Subclinical Hypothyroidism

Subclinical hypothyroidism is referred to as an early form of hypothyroidism. It is a condition where the body does not produce enough thyroid hormones, and serum TSH (thyroid-stimulating hormone) remains above normal. It can occur due to Hashmito's thyroiditis, injury in the thyroid tissue, and radioactive iodine therapy used in the treatment of hyperthyroidism. The common symptoms are weight gain, fatigue, constipation, depression, and hair loss. It can be managed by Levothyroxine replacement therapy.

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Please help me interpret my annual medical report.

Query: Hello doctor, I am a 43 year old male. I have an active lifestyle with a focus on my diet and daily health regimen. I do not have any significant medical history, except for high cholesterol levels. I want to boost my testosterone levels too, as I hardly have any libido. Unless absolutely warranted,...  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. I have seen your complete list of investigations (attachment removed to protect patient identity). The following are my observations and suggestions: There is an increased cholesterol level, subclinical hypothyroidism, and raised hs-CRP (high-sensitivity C-reactive pr...  Read Full »

Why am I having problems with food digestion and lower abdominal pain?

Query: Hello doctor,I think I suffer from liver and a gastric problem for the past two years. Food is not digested properly. Lower abdomen left side some burning sensation, swelling, and pain were there. Sometimes, I feel the hardness in the lower left abdomen. Bilirubin total is high and bilirubin direct ...  Read Full »


Dr. Ana Karen Pulido

Answer: Hello, Welcome to icliniq.com. Your liver tests are normal. The small increase in indirect billirubin alone (as the one you have) most commonly corresponds to Gilbert syndrome, which is totally harmless. This syndrome is hereditary but has no serious consequences. Mild jaundice may appear under co...  Read Full »

Please check my thyroid test report, where TSH is slightly high, but I do not have any symptoms.

Query: Hello doctor,I did a thyroid test after consulting my gynecologist. I do not have any symptoms or taking any medications. Please check the report.  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have attached (attachments removed to protect the patient's identity), it appears that you have slightly high TSH, and there is no need for treatment at this level of TSH. You need a regular three-month thyroid function test to...  Read Full »

What should be done for the abnormalities shown in the blood test report?

Query: Hello doctor, I am a diabetic patient and I take Cetapin XR 1000 twice a day but, due to some irregularity and working stress my fasting sugar is now 140. In my test report, some other abnormalities were also present, which I have mentioned below: Triglyceride: 151 Cholesterol HDL direct: 35 Cholest...  Read Full »


Dr. Chandra Prakash Tanwar

Answer: Hello, Welcome to icliniq.com. From your reports, I observe you have vitamin D deficiency, subclinical hypothyroidism, transaminitis, and reduced HDL. You are overweight. So, I would advise you to involve in physical exercises, brisk walking, and make dietary modifications. For diabetes, you are al...  Read Full »

Should I start medication for a TSH level of 8.07 mU/L?

Query: Hi doctor,Recently, I got my full body check-up done. The TSH levels came out to be 8.07 mU/L. For the first time, I got abnormal TSH levels and I have never taken any medicine to regulate TSH levels. I only have a weight gain issue.Is it necessary to start medicine for this?I have also been taking ...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi,Welcome to icliniq.com.Thanks for your query. I can understand your concern.According to your statement; you have recently got thyroid function tests done and your TSH (thyroid-stimulating hormone) levels were found to be 8.07 mU/L, which is above the normal range.However; when only TSH (thyroid-...  Read Full »

What is the reason for frequently passing stools since yesterday, and should I continue my thyroid medicines?

Query: Hello doctor,I pass stools five to six times a day, and I feel very weak. I am suffering from thyroid issues. So, I took Thyrox 50 and then the levels got corrected. So, I stopped taking them. Yesterday my thyroids were tested again. I am attaching those reports. Should I restart the medicines and ...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and went through the reports (attachment removed to protect patient identity). From the reports, it appears that you currently do not have any thyroid gland disorders. So, you do not need any medications for it. TSH being slightly high means it ...  Read Full »

What is the reason for my sister getting her menstrual periods every 15 days?

Query: Hello doctor, This question is regarding my sister. She is 33 years old. She is a mother of 6 year old twins. Two months ago, she was diagnosed with thyroiditis. From the last month, she gets her periods, once every 15 days. Kindly tell me the probable reason and the course of action to be taken.  Read Full »


Dr. Sonal Prasad

Answer: Hello, Welcome to icliniq.com. Your sister has subclinical hypothyroidism. Start her on tablet Eltroxin (Thyroxine) 50 mcg, once daily, to be taken early in the morning on an empty stomach. Get the TSH levels repeated after three months. Thyroid abnormalities may be one of the reason for menstrual i...  Read Full »

Can high TSH be due to being overweight?

Query: Hi doctor, Based solely on a TSH (Thyroid-stimulating hormone) of 4.8 and unnamed observed symptoms, my PCP (primary care physician) declared me to have hyperthyroidism and prescribed 25 mcg Levothyroxine daily. I started the regimen and thought I saw a reduction in the edema in my feet (I sit all ...  Read Full »


Dr. Thiyagarajan. T

Answer: Hi, Welcome to icliniq.com. Stop using Levothyroxine. Check TSH and FT4 (free Thyroxine) in 3 months and also add an Anti-TPO (Thyroid peroxidase) antibody. The slightly high TSH is probably due to being overweight and not the other way round. If TSH progressively goes higher (more than 8) and...  Read Full »

My wife's blood reports show high thyroid and eosinophils. Why?

Query: Hello doctor, Recently my wife had a blood test. We found in the report that her thyroid and eosinophils increased. Recently she was sick because of throat infection. She always has throat infection and fever and due to that she gets sick every time. Even after she was out from fever, sometimes she...  Read Full »


Dr. Divakara. P

Answer: Hi, Welcome to icliniq.com. I have gone through her reports (attachment removed to protect patient identity). Her eosinophil count is high, also Mean Corpuscular Volume (MCV) is high. Her cholesterol levels are fine (though they are highlighted in the report). TSH (Thyroid Stimulating Hormon...  Read Full »

How to treat high TSH levels?

Query: Hi doctor, I am a 62-year-old female. I took a blood test, and my thyroid levels T3 - 129ng/dl, T4 - 9.6ug/dl, and TSH 11.8 ul/ml. Please suggest medicine to cure my thyroid problem.  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Your TSH is high and T3, and T4 are normal. It is called subclinical hypothyroidism. You need to take Levothyroxine 25 mcg once daily before breakfast. Take for six weeks, then repeat TSH (thyroid-stimulating hormone). Your TSH target is 0.5 to 5. Let me know your res...  Read Full »

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