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What Do These Thyroid Test And Vitamin D Levels Indicate?

Posted on Mon, 14 Sep 2015

Question: Hello Sir, I did Thyroid Test. Results are as follows:
THYROID STIMULATING HORMONE (TSH )= 2.27 μIU/ml (0.30 - 5.5)
TRIIODOTHYRONINE(T3) =135 ng/dl (60-200)
THYROXINE(T4) =1.12 μg/dl (4.5 - 12.0)
Comments :SUGGESTING THYRONORMALCY
Technology =CLIA for all above.
Second Test Done:
Vit-D3 :25-OH- =7.46 ng/ml (<20 ng/ml Deficiency)
Vit-B12:383 pg/ml(211-911 pg/ml)
Symptoms: Stressedd, Body Fatigue, Joint Pain,Neck pain in morning.
Medication at present: cholecalciferol 30000IU per week.

Pl advise what should I do?

Answered by Dr. Ajish TP (36 minutes later)

Brief Answer:
Continue vitamin D

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

Your blood tests is showing low vitamin D. The symptoms you are having may be related to that. The recommended dose of vitamin D replacement is:

60,000 iu weekly once x8 weeks
60,000 iu monthly once x 4 months
60,000 once in 2 months there after as a maintenance dose.

You have mentioned the T4 report as 1.12 which is very low. It could be a typing error or a lab error. Please repeat it or do a free T4 if it is really low.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (13 minutes later)

Dear Dr.Ajish

Thanks for advice.
Yes You are correct on T4. It is 8.6 μg/dl.
secondly by mistake gender was wrongly selected instead of Male. Age:39 and Sex;Male.
pl advise for 60000IU. Any suggest medicine or Injection.
I'm using Calcirol XXXXXXX 1 gm from Cadila
Regards
XXXX

Answered by Dr. Ajish TP (1 hour later)

Brief Answer:
It's the same medication

Detailed Answer:
Hi XXXXXXX XXXX,

Welcome back.

Thyroid function is normal.

Calcirol XXXXXXX 1 g granules contain 60,000 iu of vitamin D. Only oral medications are needed. Injections are needed only for people with malabsorption.

You can check 25 hydroxy vitamin D after 6 months to see if it is normalised.

Regards
Dr Ajish TP

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