protect the patient's identity), you have hyperthyroidism. So I suggest you tablet NP Thyroid 45 mg once daily. Repeat the thyroid function test after six weeeks. I suggest tablet Vitamin D 1000 IU once daily, 4 hours after taking tablet thyroid NP 45 mg.
Patient's Query
Thank you doctor for the reply,
What about the high testosterone levels and low estrogen? I use combination creams in the evenings. Please help.
Hello,
Welcome back to icliniq.com.
Due to the age factor, there is a low estrogen level. Replacement therapy, like bioidentical hormones, results in high testosterone levels and low TSH (thyroid-stimulating hormone) levels. Consult your doctor for alternative medications.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Endocrinology
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
