How to manage low TSH level?

Question

Hi doctor,

Four years ago, my younger brother began experiencing a burning sensation in his legs. Suspecting a back problem, he underwent an MRI (magnetic resonance imaging). Despite numerous blood tests, no specific issue was identified. He later moved to another city, where he underwent additional MRIs and scans, still without conclusive results. Although his blood tests showed normal results overall, his TSH (thyroid stimulating hormone) levels were found to be lower. To this day, he continues to experience the persistent burning sensation in his legs. A doctor suggested that the lower TSH levels may be the cause and recommended hormone supplementation. Currently, he is taking the following medications:

Nervive (vitamin).
Daflon 100 mg.
Prozac (Fluoxetine hydrochloride) 20 mg.
Amaday 10 mg (for blood pressure).
Alparazolam 0.5 mg.
Pregsafe (Methylcobalamin, Pregabalin)75 mg.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I am sorry to learn about your brother's persistent burning sensation in his leg and back problem. It appears he has undergone several tests and investigations, yet the cause of his symptoms remains unidentified. I understand your concern for his health. It is worth noting that his TSH (thyroid stimulating hormone) levels are normal, indicating he does not require hormonal replacement. However, to further investigate the leg burning sensation, it would be beneficial to check his vitamin B12, LFT (liver function test), fasting blood sugar, PP (postprandil) blood sugar, and KFT (kidney function test). Please get in touch with me with all his reports. Additionally, it is advisable for your brother to discontinue all herbal medications. He should continue taking his current prescribed medications and inform his healthcare provider about all substances he is consuming, including over-the-counter or herbal supplements. This ensures there are no potential interactions or contraindications with any new medications that may be prescribed. Encourage your brother to openly communicate with his healthcare provider regarding his symptoms and any concerns he may have. They are best equipped to provide personalized advice and guidance tailored to his specific situation.

If there is anything else I can assist you with, please feel free to let me know. Take care.

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Thank you.