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Suggest Treatment For Hypothyroidism

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Posted on Wed, 9 Apr 2014
Twitter Wed, 9 Apr 2014 Answered on
Twitter Fri, 25 Apr 2014 Last reviewed on
Question : Hi, i was having tsh level 8 in january. after that i consult a doctor and started eltroxin 50mg and started a weight management program. there was no other medicines. within 1 month my tsh level fell to 1.4. after 1 month it was 1.2. after the consultation from the weigt management team and my doctor i stopped medicine. now the tsh level is 21 and rest everything is normal. what should i have to do now? could u pls guide me.
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Answered by Dr. Vaddadi Suresh (5 hours later)
Brief Answer: You should not have stopped it. Detailed Answer: Hi XXXX, Hope you are in good health. I do not see any reason why thyroid tablet is stopped. you were diagnosed with hypothyroidism, kept on tablet after which it improved and the next moment, you stopped it. There lies the mistake. Your thyroid function stabilized after taking tablets, meaning, you should continue to take the same dose at least for 2 years or till you develop signs of toxicity, when it should be ideally tapered and stopped. Now i would suggest you to restart the tablet at the same dose of 50 mcg, and get re-tested after 8 weeks. You should be fine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaddadi Suresh (6 minutes later)
im trying for pregnancy also. is there any problem with this?
doctor
Answered by Dr. Vaddadi Suresh (13 minutes later)
Brief Answer: No, it will be fine. Detailed Answer: Hi, No. As you know it earlier, you can use the tablets so that your preg will be fine. REMEMBER- A pregnant needs 50% extra thyroid hormone than a non pregnant female. So keep using 50 for now, once you are diagnosed with pregnancy, your doctor re tests for thyroid and will probably increase the dose to 62.5 or 75 mcg. It is suggested to take calcium supplements along with thyroid tablet to prevent bone loss ( A common side effect of thyroxine). If you are closed with the discussion, please rate it. Thank you in advance and all the best for your pregnancy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

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Suggest Treatment For Hypothyroidism

Brief Answer: You should not have stopped it. Detailed Answer: Hi XXXX, Hope you are in good health. I do not see any reason why thyroid tablet is stopped. you were diagnosed with hypothyroidism, kept on tablet after which it improved and the next moment, you stopped it. There lies the mistake. Your thyroid function stabilized after taking tablets, meaning, you should continue to take the same dose at least for 2 years or till you develop signs of toxicity, when it should be ideally tapered and stopped. Now i would suggest you to restart the tablet at the same dose of 50 mcg, and get re-tested after 8 weeks. You should be fine.