Doctor insights on:
Hypothyroidism Nursing Diagnosis
Recent subclinical hypothyroidism diagnosis. 50 mcg Synthroid (thyroxine) Rx. How will i know my thyroid is functioning better besides a blood test in 6 wks?
Hypothyroidism: Imagine it this way. Tsh is a measure of how much your body is 'calling out' for thyroid hormone. If low, your body is saying it has more than enough circulating thyroid hormone (though there are some exceptions to this) a high TSH can be thought of as your body asking for more thyroid. The higher the tsh, the more your body may be in need of thyroid hormone. (there are exceptions). ...Read moreSee 2 more doctor answers
Hypothyroidism-?levels 1.06tsh, T3 is 2.3. 1.better to treat symptoms or numbers for hypothyroidism ?2. Synthroid (thyroxine) or Levothryxine brand better?
Brand Synthroid (thyroxine): Levothyroxin (LT4)=generic name for thyroid hormone. There are sev brands with Synthroid being best known (Levoxyl, Unithroid...)Each dose has about the same amount of LT4, but the FDA allows some variability. They also use diff fillers, which changes absorption. Tiny dose changes make a big diff in some people & diff brands can be like a diff dose in some. If poss take the same brand each refill! ...Read more
Normal lab results, hyper thyroid symptoms. (tachycardia/insomnia) is Synthroid (thyroxine) or armour preferred? Possible adrenal issue?
Not for hyper: Adding thyroid hormone replacement to a hyperthyroid gland will exacerbate the problem. If there is underlying adrenal insufficiency, adrenal crisis is more likely to occur in someone with hyperthyroidism. Highly recommend endocrine evaluation if you have these issues. ...Read moreSee 1 more doctor answer
T3 (liothyronine) and T4: t3 (liothyronine) thyroid is active thyroid. T4 thyroid converts to t3 (liothyronine). T3 (liothyronine) gets metabolized fast. High t3 (liothyronine) will suppress tsh. TSH stimulates the thyroid to make t4 and t3 (liothyronine). For some people armour thyroid is good. For some it has a little too much t3 (liothyronine). There is medicine that is all t3 (liothyronine) and all t4. I like armour thyroid. T4 is popular. ...Read moreSee 1 more doctor answer
Lab results led to subclinical hypothyroidism diagnosis. Treated for mdd, anxiety, ptsd. Should it be further examined? Chances of infertility?
Labs alone =Dx???: History which includes symptoms over time family history and physical exam almost always trump lab results alone. Once a good history and physical are done then testing. Other endocrine disorders should be considered. However all alcohol/substances? Need to be stopped first and current meds reassessed after a new baseline mental status achieved. If appropriate, adrenal gland function may need test. ...Read moreSee 1 more doctor answer
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
Will subclinical hypothyroidism turn into hypothyroidism? Why some doctors prefer not to treat subclinical hypothyroidism? Is the treatment bad?
Multiple choice ??: Sub clinical hypothyroidism will turn into hypothyroidism in a number of cases. Treating is not bad or dangerous. We just need to have the clinical findings, symptoms and findings to make the numbers fit the patient, not the other way around. ...Read moreSee 2 more doctor answers
Do your homework: The site is not a shortcut for you to get your nursing homework answered for you. Apply yourself & acquire the answers from the texts & sources in your curriculum. To be successful as a nurse you need to do the work & gain the skills or you will be neither happy or successful. ...Read moreSee 1 more doctor answer
Tsh 5.5 ft3 3.8 ft4 14. Opinions on an endocrinologist who will not treat hypothyroid until TSH over 10 and says fatigue is from my type a personality?
Consider change: Depends on the lab normal values. Tsh may go to 5 in some labs for normal values, although most will be 2-3 ; ft4 should be less than 13 should not have a high or a high-normal TSH combined with a high ft4. Needs reevaluation- would consider alternate endocrinologist. ...Read more
Tsh .01 post partum thyroiditis, extremely symptomatic. Is this tsh extremely low? Endo wants to test for adrenal issues as well
Yes: Yes this is low but goes along with thyroiditis. Proceed with workup as instructed by your endocrinologist. The diagnosis needs to be made properly. Good luck. If it's thyroiditis, it will improve. Good luck. ...Read more
Inflammatory arthritis dx. Recent lethargy and cold intolerance. TSH and T4 normal but thyroid antibodies positive. Treatment for thyroid needed?
Endocrinology input: as this is a relative issue, depends on the levels and types of antibodies present, needs an expert in thyroid disorders to give you a definitive answer and a follow up plan, you can try first an Endocrinologist on HealthTap, good luck ...Read more
Difference between hypothyroidism from thyroid and hypothyroidism caused by insufficient pituitary. what lab tests can help differentiate?
I have suclinical hypothyroid.50mcg & 25mcg thyroxine taking change into hyperthyroid.Will treatment benefited for me?
THS of 1.17, goiter nodules, FNB in 2 months , no energy, on pills for depression, many other symptoms for hypothyroid . I think I need Synthroid (thyroxine) ?
TSH not high: but hypothyroid? Is that what you are asking? I would imagine your doctor also checked thyroid hormone level in addition to TSH, so if you have low thyroid hormone, your doctor would have diagnosed it? You are getting biopsy (FNB you said) in 2 months, so your doctor is doing what he/she thinks is best to figure out your condition. Trust your doctor if he/she says you don't have hypothyroidism. ...Read moreSee 1 more doctor answer
Diagnosed with multinodular goiter. Uptake test 5.7 @ 24 hrs. Am on 100mcg Synthroid (thyroxine) ordered by md but endo wants to stop. Last test TSH .01 T4 1.4?
Any advice for someone who's been diagnosed with borderline hypothyroidism caused by autoimmune thyroiditis?
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