I'm wondering if taking L Montus FX and Medral 4mg for a long time to manage my dust allergy is actually safe. Are there any serious side effects I should be worried about if I continue using them? It's been a while, and I'm a bit concerned about the long-term effects on my health. Can you advise if it's okay or if I should consider any alternatives?

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

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Hypothyroidism Management: Next Steps

Your TSH level of 14.33 indicates hypothyroidism. Consult an endocrinologist or a primary care physician for proper management.

Initial Steps:

1. Thyroid hormone replacement therapy: Your doctor will likely prescribe synthetic thyroid hormones (e.g., levothyroxine) to replace the deficient hormones.
2. Initial dosage: A typical starting dose is 25-50 mcg of levothyroxine, which may be adjusted based on your response.
3. Regular TSH monitoring: Schedule follow-up appointments every 6-8 weeks to monitor your TSH levels and adjust the dosage as needed.

Lifestyle Modifications:

1. Dietary changes: Ensure adequate iodine intake through foods like seafood, dairy, or iodized salt.
2. Selenium-rich foods: Include selenium-rich foods like Brazil nuts, fish, or turkey in your diet.
3. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, to help manage hypothyroidism.

By working closely with your healthcare provider and making lifestyle modifications, you can effectively manage your hypothyroidism and achieve a normal TSH level.

Answered 04/07/2025