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Suggest Treatment For Back And Legs Pain While On Thyronorm

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Posted on Tue, 9 Aug 2016
Question: Hi Doctor,

My self XXXX,aged 39, having Thyroid and continuing medicine called Thyronorm 50+12.5MCG since 2 years.

Now my TSH level is 3.6 which is normal and in the admissible range.

But my weight is 69.6Kg ,height 154cm.
So my query is am I overweight due to thyroid?

Do I've to continue this thyroid medicine life long,bcoz I've always back pain and legs joint pain in lower leg part.

Also how to reduce weight in the long term my weight is stay at 69 kg range not atall reducing or increasing.
Regards,
XXXXX

Pls suggest.
doctor
Answered by Dr. Shehzad Topiwala (59 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Whether or not you need thyroid medicine for life, is a complex decision. In order to make this diagnosis accurately as to whether you have a permanently under-active thyroid, a thorough in-person evaluation is required.

But if your thyroid antibodies are positive, it is quite likely you will need your thyronorm for life.

Based on your current TSH, it is unlikely that you are overweight due to the thyroid problem.

Check with your doctor if you should be screened for uncommon conditions like Cushings syndrome and Acromegaly, because these cause weight gain too.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Back And Legs Pain While On Thyronorm

Brief Answer: Thyroid Detailed Answer: Sorry to learn about your bothersome symptoms. Whether or not you need thyroid medicine for life, is a complex decision. In order to make this diagnosis accurately as to whether you have a permanently under-active thyroid, a thorough in-person evaluation is required. But if your thyroid antibodies are positive, it is quite likely you will need your thyronorm for life. Based on your current TSH, it is unlikely that you are overweight due to the thyroid problem. Check with your doctor if you should be screened for uncommon conditions like Cushings syndrome and Acromegaly, because these cause weight gain too. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day