My Mom Is On Thyroid Medicine For The Last 4

Posted on Thu, 23 Jun 2022

Question: My mom is on thyroid medicine for the last 4 years. Currently, she is taking Thyroxine 50mcg before breakfast every day.
Attached are her reports for Thyroid profile and CBC. Her current Hb is 9.7.

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
Thyroxine dose may require adjustment. PBS and Iron studies recommended.

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
I have gone through your blood reports.
Thyroid function test (TFT) shows normal TT4 and TT3 but slightly raised TSH.
The dose of thyroixine may require slight increase.
I suggest you to consult your treating physician for clinical assessment, review of reports and thus adjustment of dose.
The complete blood count (CBC) report shows low hemoglobin and low RBC indices - MCV and MCH.
I suggest you to get peripheral blood smear (PBS) examination to look for type of anemia.
Iron studies may also be added to assess the iron stores.
In case PBS shows microcytic hypochromic picture and iron stores are also low then iron supplements may be required.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Kampana