Dr. Shaikh Sadaf
Endocrinology
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 37-year-old woman who is 5.6 feet tall and 132 lbs in weight. I was diagnosed with PCOS when I was 14-years-old. Two years ago, I was diagnosed with insulin resistance and hypothyroidism, for which I am taking T4 50 μmg. Now, I feel constant bloating, and my abdomen is distended. I have cramps in my thighs and buttocks. In addition, I have hair loss also. Two months ago, I contracted a ringworm infection, and the hair loss is more intense now. I also contracted COVID at the beginning of this year which worsened my hypothyroidism.
Can you please help me resolve my symptoms?
Hi,
Welcome to icliniq.com.
I went through your query and understood your concern.
Fortunately, your hormone levels are within the normal ranges, and the symptoms you mentioned suggest food sensitivity and are likely due to gluten. So I suggest you avoid bread, wheat, oats, and barley for six months and then observe your symptoms over this period. The cramps are suggestive of magnesium and vitamin D deficiency. So I suggest you follow the instructions mentioned below,
1. Start taking tablet Magnesium glycinate (dietary supplement) 200 mg once daily for three months but do not take it along with your thyroid medicines.
2. Take a tablet of Vitamin D 5000 IU (International Units) once in three days for three months.
3. Take tablet Vitamin B complex such as Neurobion forte twice daily.
Kindly consult a specialist, talk with them and take the medications with their consent.
Kindly follow up again for a review after three months.
Take care.
Patient's Query
Hello doctor,
Thank you for your reply.
I do not have cramps, as you mention. I only have abdominal bloating. Is that what you meant? Also, I cannot stop taking T4 thyroid hormone because I did it once for a month, and I did not feel well after that. However, if I have to do it, what counter measures should I take when the TSH exceeds? And, what can I do about insulin resistance?
Please help me.
Hello,
Welcome back to icliniq.com.
Yes, you mentioned, there are cramps in the thighs and bloating in the abdomen. And, when TSH (thyroid stimulating hormone) levels exceed their normal limit, I suggest you contact a doctor immediately; you cannot do anything on your own. And regarding insulin resistance, intermittent fasting can be beneficial.
I hope this was helpful.
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Endocrinology
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