Dr. Shaikh Sadaf
Endocrinology
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Patient's Query
Hello doctor,
I am on a low dose of Seroquel, which suppressed my thyroid FT4 and, subsequently, my FT3 during these three years of recovery from Hashimoto’s disease. I have stopped Seroquel, and my exogenous administration of testosterone is reduced to half from 700 to 387. Do Seroquel increases the prolactin levels? My sugar levels drop quickly after meals, and I have low genetic TBG. If I increase my exogenous testosterone back to the previous level, will my TT3 level get lowered? I am on Propranolol and my last Seroquel dose of 25 mg. It was affecting my eye sight, so I stopped it, and my FT4 was always low after Hashimoto’s recovery.
Hello,
Welcome to icliniq.com.
I understood your question, and the answer is:
An increase in testosterone dosage will not suppress T3 (triiodothyronine) levels. It will take some time to recover from the consequences due to the long term administration of Seroquel (Quetiapine). Propranolol can cause low testosterone levels, so no point in artificially increasing the testosterone.
Patient's Query
Thank you doctor,
I am having low genetic TBG. I had urine FT3 with blood and urine. My urine FT3 levels are higher. It has been such a crisis for me and ER. I was not on a high dose of Propranolol when I had the test. How much will 80 mg Propranolol reduce testosterone? I was on the Propranolol dose three days when that tests was done.
Hello,
Welcome back to icliniq.com.
It could have been an adrenal crisis when you were in the ER (emergency room) due to low blood sugar. I cannot suggest what you are asking for as it has not been researched upon and mentioned in any journal or randomized control trial, and also it could produce deleterious effects.
Patient's Query
Thank you doctor,
1) Will exogenous testosterone lowers TBG?
2) Shall I get another thyroid panel test? Do you recommend any other test?
3) Will stopping Seroquel increase my insulin level? Will that calm down?
4) As I try to lower Propranolol, my blood sugar level drops again, and I got nervous weakness. Will they subside once the insulin levels are normal so I can get off Propranolol eventually?
Hello,
Welcome back to icliniq.com.
1) Obesity, insulin resistance, hypothyroidism, nonalcoholic fatty liver disease, and androgenic steroids lower TBG and the reversal of these can increase it.
2) It will take 6 to 8 weeks to observe change in thyroid test result. No other tests necessary at the moment.
3) Seroquel can cause insulin resistance, and it will take some time for the withdrawal effects to settle down.
Please do not stop the medicines on your own. It could take a couple of months to a year for the symptoms to settle down.
Patient's Query
Thank you doctor,
Will the combined effect of increased cortisol and lowered testosterone cause feeling of more anxious?
Hello,
Welcome back to icliniq.com.
Yes, the combined effect of increased cortisol and lowered testosterone will cause more anxiousness.
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Endocrinology
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