Hypothyroidism is a condition where the thyroid glands are underactive and produce less thyroid hormone. The signs and symptoms include weight gain, cold intolerance, tiredness, constipation, and hair loss. It requires thyroid hormone replacement therapy for life.

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I always feel weak, exhausted, dehydrated, and I am sensitive to heat. What is the reason?

Query: Hello doctor, I am 25-years-old, and I weigh 80 kgs. I am physically weak, exhausted, cannot sit-stand or walk for a long time. I am sensitive to heat and feel dehydrated, and I have frequently had muscle stiffness and cramps for two years. It started from pain and inflammation near the occipital an...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachment removed to protect the patient's identity). Physical weakness and fatigue can be due to vitamin deficiencies, anxiety, and stress disorders. It can also be due to diabetes, hypothyroidism, and hypertension. For vitamin deficie...  Read Full »

Can thyroid and contraceptive medications increase my triglyceride levels?

Query: Hi doctor, I have had hypothyroidism since last year. Currently, I am taking Levothyroxine - 25 mcg, Ortho Tri-Cyclen Lo, Paroxetine, Levocetirizine, Multivitamin. My lab results showed HDL 32 mg/dL, non-HDL 126 mg/dL and triglycerides - 585 mg/dL. Is that my condition is because of my medication? K...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I understand your concern. High triglyceride levels can be due to the following reasons: 1) Birth control pills are commonly known to cause a deranged lipid profile. 2) Hypothyroidism. 3) Alcohol intake. 4) Obesity- since your BMI (body mass index) is fine, we ca...  Read Full »

What should I do for my extreme anemia, enlarged spleen, and IBS?

Query: Hello doctor, I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy and pa...  Read Full »

Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. Enlarged spleen could be due to increased destruction in spleen or production of cells in the spleen to ...  Read Full »

I am gaining weight. Should I increase dose of Eltroxin?

Query: Hi doctor, I am 58 years old. I have been diagnosed with hypothyroidism 20 years ago. I am on Eltroxin medication since then, 100 mcg daily and twice a week 150 mcg. My T3, T4, and TSH are normal as I do blood analysis every six months. I noticed I am gaining weight from three months although my die...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. Since your thyroid test results are normal and considering your age, it is not advisable to increase the dose of Eltroxin just because you are gaining weight. If a person does not exercise much and after a certain age, he just keeps adding the weight every year just ...  Read Full »

I am depressed about having hypothyroidism and irregular periods. What to do?

Query: Hi doctor,I am 26 years old and have been suffering from hypothyroid problems and irregular periods for the past three years. I am scared of going to a doctor. I take Eltroxin 50 mcg, but my period problem persists. My periods occur once in 50 to 60 days. And this makes me feel depressed.Please help...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to icliniq.com. I went through your query and understood your concern. Hypothyroidism is one of the common causes of oligomenorrhea (low amount and delayed periods). The tablet Eltroxin (Levothyroxine) 50 mcg is suitable, but the dose may require upgrading. We cannot proceed with diff...  Read Full »

I have headache, temperature fluctuations and pain in the knee. What should I do?

Query: Hello doctor, I am a 37-year-old female. I have had headache from last two years. It keeps fluctuating between minor to severe. I have hypothyroidism, I am on tablet Thyroxine 125 mg for two days and tablet Thyroxine 100 mg for five days. My body temperature keeps fluctuating at an interval of ten ...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to icliniq.com. I understand your concern, I am very sorry about your health condition. You may be suffering from chronic headaches probably tension or migranes, with hypothyroidism and osteoarthritis of knee. First of all, you will have to take a rest for a few days from work. I a...  Read Full »

I am a 32-year-old suffering from hypothyroidism and have a low sex drive and a weak erection. Kindly help.

Query: Hello doctor, I am a 32-year-old unmarried male suffering from hypothyroidism. I have been on tablet Thyronorm 50 mcg. A few days ago, I checked my TSH level, which was 8.57 mIU/mL. I have had a low sex drive and a weak erection for the past six months. Is this associated with my hypothyroidism? Kin...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Your dose of tablet Thyronorm is insufficient, so your sex drive is low. However, thyroid hormones are essential in sexual desire and erection. I suggest you follow a few instructions mentioned below. Take table...  Read Full »

What are the medications for weight loss due to hypothyroidism?

Query: Hello doctor, My 78 years old mother is losing weight, and she got her thyroid test done. The report showed serum free T3: 1.97 pg/ml, serum free T4: 0.34 mg/dl, serum TSH (ultrasensitive): 58.97 uIU/ml. May I request you to please advise the future course of action and medication.  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your mother and from what you have mentioned it appears that your mother has hypothyroidism. I suggest that you ask her to take tablet Thyronorm 25 mcg once daily early in the morning on waking up and then to avoid eating anything for the...  Read Full »

My triglyceride and TSH levels are high. What should be the dosage of Thyronorm?

Query: Hello doctor, My TSH level is 15 mU/L. What dose should I take of Thyronorm? My triglyceride level is also very high, at 520 mU/L. Currently suffering from allergic rhinitis, itching, hidradenitis suppurativa, and weight gain. I was diagnosed with hidradenitis suppurativa the last six years ago.  Read Full »

Dr. Nagaraj

Answer: Hello, Welcome to icliniq.com. I understand your concern. The value provided looks like hypothyroidism. In addition, triglycerides are increased, and fasting sugar levels are impaired. Do you have a problem with menstruation? Any hair growth on the face? Stretching of skin over tummy? Any swe...  Read Full »

My wife is suffering from hypothyroidism and is gaining weight. What to do?

Query: Hi doctor,My wife is constantly gaining weight due to hypothyroidism. Last week we did her tests, and the doctor recommended increasing the dose from 75 mcg to 100 mcg. Unfortunately, her cholesterol levels are also significantly high. She feels tired and finds it difficult to perform household chor...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I understand your concern. Your wife appears to have hypothyroidism. Given her high cholesterol, I would advise her to follow a low-fat diet and walk briskly for 60 minutes daily. This will also assist her in losing weight. It should be noted that she is not overwei...  Read Full »

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