T3 (Triiodothyronine) and T4 (Thyroxine) are hormones produced by the thyroid gland. The average level of T3 is 80 to 180 ng/dL, and T4 is 4 to 12 ug/dL. Increase or decrease in this levels causes metabolic disorders like hypothyroidism and hyperthyroidism.
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My thyroids are enlarged and asymmetrical. Should I visit an endocrinologist?
Query: Hello doctor, I am a 32 year old woman, who in the last six months began to experience thyroid symptoms. I am in the process of looking for a new physician, but I live in a very remote area with a significant shortage of medical professionals, so I am in a lot of ways on my own here. My mother had ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks a lot for such a detailed history, it makes my job easier. I would want to know what was the result of the biopsy or FNAC (fine needle aspiration cytology). Based on that, I shall be in a better position to tell you the next step. Your thyroid is functioning to ... Read Full »
I have weight gain with reduced menstrual flow. Do I need thyroid medicines?
Query: Hello doctor, I am a 38 year old female. I am having a recent weight gain and menstruation flow is very less than normal. I also have hair fall, tiredness and I feel there is something blocking my throat. Sometimes, I feel cold than other family members. So, I checked my thyroid levels. T3 was 0.87,... Read Full »
Answer: Hi, Welcome to icliniq.com. Your symptoms do fit into thyroid problem, but as long as the reports are normal you are not a candidate for medication. There is no need to consult an endocrinologist, but yes, some lifestyle changes have to be done. Do daily exercises like brisk walking, jogging or cyc... Read Full »
Is there a natural way to reduce the chance of surgery for thyroid nodules?
Query: Hello doctor, I am a 41 year old male. My weight is 196 lbs and height is 6 feet. I have nodules in the thyroid gland since last two years. Initially, it started as a feeling of imbalance in the head about two years back. The initial assumption was vertigo and later it was found to be a small nodul... Read Full »
Answer: Hi, Welcome to icliniq.com. Basically, your scan reports (attachment removed to protect patient identity) are showing that you have thyroiditis (inflammation of the thyroid gland) along with a nodule in the thyroid gland. Because of this problem you are having the symptoms. Initially,you had hyperth... Read Full »
Can pregnancy be planned if the TSH level is 7.19?
Query: Hi doctor, I am 32 years old and having a kid. Currently, my TSH value is 7.19. I am using 75 mg thyroid medicine. How much dosage should I take? I am planning for another kid. Shall I plan for a pregnancy at this stage? Read Full »
Answer: Hi, Welcome to icliniq.com. It is important not to miss any dose. It is important to take your medication in an empty stomach and at least 45 minutes before food. It is advisable to keep thyroid-stimulating hormone TSH less than 2.5 mU/L before planning for pregnancy. Please repeat T4 and TSH aft... Read Full »
Which of the two opinions for my TSH value is correct?
Query: Hi doctor, I am very concerned about my health. I made an appointment last year with an endocrinologist. I had a laboratory work and my TSH was 3.4. It was considered normal on laboratory ranges. But, my primary doctor said that 3.4 is high on what it should be consider the new normal. My LDL chole... Read Full »
Answer: Hello, Welcome to icliniq.com. Work up of hypothyroidism involves just TSH (thyroid stimulating hormone) or TSH and free T4. TT3 (triiodothyronine) or reverse T3 has no role in the diagnosis of hypothyroidism and it is useful in hyperthyroidism. TSH more than 10 is hypothyroidism and definite... Read Full »
What medicines can I take for my thyroid problem?
Query: Hi doctor, I am 40 year old. Recently I tested my thyroid and the report shows T3 - 1.1, T4- 8.4 and TSH - 6.7. Please advise me which medicine is currently safe for me. My health problem includes fatigue and occasional depression. Also my lips are dry. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. Read Full »
What is thyroglobulin antibody test?
Query: Hi doctor, I just received a test back from my immunologist and I am trying to understand what it means. I am suffering from fatigue and chronic sinusitis. I have CVID and get infusions every three weeks. I have been having adverse reactions to the infusions. So, they ran several tests and this is ... Read Full »
Answer: Hi, Welcome to icliniq.com. This is a test to detect whether your body is producing antibodies against your thyroid gland. A high value indicates that your body is producing antibodies against your thyroid gland. In simple words, it means your body is itself destroying its own thyroid gland. ... Read Full »
Is high TSH after delivery a sign of postpartum thyroiditis?
Query: Hi doctor, My wife, who is 29 years old, had symptoms of tiredness and dry skin. So, we tested her thyroid function. I found that her serum TSH level was 150 as well as free T4 below normal. Is this symptom of hypothyroidism? She delivered a baby seven months ago and the test was done recently. She ... Read Full »
Answer: Hi, Welcome to icliniq.com. It could be postpartum thyroiditis or unmasking of autoimmune hypothyroidism. As it is most likely to be the latter, kindly start her on Thyroxine 75 to 100 mcg once daily (Levothyroxine) depending upon her weight. Check TSH (thyroid stimulating hormone), FT4 (free T4), A... Read Full »
I have a dull headache. Can it be related to thyroid issue?
Query: Hi doctor, I have been diagnosed with Hashimoto's five months ago. My anti-TPO and anti-TG were 115 and 33 respectively. My TSH was 1.5 and FT4 1.1, so normal function. Two months ago, I started having palpitations and tested my thyroid again. TSH was 0.0018 (suppressed), FT4 2.66 and FT3 7.8. I was... Read Full »
Answer: Hi, Welcome to icliniq.com. You have written a very detailed and engrossing history. Well done! The diagnosis of Graves' is usually made with a technetium scan of thyroid which I am not sure it was done or not. Regarding your dull ache of the head, is it present throughout the day or just morning... Read Full »
My recent thyroid function tests suggest high TSH levels. How can I manage my thyroid levels?
Query: Hi doctor, My recent thyroid function test results showed a high TSH level of 169 uIU/ml, with T3, a Total of 0.23 ng/mL, and T4, a Total of 2.5 µg/dl. I am unable to consult a specialist for further advice. Could you please provide me with guidance on managing my thyroid levels and steps to impro... Read Full »
Answer: Hello, Welcome to Icliniq.com. I have gone through your case and I understand your concern. Repeat thyroid function test after one month to check for hypothyroidism. If TSH( thyroid stimulating harmone )is still high, get an ultrasound of the neck for the thyroid. You may need to take daily thyro... Read Full »