Recently Answered Questions
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I have throbbing pain below my left ear with pressure around my neck. What to do?
Query: Hi doctor, Hi, I am a 30-year-old female. Before six months, I felt throbbing pain below my left ear associated with numbness in my left arm and left foot, and sometimes, with a feeling of chest pain. I thought that it was an ear infection. But I confirmed that it was not my problem after I went ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have attached in the report (attachment removed to protect patient identity). It appears that you have hypothyroidism in view of very high TSH (thyroid-stimulating hormone) levels. Also, your thyroid gland is enlarged due to t... Read Full »
Can a double dose of Levothyroxine help until I get to see a doctor?
Query: Hello doctor, I got my lab results recently. I have an appointment with the thyroid doctor in a week. I am afraid of going to the ER plus I have muscle spasms, body jerks, and confusion. Two days ago, I took a double levothyroxine dose of 125 mcg. Yesterday, I added 5 mcg synthetic T3, ma... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you have hypothyroidism. I suggest that you take tablet Levothyroxine 50 mcg once daily keeping in mind your age and based on your weight and lab results. Consult your specialist doctor, ... Read Full »
Levothyroxine and Armour Thyroid are causing side effects. What can be done now?
Query: Hello doctor, Levothyroxine and Armour Thyroid both cause awful side effects for me. What can be done now? I cannot tolerate either of them. Read Full »
Answer: Hi, Welcome to icliniq.com. If you are taking treatment for hypothyroidism, it is to see that you get the right dose. But whether you are being over replaced or under replaced should be determined by periodic thyroid function test, if a single hormone, then TSH which shows amplified suppression an... Read Full »
Query: Hello doctor, I have had Hashimoto's hypothyroidism for 12 years. I have been on tablet Levothyroxine the whole time. I have type 1 diabetes, retinopathy, psoriatic arthritis, non-alcoholic fatty liver disease, and stage 3 chronic kidney disease. My current medications include NovoLog, Tresiba, Losa... Read Full »
Dr. Gulati Ranjitsingh Awtarsingh
Answer: Hello,Welcome to icliniq.com. In Hashimoto's disease, antibodies are constantly formed in the body and are controlled by administering artificial thyroxine hormones. Sugar and blood pressure (BP) have to be monitored, and the values are kept in the normal range by adjusting the dose of Tresiba (Insu... Read Full »
What affects the activity and effectiveness of Synthroid?
Query: Hello doctor, I have been taking 50 mcg of Synthroid for many years. Today my doctor says my numbers got lower and she wants to increase my level of Synthroid a little. She asked if I take any calcium supplements but I do not. However, I read about things that could affect absorption of Synthroid l... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Foods such as cabbage and cauliflower have been seen to contain anti-thyroid properties and these are to be avoided totally if one has hypothyroidism. The foods which you have mentioned do inhibit absorption of thyroid if taken simultaneously.... Read Full »
My husband has an overactive thyroid. What are the treatment options for him?
Query: Hello doctor, My husband has been diagnosed with an overactive thyroid. He received two medicines, tablet Carbimazole 20 mg (twice a day) and tablet Levothyroxine 100 mg. I have an underactive thyroid, so giving him both the tablets seems strange. I researched the NHS website and understood that thi... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Hyperthyroidism can be due to many reasons, including Graves’ disease, multinodular or single nodular goiter. Some endocrinologists prescribe tab Levothyroxine and tab Carbimazole together for active hyperthyroidism and later give Ca... Read Full »
Would hypothyroidism affect my pregnancy?
Query: Hello doctor, I am a 30-year-old female. I am planning for pregnancy. Recently, a thyroid profile shows the TSH at 1.95 mIU/L, T4 at 13.9 mcg/dL, and T3 at 113 ng/dL. I am on Eltroxin 100 mcg and Folic acid. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, you have hypothyroidism (an underactive thyroid disease). From the reports (attachment removed to protect patient identity) you have mentioned, hypothyroidism seems to be well controlled. I suggest that yo... Read Full »
Are low levels of thyroid hormones associated with taking antipsychotics?
Query: Hello doctor, A 44 year old male relative of mine takes the following antipsychotics: Sertraline, Lamotrigine, and Quetiapine. He has been feeling anxious for a few weeks. His recent blood tests show low levels of total T4 and T3 (TSH and free T4 within normal range). Is this condition associated w... Read Full »
Answer: Hi, Welcome to icliniq.com. None of the medications used by your relative is directly related to low levels of total T3 and T4. His current thyroid status is known as a euthyroid sick syndrome. Thyroid supplement should be prescribed only after repeated assessments of thyroid levels. This is bec... Read Full »
Why TSH is high two months after stopping Levothyroxine?
Query: Dear doctor, I had multinodular goiter with normal TSH. I was taking Levothyroxine tablet daily for 12 months. Now, two months after completing the tablets, my TSH is 11.5 (max 5.5). Why? Read Full »
Answer: Hi, Welcome to icliniq.com. As long as you were taking Levothyroxine, your body levels of T3, T4 hormones were maintained at normal levels. Due to your goiter, your body is not producing T3, T4 hormones adequately. But, that is getting compensated by excessive synthesis of TSH (thyroid-stimulatin... Read Full »
How long can I take HRT, and will it cause any trouble when taken for a long time?
Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 13.10 stone. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy. HRT should not... Read Full »