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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Improve A Low T4 Level?

I have not seen the results on paper myself yet i havve an appointmnet on Friday to review with the MD howeer i am always teh first one to look things up to be sure i understand enought to ask the right questions at the right time. I have been dx in the past wit Hyperthroidism completed a round of topamax and resluted in normal TSH and T4. My levels are now off again this time with the TSH normal and teh T4 low...what could be causing this??
Tue, 4 Jul 2017
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  Anonymous's Response
's  Response
Thanks for asking.
few queries

Do you have headache/associated loss of vision/associated nausea and vomiting/ difficulty in seeing side objects?
*Any loss of chest hair/ sexual hair-axillary or pubic/ any erectile dysfunction or amenorrhea?
*Any history of postural dizziness/recurrent low BP / recurrent admission for low sodium/ increased tiredness?
*Any history is goiter/constipation/ facial edema/leg swelling/slow mentation/ memory loss/dry skin/ yellowish tinch of skin?
*Any milk like secretion from breast/ infertility/ no periods?
Any thigh or arm muscle weakness/ hump in the back/ moon face/ any reddish pink marks on stomach towards the side - not referring to stretch marks?
*Do you feel like your hand or foot size is increasing/ your nose is becoming bigger/ changing dress size?
*Associations
Any history of bone pain/ abdominal pain/gastritis/constipation/depression/renal stones
Have you checked your eyes?


your normal TSH and decreased T4 suggest pituitary hypothyroidism
kindly do a Free T4
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How To Improve A Low T4 Level?

Thanks for asking. few queries Do you have headache/associated loss of vision/associated nausea and vomiting/ difficulty in seeing side objects? *Any loss of chest hair/ sexual hair-axillary or pubic/ any erectile dysfunction or amenorrhea? *Any history of postural dizziness/recurrent low BP / recurrent admission for low sodium/ increased tiredness? *Any history is goiter/constipation/ facial edema/leg swelling/slow mentation/ memory loss/dry skin/ yellowish tinch of skin? *Any milk like secretion from breast/ infertility/ no periods? Any thigh or arm muscle weakness/ hump in the back/ moon face/ any reddish pink marks on stomach towards the side - not referring to stretch marks? *Do you feel like your hand or foot size is increasing/ your nose is becoming bigger/ changing dress size? *Associations Any history of bone pain/ abdominal pain/gastritis/constipation/depression/renal stones Have you checked your eyes? your normal TSH and decreased T4 suggest pituitary hypothyroidism kindly do a Free T4