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Is TSH Level Of 10 A Cause For Concern?

Posted on Tue, 8 Nov 2016

Question: i am little confused for taking medicines since i was not taking any before 2 years. i developed tsh 10 and vitamin d less than 15 and diabetis 119/160 and total cholestrol 250 and bp 165/85 in 2014 i was advised 50 mcg thyronorm,2mg coversyl,gp1 and vitamin d3 60000 for eight weaks. my tsh became normal and bp was 118/78 sugar was comming down 80/110 and vitamin d3 55. i was advised to stop coversyl and gp1 and take glsypage 500 after lunch and thyronorm 50 and watch bp every weak. everything was normal suddenly bp was 160/90 on 17.8.2016 and diabetes 130/170 and vitamin d 20 tsh 2.73 i was advised glysypage SR 500,TElma 20 however i was getting lose motion after consuming telma 20 .now i am taking only thyrorom 50 and glysypage 500 . please advise

Answered by Dr. Geeta Sundar (5 hours later)

Brief Answer:
Hi, TSH of 10 or under 10 does not require any treatment.

Detailed Answer:
Hi,

TSH of 10 or under 10 does not require any treatment. You have borderline Diabetes and Hypertension. Sounds to me like Metabolic syndrome. Are you overweight or is your abdominal girth more than half your height? You are an ideal candidate for strict lifestyle modification.

Only treatment you really require is Vitamin D substitution once a month and Telma 20. If you get loose motions after Telma 20, an alternative like a small dose of Ace inhibitor like Enalapril 2.5 mg should suffice. But please discuss with your doctor. Diet--no sugar, sweets, fried, refined flour, white rice, sweet fruits, bakery items. Plenty of greens--salads, vegetables, sprouts; Non sweet fruits, pulses, low fat Dairy, brown rice, whole wheat. Reach ideal body weight and waist circumference. Walk at least 5 Km a day.

Hope this has cleared your confusion.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Geeta Sundar (1 hour later)

thanks . for vitamin d can i take uprise 60000 per month which i was taking earlier or lesser. i am now taking thyronorm 50 whether i can stop it as per my doctor if stopped it can go up from 2.73 at present . for total cholostorel 250 whether any medicine is required . bp medicine and vitamin d should be continued for life.
your answers are really convincing. regarding sugar whether i can stop glysypage 500 . the problem which i am facing now is that my pressure is going up when sleeping i dont understand .

Answered by Dr. Geeta Sundar (10 hours later)

Brief Answer:
Hi, Uprise 60k a month is fine.

Detailed Answer:
Hi, Uprise 60k a month is fine. Taper your Thyronorm to 25 micrograms for a week, (half of 50), then 25 micrograms for a week (quarter), then stop. Like I said even if your TSH goes up to 10 it is fine. If your pressure is going up when sleeping get a 'Holter test' done. It will tell you about your 24 hour BP distribution and help your doctor to decide right medicine. Yes Vitamin D and BP medicine may be required lifelong, but with monitoring. Regarding Glyciphage, it is a good drug and if you are overweight, it may also help in that---regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Geeta Sundar (3 days later)

thanks for proper advise . i consulted my doctor he advised me to take uprise 60k every month and coversyl 2mg every day morning since it is suiting me and not worry about cost . he also said about Enam 2.5 which contains emarpil this is less cost and available every where .however my doctor also little confused whether this will also give lose motion etc., whether Coversyl is a good medicine.As per the medical shop if I am buying 4mg and make it half the cost is less. my weight is only 61 kg and i am normal not fat person

my next question is i am having total cholestrol 250 (LDL 165 and HDL 37 ) for the last 10 years i am checking total Cholestrol remains in the range between 223 and
250 and LDL 134 to 165. my doctor says to take Roseday 10 mg for two months and thereafter 5mg in the night with Cobat czl or i have to maintain dieting.
as per my friends if i take this i have to continue for life.i have no complain while climbing stairs etc.,

Doctor, what is your kind advise whether i have to take Roseday . i started taking one spoon flax seeds just 3 days.

Answered by Dr. Geeta Sundar (6 minutes later)

Brief Answer:
Hi, I think like your doctor advised,

Detailed Answer:
Hi, I think like your doctor advised, take Roseday 10 for a month, 5 mg for a month, then 5 mg alternate days for a month, then twice a week for a month. After three months you may continue if it is still slightly raised or you can stop if normal. But meanwhile diet control and exercise should be continued. Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (16 hours later)

i will start taking Roseday 10 from today for a month and thereafter 5mg for a month and thereafter 5mg for alternate days for a month and thereafter saturday and sunday i.e twice a week for a month and thereafter i should cheque if it is normal i will stop or else i should continue whether daily or alternate days or weekly twice

i am also thanking you now i am getting clear ideas to maintain my health.
regards XXXXXXX XXXX XXXXXXX

Answered by Dr. Geeta Sundar (5 hours later)

Brief Answer:
Hi, I'm glad I was of help--regards

Detailed Answer:
Hi, I'm glad I was of help--regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (2 days later)

Dear Doctor
now my bp is normal 120/80 sugar 114/140 . i will inform you after 3 months about cholostorel.

if you can help me i have one small problem which i forgotton. whenever I am

having food morning, afternoon ,evening and night after eating i get bloating .

any solution whether this is because of glysypage 500 which i take in afternoon after meals

Answered by Dr. Geeta Sundar (11 hours later)

Brief Answer:
Hi, Great news! Yes bloating can be due to Glyciphage.

Detailed Answer:

Hi, Great news! Yes bloating can be due to Glyciphage. But in my experience this problem reduces after some time. You can take Glyciphage SR --there will be less bloating--regards

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Above answer was peer-reviewed by : Dr. Raju A.T