Subclinical Hyperthyroidism

Subclinical hyperthyroidism is characterized by undetectable low levels of serum TSH (thyroid-stimulating hormone) with normal serum T3 (triiodothyronine) and T4 (tetraiodothyronine) levels. This happens due to excess intake of thyroid hormones in hypothyroid patients and thyroid cancer patients. It can also occur in Grave's disease, thyroid nodule, multinodular goiter, etc. Signs and symptoms include bone loss, fracture, nervousness, intolerance to heat, atrial fibrillation, tachycardia, etc. All subclinical hyperthyroidism cases do not require treatment.

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How can I manage anxiety without any medications?

Query: Hello doctor, I am a 52-year-old male that has suffered from anxiety and anxiety attacks for years. About a year ago during a stressful time, it got worse. It seemed I was nervous all the time, apprehensive, basically felt terrible. This only made anxiety worse, etc. I take a low dose of Klonopin an...  Read Full »


Dr. Rashi Verma

Answer: Hi, Welcome to icliniq.com. I have read your query. Anxiety requires a two-way approach for its management- psychotherapy, and medication. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you. Psychotherapy: This invo...  Read Full »

Suffering from subclinical hyperthyroidism with anxiety and palpitations.

Query: Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (ca...  Read Full »


Dr. Minal Mohit Vohra

Answer: 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? Thyroidi...  Read Full »

Does low TSH with normal T3 show subclinical hyperthyroidism?

Query: Hi doctor, I am a female, who weighs 71 kg and I am 6.3 feet tall. My TSH was 0.35, and six months later it is 0.73. T3 is 4.9 and T4 is 14.4, which is steady and normal. As I understand it, with low TSH and normal T3 and T4, I am subclinical hyperthyroid, right? My symptoms are anxiety, sweating, w...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. Yes, you are right about that, you have subclinical hyperthyroidism. Your symptoms of anxiety, weight loss, and sweating are because of it. You have not mentioned whether you have any thyroid gland swelling. If so, then it is important to have an ultrasound of the thy...  Read Full »

Can thyroid pills be taken in case of a low level of thyroid-stimulating hormone?

Query: Hi doctor, I am taking a thyroid pill for the last year. But now my thyroid level is low, as you can see in the report. So please suggest to me whether I should continue with the pill or I can stop it.  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. You are a known case of hypothyroidism, and you have been on a thyroid pill for the last year. Your recent thyroid function test has revealed that your T3 (Triiodothyronine) level is 2.20 ng/ml, which is above normal,...  Read Full »

How to manage subclinical hyperthyroidism?

Query: Hi doctor, I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood...  Read Full »


Dr. Shaikh Sadaf

Answer: Hi, Welcome to icliniq.com. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is neces...  Read Full »

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