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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Thyroid Cancer?

I had thyroid cancer years ago and had a thyroidectomy and radiation ablation. I was on Synthroid 150mg for years, after menopause my doctor lowered my dosage and I became symptomatic, cold hands, dry skin, and weight gain of 12 lbs in less than 6 months ( I watch my weight and have maintained the same wt for 10 years and I haven t changed my diet or exercise.) He added Cytomel 5mg once daily at my urging the cold intolerance is slightly better, but not cured my hands are still cold and I am still too cold to get into the pool most days, my question is about the Cytomel dose. I have been doing some studying and most the literature calls for a dose in morning and one at night I was wondering if this would help my symptoms since I have had some improvement but not much. I have stopped the weight gain, but I have not lost the extra pounds I put on during the change. My thyroid levels are normal so my doctor has not changed the dosage, bu my symptoms are not. Thank you,
Mon, 13 Jun 2016
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General Surgeon 's  Response
Madam, i am relieved to know that your Thyroid hormone levels have been normal and as such i also see no medication modification especially of CYtomel is warranted as of now. Your bothersome of cold hands might be due to low oestrogen hormone that accompany menopause , Please get checked once your Estrogen level once and if found lower, please consult an endocrinologist who may suggest replacing it after ruling out estrogen dependent Breast Neoplasm also.
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Hematologist Dr. Hardik Sanghvi's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You had thyroid cancer and you have gone through total thyroidecctomy.
Now you are on external thyroid hormone support.
After reduction of dosage you develop symptoms of hypothyroidism. So you need to adjust the dosage of synthroid (levothyroxine) again. Consult your doctor and take treatment accordingly.
Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.
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What Are The Symptoms Of Thyroid Cancer?

Madam, i am relieved to know that your Thyroid hormone levels have been normal and as such i also see no medication modification especially of CYtomel is warranted as of now. Your bothersome of cold hands might be due to low oestrogen hormone that accompany menopause , Please get checked once your Estrogen level once and if found lower, please consult an endocrinologist who may suggest replacing it after ruling out estrogen dependent Breast Neoplasm also.