Suggest The Ideal Dosage For Thyronnorm

Brief Answer:
Start with 100mcg thyroid tablet and check TSH after 1 month.

Detailed Answer:
Hi,
Welcome to HCM.

TSH 12.25 is very high which is suggestive of very low thyroid hormones in blood.

You will need to start thyroid tablet (thyronorm 100mcg) once daily on empty stomach to get maximum absorption from the stomach as food might interfere with its absorption.So,Ideally it is taken after 2 hours of having meal or before 45 minutes of meal.Means it is best not to eat anything for at least 1 hour after taking thyronorm.

Check TSH level again after one month and titrate the dose of thyronorm accordingly as per your physican’s opinion.

One more thing it might require some time to stabilize the exact dosage initially but once your dosage will be set then there will be no issue with elevation of thyroid hormones. So no need to worry much.

Continue your thyroid treatment with regular follow-up at your treating physician and if possible check your thyroid profile on every alternative months at initial stages.

And when the dosage will be set you can go for testing every 3 to 6 monthly.

Hope this helps.

Regards,

Dr.Sandip Kabra

---

Brief Answer:
Low calorie diet with regular cardio exercises.

Detailed Answer:
Hello XXXX,
Welcome again,

For weight reduction diet,I will need your present height and weight to calculate your BMI.

However,to lose extra body fat, you must burn extra calories through regular exercises and eat fewer calories.

When it will be done consistently, you'll end up with a daily caloric deficit and you may reduce weight 2 to 4 kg every month.

For that, I will give you some tips regarding diet and exercises which will be helpful to you.

1) Avoid high carbohydrates and fatty foods,take high protein diet.

2) Avoid oily sabjies and ghee on chapati.

3) Avoid outside foods and even ice-cream strictly.

4) Take as much as water in a day as it is flushes the all system from metabolic wastes and toxins.

5) If you want to snack, make sure it is healthy, low fat and low calorie snack.

6) Eat more fresh fruits, vegetables, whole grain products.

7) Do not skip meals, you will end up in overeating later.

8) Start your day with a healthy breakfast. Doing so will make you feel less hungry throughout the day.

09) Keep a record whatever you eat. Plan meals a week advance and stick to it.

10) Replace coffee or tea with black tea or green tea.

11) Continue to take your thyroid medications regularly and do not use any weight losing pills.

12) Start regular cardio exercises like brisk walking, jogging, tread mill, cycling or swimming for about 30 to 45 min which is considered ideal for weight loss and to loose extra fats.

Hope this detailed information will be helpful.

Regards,

Dr.Sandip Kabra

---

Brief Answer:
Regular cardio exercises.

Detailed Answer:
Hi XXXX,
Thanks for sharing more information,

Your BMI is around 27.0 considering height and weight which is high (but not too high). It indicates that your overweight (but not obese) which can be reduced with above precautions and exercises.

As we discussed earlier, you should start regular cardio exercises like brisk walking, jogging, tread mill, cycling or swimming for about 30 to 45 min which is considered ideal for weight loss and to loose extra fats.

You may start with 15 minutes initially and gradually add 5 to 10 minutes every day to reach 45 minutes.

Try sit ups and abdominal crunches to tone up the abdominal muscles.

You can also join some local gym nearby to your house so that your abdominal wall strengthening exercises can be practiced under professional guidance for faster and safer improvement.

By this exercises and dietary precautions,you will start reducing weight within 4 to 6 weeks.

Hope this detailed information will be helpful.

Regards,

Dr.Sandip Kabra

---