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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fatigue And Dizziness Be Treated?

Hello. I am 38 years old and I have hasimoto. I am in medication of combination of 62 and 75mg t4. I still feel tired. Even in the past when my tsh was in a good levels I always had symptoms like fatigue dizziness vertigo etc. My last test when i was in t462mg were Tsh 6.45 T4 8.45 T3 1.21. So my doctor increase my dose and I take 4 times a week 75mg and the rest 3 I take 62mg. I am in Africa and I cant visit a doctor. I need energy in my body. I feel like I have luck of Energy permanently. I never lost weight even if I am in a diet. But I don t care so much about the weight. I wonder if I can take some t3 a small dose. Thanks in advance.
Tue, 18 Sep 2018
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General Surgeon 's  Response
Hi,

One possibility for light-headedness would be anemia, which commonly manifests with dizziness and tiredness.

Heart rhythm and function abnormalities would also lead to the insufficient blood supply to the brain and other organs so would also justify those symptoms.

Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.

If the symptoms have appeared only very recently it might be a simple transitory viral infection which is generally transitory and need only rest and hydration.

The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones.

So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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How Can Fatigue And Dizziness Be Treated?

Hi, One possibility for light-headedness would be anemia, which commonly manifests with dizziness and tiredness. Heart rhythm and function abnormalities would also lead to the insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which is generally transitory and need only rest and hydration. The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon