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My history is 36 yo female 130lbs. hypothroidism since 14 ...


Sent to Health Experts May 19 11:47 p.m.

My history is 36 yo female 130lbs. hypothroidism since 14 yrs of age. I take 300mcg of synthroid daily. I had bloodwork done for phentermine. I have been on it about a week. I took it for 6 month about a year ago. My lab results : Your complete blood count (CBC) is normal.

Your TSH (Thyroid Stimulating Hormone), which is the best test of thyroid function, is low with a value of 0.04.

Your Prolactin is normal with a value of 18.1.

Your T3 Uptake is normal with a value of 34.

Your Thyroxine Free is normal with a value of 1.49.
I am extremely tired even while taking phentermine..last time i had so much energy. my muscles are all stiff and hurt. I was running 5 days a week @ 2-3 miles a day..i can''t now. I am still tired after sleeping 10 hours..my limbs feel heavy and crampy. My prolactin levels were taken in the afternoon. I have galactorrhea. I also had it when I was 14.

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Female, Age: 36, California

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My family physician
Customer (name blocked for privacy)
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Answer
May 20 12:02 a.m. (15 minutes and 33 seconds later)
REPLIED Check Mark

Among all your blood reports, the only abnormality is the TSH which is low. However, since your T3 and Free Thyroxine level is normal, this means that you are in an Ethyroid stage.

You should discuss this with your doctor, whether you need an adjustment of doses of the Thryoxine supplement. Your doctor will decide whether you need an adjustment.

Some recent studies indicate that even with normal TSH levels, a person could still be having some effects of hypothyroidism.

Since your thyroid hormones are normal on blood tests, your doctor will not prescribe extra thyroxine. However, since you are having all the symptoms of hypothyrodism, you can try food supplements and natural therapies. The Supplements advisable are Vit. B and high doses of Vit. C. Also foods containing iodone, selenium, etc.

The other thing that you must discuss with your doctor is Chronic Fatigue Syndrome.

Chronic Fatigue Syndrome is characterised by extreme fatigue which is aggravated by exercise, pain and weakness of some muscles, tenderness at some points, headaches, nausea, dizziness, sleeplessness, loss of memory or concentration and flu like symptoms like sore throat, weakness, hypersensitivity to nonoxious fumes, etc.

The exact cause of this is unknown, but it is theorised that it could be a post viral illness. It is often associated with psychological conditions like depression and anxiety.

The treatment for this is mainly lifestyle changes.


Two important ways in which to combat this are:

Maintaining a positive attitude: see here.
Exercise: see here.

You should look up these sites for more info and tips:
http://familydoctor.org/online/famdocen/home/common/pain/disorders/031.html
http://www.mayoclinic.com/health/chronic-fatigue-syndrome/DS00395/DSECTION=1



You can look up here for further guidance:
http://thyroid.about.com/cs/shames/a/supplements.htm
http://www.nativeremedies.com/thyroid-assist-treatment-hypothyroidism.shtml



I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.

PictureDr. D. Evans  -- Doctor (MD) -- 99% Positive Feedback on 4429 Health Accepts
MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.
Reply to Dr. D. Evans
Sent May 20 12:05 a.m. (2 minutes and 47 seconds later)

The problems only started about a month ago..as I said I love to run and be active , I have 5 children so I can't be tired.
Customer (name blocked for privacy)
Answer
May 20 12:12 a.m. (6 minutes and 46 seconds later)
ACCEPTED Check Mark

You should then discuss this with your doctor, whether you need any readjustment of the thyroxine supplement.

You should also ask about a thorough heatlh checkup. For tiredness, you need to get the blood sugar levels tested. You should also have a check up of renal function tests and a cardiological checkup.

These are needed to rule out other common causes of tiredness.



I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.
PictureDr. D. Evans  -- Doctor (MD) -- 99% Positive Feedback on 4429 Health Accepts
MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.

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