Question 1

I am having heaviness and gastric discomfort. I had a body checkup one year ago, which showed mild fatty liver, and everything else was fine. Now I feel heaviness along the right rib line extending to my back. I had pain while walking 15 days ago. I consulted a doctor, and he suggested some tests: Thyroid T3 2.34, T4 8.1, TSH 9.01, HBsAg negative, total cholesterol 217, triglycerides 207, HDL 42, LDL 115, VLDL 39, cholesterol/HDL ratio 4.5, LFT normal, total bilirubin 1, and urine routine examination normal. The doctor prescribed Hepataz tablet for 15 days and Roseday 20 mg for 3 months. Now my pain is gone, but I feel heaviness at night during sleep and after eating. Please advise?

Question 2

I have been taking thyroid medication since the age of 11 and have never missed a dose. I am now 23, and my menstrual cycles have always been regular. My TSH is currently below 1, and it has been maintained below 5 for several years. Will this affect my ability to get pregnant? Also, does this increase the risk of miscarriage?

Question 3

I wanted to ask if it is possible to have hypothyroidism even when thyroid levels appear normal. My recent test results show T3 at 130, T4 at 9.71, and TSH at 1.23, all within the normal range. However, I am experiencing several symptoms such as brain fog, anxiety, slowed thinking, extreme laziness, and memory issues. Could these symptoms still be related to a thyroid issue despite the normal lab values?

Your TSH is elevated (16.1), but T3 and T4 are normal this is commonly seen in subclinical hypothyroidism. However, your symptoms (like tachycardia and anxiety) are more hyperthyroid like. Id advise repeating TSH along with anti TPO antibodies to clarify autoimmune thyroiditis.

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