Question 1

I'm really worried after getting my wife's TSH test results. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. But the weird thing is, she doesn't show any obvious symptoms other than having an irregular menstrual cycle a couple of times and sometimes being irritable. I read up a bit online and saw that hypothyroidism usually means the gland is underactive and shrunk, but hers seems inflamed. She hasn't gained or lost weight and isn't experiencing hand tremors, but she does get tired during the day and has had mood swings recently. I'm trying to make sense of this  is it definitely thyroid-related even though her T3 and T4 are normal? Could it be thyroiditis or maybe subclinical thyroid issues? I'd really appreciate some guidance on what might be going on, its root cause and if its treatable. Also, is this something urgent? We're in a pretty remote area, so I'm a bit concerned.

Accepted Answer

Your wife may be experiencing subclinical hypothyroidism. This means that while her T3 and T4 levels are within normal range, her TSH level is elevated, indicating that her thyroid gland is not producing enough thyroid hormone. The inflammation you mentioned could be indicative of thyroiditis, which is inflammation of the thyroid gland. To treat subclinical hypothyroidism, the common medication prescribed is Levothyroxine with  dosage adjustments made based on individual response. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed. Given that your wife is experiencing symptoms such as tiredness, mood swings, and irregular menstrual cycles, it is advisable to consult with a healthcare professional for a proper evaluation and treatment plan. While it may not be an emergency, addressing thyroid issues is important for overall health and well-being.

Question 2

I'm dealing with high blood pressure and hypothyroidism since 2016. I've been taking Thyronorm 75 and Amcard 5mg twice a day. I just got my TSH levels tested and it's around 6.8. My doctor recommended upping my Thyronorm to 100mcg and switching to Tazloc AM once a day for my blood pressure. Is Tazloc AM actually safe, and can I really switch to it instead of sticking with Amcard? I've been feeling pretty okay with Amcard 5 twice daily and my blood pressure seems well-managed with it.

Accepted Answer

Tazloc AM is a combination medication containing Telmisartan and Amlodipine, which are commonly used to treat high blood pressure. Telmisartan is an angiotensin II receptor blocker (ARB) and Amlodipine is a calcium channel blocker. It is generally safe to use, but it is important to follow your doctor's advice when switching medications. If you are comfortable with Amcard 5mg twice a day and have good control over your blood pressure, you can discuss with your doctor about continuing with Amcard instead of switching to Tazloc AM. However, it is important to follow your doctor's recommendation for the best management of your high blood pressure. Regarding your thyroid medication, increasing Thyronorm from 75mcg to 100mcg as per your doctor's advice is aimed at better control of your hypothyroidism, especially with a TSH level of 6.8. It is important to follow your doctor's advice regarding the dosage adjustment for optimal management of your hypothyroidism.

Question 3

I'm really worried because we're trying to have a baby and just found out my partner's TSH levels are at 10.34. She's not on any medication yet since we just diagnosed it now. Should we focus on getting the TSH levels under control before trying to conceive, or is it safe to plan for a baby right now? Any advice on what we can do in the meantime to help manage it?

Accepted Answer

Zincovit is a multivitamin supplement containing zinc, vitamins, and minerals.

_Taking Two Zincovit Tablets Per Day_

1. _Generally safe_: Taking two Zincovit tablets per day is generally considered safe, but it's essential to follow the recommended dosage and consult your doctor.
2. _Zinc toxicity risk_: Excessive zinc consumption (>150 mgday) can lead to zinc toxicity. Zincovit typically contains 15-20 mg of zinc per tablet, so taking two tablets per day should not exceed the safe limit.
3. _Interactions with medications_: Zinc can interact with certain medications, such as antibiotics and blood thinners. Consult your doctor if you're taking any medications.

_Best Time to Take Zincovit_

1. _With meals_: Take Zincovit with meals to enhance absorption and minimize stomach upset.
2. _Morning or evening_: You can take Zincovit at any time of day, but taking it in the morning may help boost energy levels throughout the day.

There is no such relation,that could be due to spine problem,visit your physician for evaluation and appropriate management.

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