My TSH, ultrasensitive is 5.110 ml. Do I have a thyroid? My joints are painful and stiff in the morning. I feel fatigued and tired. I do not have a fever. Please suggest to me how to control it. Also, could I take the first dose of COVID vaccine with this condition? I am attaching my reports. Kindly give your opinion.
For joint stiffness and pain, you will need to see a rheumatologist.
But you could start with ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), rheumatoid factor, and anti-CCP (anti-cyclic citrullinated peptide). But honestly, you need to be seen in person, get a good history, and be examined before you proceed to these tests.
I hope this was helpful.
Thank you doctor,
I went to a rheumatologist and got the tests done. Along with that, I got the test done for Thyroid profile and CBC. My thyroid levels have increased from last time. I am feeling fatigued, and my legs are paining. However, the stiffness and pain in the hands are not there anymore. Please suggest to me what I need to do.
The TSH (Thyroid-stimulating hormone) value is high, and also, this time, you have checked total T4 (Thyroxine) and not Free T4 (FT4). But that is fine. I believe you have subclinical hypothyroidism.
I suggest you start Tablet Thyronorm 25 mcg (Thyronorm) daily morning on an empty stomach.
Please recheck TSH and FT4 after two months.
In addition, I suggest the following:
Capsule D-Rise 60K units (Vitamin D) weekly once for eight weeks because you probably have low Vitamin D. If in doubt, you can always check Vitamin D levels before starting the medicine.
Thank you doctor for the reply,
I would appreciate it if you could please let me know if the medicine is necessary. Can the levels be down if I avoid foods that irritate the thyroid and start doing regular exercise? I will definitely start taking the vitamin D supplement as suggested.
Yes, you can certainly choose not to take medicine and wait to see if this will correct itself.
If you are trying to get pregnant, then I would suggest in favor of taking medicine. If not, trying to resolve this without medication is perfectly reasonable, especially if you do not have many thyroid-related symptoms.
The fatigue or tiredness may improve with diet, exercise, and Vitamin D.
I cannot suggest specific foods to avoid or exercise. But you can look up an anti-inflammatory diet and try yoga.
After two to three months, check TSH, FT4, Anti-TPO antibody (Anti-thyroid peroxidase), and anti-Thyroglobulin antibody.
In the long run, periodically (at least once a year) check TSH if any antibodies return positive.
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