Other labs that were out of the normal range are as follows:
- Ferritin: 31 ng/mL (her other iron results were normal).
- Differential (Audo Diff) Neutrophils: 66%.
In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno help but keep coming back to the thyroid and wonder if this is not where we should focus our efforts.
Any thoughts please?
","answerCount":0,"datePublished":"2014-10-15T17:20:39","author":{"@type":"Person","name":"Anonymous User"}},"acceptedAnswer":{"@type":"Answer","text":"\"Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some?
\r\nYou have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well.
\r\nTreat her with Propranolol 10mg twice a day to beat the anxiety and palpitations.
\r\nGet back to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist
","url":"https://www.icliniq.com/qa/thyroid/suffering-subclinical-hyperthyroidism-with-anxiety-and-palpitations","datePublished":"2014-10-15T17:20:39","author":{"@type":"Person","name":"Dr. Meenal Mohit Vohra","url":"https://www.icliniq.com/doctor/dr-minal-mohit-vohra"}}}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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Endocrinology
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