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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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TSH Is Low. Overweight. Going Through Premenopause. Have Kidney Stones. Had Thyroidectomy And Lithotrispy. Suggestions?

I am having a host of issues I think are all pointing back to my thyroid. I am having trouble getting into my GP and I really want some answers. I had a thyroidectomy in 2000 removing the left lobe and center of my thyroid. My most recent test was 4/2/13. My levels are TSH-0.11, T3-30, T4-7.3, Free T4-2.2. I am not sure why the TSH is so low and the others are within the normal ranges. I am 30 pounds overweight and I can not seem to lose it with diet and exercise. Secondly, I'm apparently going through perimenapause because I have been having raging hot flashes and I have not had a regular cycle since January. Lastly, I had several kidney stones (all small except one) and had lithotripsy two weeks ago. Needless to say... I feel like poop and I'm not really sure where to start and where to go from here.
Thu, 16 May 2013
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Internal Medicine Specialist 's  Response
hello
as you have said you are a patient of thyroidectomy , and your fresh thyroid status shows subclinical hyperthyroidism with low tsh and normal t3, t4, in perimenopusal status, with kidney stones

in perimenopausal period women have increased calcium absorption from bones and hence more stones

hot flushes are common in perimenopausal period and best treatment is vitamin e with venlafaxine

subclinical hyperthyroidism again causing more calcium absorption and hence more stones

your residual thyroid has become over active or about to become overactive .....treatment is complete thyroidectomy or neomercazole

you need to go to endocrinologist for thyroid problems

gynaecologist for hot flushes

nothing to worry about , follow my advice and your problems will be solved in a week
take care

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TSH Is Low. Overweight. Going Through Premenopause. Have Kidney Stones. Had Thyroidectomy And Lithotrispy. Suggestions?

hello as you have said you are a patient of thyroidectomy , and your fresh thyroid status shows subclinical hyperthyroidism with low tsh and normal t3, t4, in perimenopusal status, with kidney stones in perimenopausal period women have increased calcium absorption from bones and hence more stones hot flushes are common in perimenopausal period and best treatment is vitamin e with venlafaxine subclinical hyperthyroidism again causing more calcium absorption and hence more stones your residual thyroid has become over active or about to become overactive .....treatment is complete thyroidectomy or neomercazole you need to go to endocrinologist for thyroid problems gynaecologist for hot flushes nothing to worry about , follow my advice and your problems will be solved in a week take care