Q. Do I have to face hair loss, skin pigmentation, sleep disorder, and increased weight because of my thyroid issues?
Hi doctor,
I am a 37-year-old female of weight 65 kg and height 5 feet 1 inch. I took Thyrox 50 mg for one year, and I am currently taking Thyrox 25 mg. Now, I face extreme hair loss and hair dryness, skin pigmentation near eyebrows, and sleep disorder. My weight is also increasing. One week back, I took a new thyroid report, which showed T3: 0.92 ng/dL, T4: 9.33 ng/dL, TSH: 5:43 uIU/mL. Kindly help.
Hi,
Welcome to icliniq.com.
I understand your concern. Thyroid dysfunction can lead to hair thinning. The dose you are taking is relatively low, but your thyroid function tests are fine. I would like to know the following:
1) Do you have any other symptoms like constipation, feeling low mood, tiredness?
2) Have you previously done thyroid peroxidase antibodies (TPO)?
I will suggest you do TPO antibodies if not done before, and if it is positive, we may need to increase the dose to 50 mcg three days a week and 25 mcg four days a week if you have other symptoms well. Usually, our target is to keep thyroid-stimulating hormone from 0.5 to 4 mIU/L, but if symptoms are there, we can lower it down to 2.5 mIU/L.
Hair issues can be there because of local or systemic problems other than thyroid, so if you still have the same issue, you may need to see a dermatologist or hair specialist to find out the different causes of hair loss.
Kindly revert in case of further queries.
Hi doctor,
Thank you for the reply.
I have not done the TPO antibodies test yet. Very rarely, I feel low and have mood swings as well. Kindly help.
Hi,
Welcome back to icliniq.com.
I understand your concern. I suggest the following:
1) Do a TPO antibodies test and let me know.
2) Repeat thyroid-stimulating hormone test after six weeks. The target of thyroid-stimulating hormone would be 2.5 mIU/L.
3) Increase the doses of medications and lower thyroid-stimulating hormone, and bring free T4 (thyroxine) a little more. It will help in weight, skin, and hair issues.
Kindly revert in case of further queries.
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