Doctor insights on:
Algorithm Hypothyroidism Treatment
Please define: Hi. By what do you mean "treatment-resistant"? Is your dose too low? That's not treatment resistant, that's just being under treated. Has your thyroid function been normalized on thyroid hormone replacement but you still feel symptoms? That's not "treatment-resistant", that's just assigning symptoms to the wrong thing. We need more information. I doubt you have a thyroid hormone receptor defect. ...Read more
Variable based on Dx: Based upon other baseline medical factors each patient is different. Cause of how the disorder happened needs to be explored.Often it cannot be identified but sometimes it can as well as other associated conditions. Probably need an endocrinologist consult. Make sure a complete history and physical is done including family history. Also blood pressure sitting and then standing. Checks autonomic ns. ...Read more
How long after treatment for hypothyroidism would it take for a person to feel in good health again?
See below: It may take a month or longer before everything seems normal. ...Read more
I have subclinical hypothyroid from 3-4 year with symtoms.Treatment will beneficial for me or not.Tpo normal?
Can hypothyroidism go away? Is it possible for it to improve without treatment? I was diagnosed but never put on medication.
Rarely, yes: Hi. The most common type of hypothyroidism, Hashimoto's, is permanent, and needs to be treated. In subacute and acute thyroiditises, the hypothyroid phase is usually self limited and thyroid function returns to normal. It's very easy to tell if you remain hypothyroid by following your thyroid labs over time. If you're still hypothyroid, I would recommend treating it. ...Read more
For someone who is hypothyroid, how do you get treatment to alleviate the symptoms and not just prescribe the standard dose?
Follow TSH: There is no standard dose for treating hypothyroidism. Your dose is determined by the results of your thyroid blood test. Once your TSH is in the correct range (0.4 to 2.0) then you are on the correct dose. Symptoms take time to resolve, even after your thyroid level is normal. ...Read more
I've been treated for hypothyroidism for 10yrs. After relocating & stopping treatment, new dr says im now @ "normal" level. How is that possible?
Lab values: Most docs only look at lab values and not how person feels with those values. If he only checked a tsh, then there is more to thyroid optimization like ft4 and how you convert to ft3. Go to a4m.Com and use directory function to find a local functional medicine doctor to help you fully test your thyroid levels to get to optimal health. For a layperson site got to www.Stopthethyroid madness.Com. ...Read more
Was diagnosed with hypothyroidism but refused treatment. I get checked regularly still and this time test came back normal? What could cause this?
Hypothyroidism: Hypothyroidism refers to an underactive thyroid which is confirmed by lab tests showing an elevated TSH. If TSH is just barely abnormal, treatment could be considered based upon symptoms http://goo.gl/L0oOTB. However, lab tests aren't 100% accurate - there's always some degree of uncertainty so if TSH is barely abnormal & you feel perfectly normal w/o symptoms, it's ok to repeat & recheck w/o meds ...Read more
I've recently begun treatment for hypothyroidism. I was wondering if there were any foods or exercises or exercises, etc I could do as well? Thank you
No specifics : There are no specific diet or exercise necessary for ppl with hypothyroidism, but if you were hypothyroid for a long time before your diagnosis and treatment, perhaps you have gained some weight and maybe cholesterol is higher than optimal? If so, eat balanced diet to maintain bmi 20-25, reduce bad fats, choose good oils, minimize alcohol, and if overweight, consider screening for diabetes. ...Read moreSee 1 more doctor answer
Need more informatio: Could be you are not on a large enough dose (most adults need 75-150 mcg/day) or that you are not taking it consistently (you can double up next day if you miss a dose). Difficulty absorbing the thyroid hormone in your gut is the least common cause). Would need to know your dose and thyroid test results before treatment and most recently. ...Read more
it depends: The doctor will usually start you on a low dose of replacement and increase it until your thyroid function tests are in the normal range. It depends how long that takes. ...Read more
I have been hypothyroid for 12 years on treatment , in normal range yet I still have lots of symptoms what can I do ?
It depends,,,: It depends on what your symptoms are and also on your readings, as in how normal are your ranges. By this I mean how far into the normal range are the readings. They could be in the low normal range and you could still have symptoms of hypothyroidism. You're also on other meds which might interact with your thyroid med and also cause other symptoms. So it's a good idea to see your Dr. to check ...Read moreSee 1 more doctor answer
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