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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Hypothyroidism?

dear sir, I am virender, 31, a HYPO-thyroid patient from last 2 years. My Symptoms are below: Pain in Joints (especially Knees), Pain in fingers & foots, while walking or standing even for a little time, Stiffness in whole body. Legs, back, shoulders etc. Getting relief after stretching but for some time. Cramps in muscles legs, toes, ankles. I am taking thyroxine 50. TSH Is 5.66. Is this a problem of thryroid or physiotherapy. tell me the solution.
thanx
Tue, 13 Dec 2016
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Endocrinologist,  's  Response
Hello and welcome on HCM!
The TSH level is slightly elevated but usually in these levels does not cause such severe symptoms.
Anyway you should raise the levothyroxine dose and do some blood test to exclude other causes:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average).
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Calcium

None of these tests require any fasting and can be done at any time of the day.
For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link:
HCM Dr. Guni

Kind regards,
Dr.Mirjeta
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What Is The Treatment For Hypothyroidism?

Hello and welcome on HCM! The TSH level is slightly elevated but usually in these levels does not cause such severe symptoms. Anyway you should raise the levothyroxine dose and do some blood test to exclude other causes: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months glucose average). Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Calcium None of these tests require any fasting and can be done at any time of the day. For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. Guni Kind regards, Dr.Mirjeta