Dr. Pawar Satyajit Jalinder
Medical oncology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 24-year-old female. I took thyroid medicine (25 mcg) around two years back, but since my tests were all in the specified range and I felt better (good diet and exercise were helping), I stopped taking medicine. I am currently experiencing fatigue, leg muscle weakness, high heart rate (110 bpm to 120 bpm) usually, and often reaches 130 bpm to 135 bpm. I have been monitoring for some days due to corona. I have dehydrated skin in my palms, high sweating, and an irritated throat. I got my thyroid profile test, and the results are T3- 0.86 ng/dL, T4- 5.21 mcg/dL, TSH- 32.84 mIU/L. Is there something to worry about? I may have had corona during this time, but I did not show any symptoms; since my family members had tested positive, I took antibiotics (Azithromycin, Ivermectin). Do I need medication, or will this improve with a good diet and exercise? I could not exercise and keep up with a good diet in this lockdown for several months. I am currently taking Montair LC for a week for the irritated throat, Vitamin A to Z tablets for a week (improvement in skin and palm dryness after three to four days), Vitamin C, Vitamin D3, and Zinc tablets for three days as my family members tested positive for corona.
Hi,
Welcome to icliniq.com.
I have gone through your query. The laboratory results are pretty evident. And all your symptoms point towards symptomatic hypothyroidism. Fatigue, weakness, and dry skin are common symptoms of hypothyroidism. In this case, I would advise you to restart your thyroid medication. We would need to start with a higher dose to get the symptoms in control. Based on your weight, a dose of 75 mcg would be adequate. If TSH (thyroid-stimulating hormone) levels had been below 10 mIU/mL, I would have advised diet and exercise, but more than 10 mIU/mL levels are difficult to control with diet. Also, I would suggest you start thyroid medication at the above dose and repeat tests after a month. I would suggest you start on Iron tablets as hypothyroidism usually leads to heavy periods and then anemia. I would be happy to help you further if you have any more questions. We can have a follow-up after a month to see if we can modify your dosages accordingly.
Thank you.
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Medical oncology
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