Thyroxine is a drug that is prescribed for patients with hypothyroidism as a hormone replacement for underactive thyroid. Normal levels are essential for the energy uptake and proper functioning of almost all the organs of the body.

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Am I safe to exercise with premature ventricular contractions and bigeminy conditions but no structure heart problems?

Query: Hello doctor, I have PVC and bigeminy. I have had tests done and I do not have structural heart problems. Are alcohol and exercise harmful in case of PVC and bigeminy? Also, is it absolutely safe to exercise, if I have PVC and bigeminy during exercise and afterward as well? I take Thyroxin, bu...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Exercise is safe as you do not have any structural heart disease. Just keep observing if PVC (premature ventricular contractions) increases after exercise.Alcohol tends to increase PVC and bigeminy. So, you will need to avoid it. Also, smoking, drug abuse, and caffeine...  Read Full »

What could be the reason for the change of hyperthyroidism to hypothyroidism after taking medication?

Query: Hello doctor,I am a 35 year old male. I had a hyperthyroid since the last five years and was taking Carbimazole 5 mg thrice a day for the last two and a half years. Then, last month, I got my complete physical test done, and I got to know that my hyperthyroid had shifted to hypothyroid. So, the do...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query about your thyroid dysfunction and saw your reports in detail (attachment removed to protect patient identity). It appears that you were diagnosed with hyperthyroidism initially and were treated accordingly. The problem occurred when you had ...  Read Full »

I am taking 50 mg of Thyroxine, and today my TSH level was 0.014. Please help.

Query: Hi, I have thyroid. I am taking 50 mg of Thyroxine. Today I tested my thyroid hormone. This shows the TSH level is 0.014 mU/L. Please suggest your opinion.  Read Full »

Dr. Bhadragiri Vageesh Padiyar

Answer: Hi, Welcome to I understand your query. Thanks for briefing me regarding the problem of concern. Your thyroid levels have gone off the range, and this is mainly because you are at higher doses of Thyroxine. Please bring down the dosage from 50 mcg a day to 25 mcg a day as soon as poss...  Read Full »

My boyfriend has hyperthyroidism and is on Thyroxine; but they do not help. Are there any OTC products that can help?

Query: Hi doctor, My boyfriend has hyperthyroidism and is on Thyroxine. He is a twice-over-testicular cancer survivor and has suffered from thyroid issues for the last six years. It has gotten so bad that he can barely get out of bed. His blood pressure skyrocketed, and his GP put him on BP medicines for t...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I read your question carefully and would explain that his symptoms could be related to chemotherapy and thyroxine treatment. Unfortunately, there is no OTC (over-the-counter) drug that can help improve his situation. The most important thing is to find the cause of ...  Read Full »

I am 22 weeks pregnant with a TSH level of 6.98 mIU/mL. Should I take a Thyroxine tablet?.

Query: Hi doctor, I am 22 weeks pregnant. Recently, I got my TSH level checked, and the result was 6.98 mIU/mL. The normal range shows from 0.4 to 7 mIU/mL. Is there any need to take a Thyroxine tablet? Kindly let me know.  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I understand your concern. I just read your query, and from what you have mentioned, you have a normal TSH (thyroid stimulating hormone). However, it would be best to have your T3, and T4 checked to be on the safe side. If you are not having any thyroid disorder pr...  Read Full »

What can be done for canceled IVF due to empty egg syndrome?

Query: Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done b...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertili...  Read Full »

Is Thyroxine an effective medication for under-functioning of the thyroid?

Query: Hello doctor, I am a 46-year-old female, and I am pre-menopausal. My present weight is 54.5 kg, and my height is 158 cm. Eight years ago, I have been diagnosed with under-functioning of my thyroid and since then I have been taking the medication, Thyroup. I started this medication at 25 mcg. But, as...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query. From what you have mentioned, it appears that you have hypothyroidism. From seeing your recent TSH (thyroid-stimulating hormone) values in your recent reports (attachments removed to protect patient identity), I suggest that you must increa...  Read Full »

I am under medication for hypothyroidism for five years and my recent reports show elevated thyroid antibodies. Kindly help.

Query: Hello doctor, I have had hypothyroidism for five years, and I am using Thyroxine 25 mcg. Recently I checked my TSH levels, and the value was less than 0.13 mIU/L, and my anti-thyroglobulin antibodies level at 41 IU/mL (positive). My anti-thyroperoxidase antibody value was 5 IU/mL (negative). T3 and ...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I read your query and understand your concern. From what you have mentioned, you appear to have been overcorrected for hypothyroidism. What was your first TSH (thyroid stimulating hormone) value when you started the treatment? I suggest you take Thyroxine tablets alte...  Read Full »

Is laparoscopy needed for retention cyst in the ovary?

Query: Hello doctor, I am a 33 year old woman weighing 56 kg and 5 feet tall. We are trying for a baby for more than a year. Recently I underwent treatment and have completed two cycles of Clomid with no positive outcome. I had another unsuccessful try at IUI along with Clomid. From the last couple of m...  Read Full »

Dr. Neha Rathod

Answer: Hi, Welcome to After going through your reports (attachment removed to protect patient identity) carefully, I feel it is better to undergo a laparoscopy because of the cyst size. Any ovarian cyst of more than 3 cm needs a surgical intervention. Laparoscopy will also increase th...  Read Full »

TSH is very high in a CMV IgG positive patient. Can she become pregnant?

Query: Hello doctor,We are trying for pregnancy. My wife recently got some tests done namely a TORCH profile with the primary sample being serum through the ECLIA method. The toxoplasma IgG was 500.0 positive IU/mL and rubella IgM was 0.20 with negative COI. With the ELISA method, there is HSV I and II IgG...  Read Full »

Dr. Ravinder Kaur Khurana

Answer: Hello, Welcome to Your wife is immune to rubella and CMV (cytomegalovirus). If you just want to be sure about the recent infection get an avidity testing for CMV and rubella infection. Your TSH (thyroid-stimulating hormone) is very high. You need to see an endocrinologist or physi...  Read Full »

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