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Doctor insights on: Total Thyroidectomy And Hypocalcemia

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Will total thyrodectomy lead to hypothyrodism?

Will total thyrodectomy lead to hypothyrodism?

Yes it will: After total thyroidectomy one becomes Hypothyroid and will need Thyroid Replacement all life ...Read more

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Hypocalcemia (Definition)

Hypocalcemia refers to low measured levels of calcium in the blood. Symptoms of hypocalcemia may include numbness/tinglng of he hands and mouth or cramping. In severe cases, one's ability to think may be impaired. Hypocalcemia may be due to poor diet, vit d deficiency, disorders of the parathryoid ...Read more


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What is the significance of a low T3 (liothyronine) uptake with normal TSH and ft4 7 weeks post total thyroidectomy and on levothyroxine for 7 wks?

What is the significance of a low T3 (liothyronine) uptake with normal TSH and ft4 7 weeks post total thyroidectomy and on levothyroxine  for 7 wks?

No significance: T3 (liothyronine) uptake is an old test used to indirectly measure t4. Now that we have assay to accurate measure free t4, we don't use this test anymore. If your TSH and free T4 is normal on levothyroxine, then you are doing fine on the current dose. No need to change anything at this point. ...Read more

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Can not having near optimal range total t4 (6.3) tsh (1.02) and low total t3 (liothyronine) cause carb sensitivity and hypoglycemia, hypokalemia periodic paralysis?

Can not having near optimal range total t4 (6.3) tsh (1.02) and low total t3 (liothyronine) cause carb sensitivity and hypoglycemia, hypokalemia periodic paralysis?

Unlikely: Your thyroid test findings are normal and not likely to be the cause of your symptoms. It would be prudent to consult your doctor. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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On levothyroxine following total thyroidectomy. Will a tsh level of 2.5 prevent me from conceiving?

On levothyroxine following total thyroidectomy. Will a tsh level of 2.5 prevent me from conceiving?

No: A TSH level of 2.5 is right in the middle of the normal range and should not be an impediment to conceiving. Practice safe sex. Get HPV vaccine. ...Read more

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Poss. To have hashimoto 25 years after total thyroidictomy? My TSH and ft4 levels fluct ridiculously out of range constantly?

Poss. To have hashimoto 25 years after total thyroidictomy? My TSH and ft4 levels fluct ridiculously out of range constantly?

Not possible: If you have had a total thyroidectomy, you are on thyroid replacement the dose of which affects you TSH and free t4. If you still have some thyroid function, then either the thyroidectomy was not total or you have some thyroid tissue present beyond its normal location. ...Read more

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I had a total thyroidectomy (thyroid papilliary cancer) for 17 years and with a high level of TSH result. And stop taking my euthyrox medicine?

I had a total thyroidectomy (thyroid papilliary cancer) for 17 years and with a high level of TSH result. And stop taking my euthyrox medicine?

Need Thyroid hormone: You need thyroid hormone replacement as you do not have thyroid gland and will need thyroid hormone all your life.Since you stop your euthrox your TSH is high.You need to follow your doctors advice and go back on the thyroid hormone with adjustment of dose to bring TSH to normal level. ...Read more

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What can cause high TSH level after several years of Synthroid (thyroxine) for post ablative (graves) hypothroidism?

What can cause high TSH level after several years of Synthroid (thyroxine) for post ablative  (graves) hypothroidism?

Usually low Thyroid : Post ablative hypothyroidism is a condition where the thyroid gland is not functioning well and thus the patient needs more thyroid hormone. A "high tsh" actually mean there is not enough thyroid in the blood, thus an increase in dosage of the synthroid (thyroxine) is needed. Go see your family doctor and he/she will make adjustments and recheck the TSH level. This is very sensitive to thyroid in the body. ...Read more

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Hyper- and then hypothyroiditis in 2004 with no iodine uptake at all. Since then lowish TSH, T4 total and free + T3 (liothyronine) total and free. No antibodies. Why?

Hyper- and then hypothyroiditis in 2004 with no iodine uptake at all. Since then lowish TSH, T4 total and free + T3 (liothyronine) total and free. No antibodies. Why?

? Transient: inflammation. You may have had a transient thyroiditis that resolved. You may wish to repeat the thyroid function tests at the time of your period regular check ups. From what your described, you do not have Hashimoto disease. ...Read more

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Is 200mcg of thyroxine a high dose (I've had total thyroidectomy)?

Is 200mcg of thyroxine a high dose (I've had total thyroidectomy)?

Thyroxine dose: This dose is average. It depends upon age and body weight. Your doc will monitor Total T4, freeT4, TSH levels to optimize. ...Read more

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I have hyperparathyroidism....had thyroid cancer in 1987 and had a total thyroidectomy...my parathyroid calcium level is 188. What should I do?

I have hyperparathyroidism....had thyroid cancer in 1987 and had a total thyroidectomy...my parathyroid calcium level is 188.  What should I do?

Find source.: In order for Ca++ to be elevated from parathormone, a parathyroid lesion must be present. If total thyroid performed usually the 4 parathroids are removed unless op report describes which of the 4 glands remain. Here a scan of the neck should be performed and a sestimibii scan also carried out to find origin of the symptoms. ...Read more

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Low total t3 (liothyronine) 46 and low range TSH and T4? Hypothyroidism? Would it be treated with supplement?

Low total t3 (liothyronine) 46 and low range TSH and T4? Hypothyroidism? Would it be treated with supplement?

Low tsh: If you only needed thyroid supplement, your tsh would be elevated. Since your tsh is not elevated and your thyroid hormones are low,there could be a problem with your pituitary gland. An endocrinologist is best qualified to evaluate,advise and treat you and more than thyroid supplement may be needed. Appropriate tests will be ordered. ...Read more

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My level of TSH is 20.76 after a total thyroidectomy in 6?

My level of TSH is 20.76 after a total thyroidectomy in 6?

You have significant: post-surgical hypothyroidism which needs to be treated with an appropriate dose of BRAND NAME T4 replacement to return your levels to normal. Check w/your doctor. ...Read more

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Is there calcitonin hormone deficiency after a total thyroidectomy?

Is there calcitonin hormone deficiency after a total thyroidectomy?

Yes: You will have calcitonin deficiency after total thyroidectomy but this hormone is not needed for survival and no replacement is needed. ...Read more

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High T4 and low T3 (liothyronine) after complete thyroidectomy. Currently take 200mcg of levethyroxine. Should i increase or cut my dose?

High T4 and low T3 (liothyronine) after complete thyroidectomy. Currently take 200mcg of levethyroxine. Should i increase or cut my dose?

Depends: Levothyroxine is t4. T4 is converted to t3 (liothyronine), (liothyronine) the active thyroid hormone. Some patients have trouble converting T4 to t3 (liothyronine) and need t3 (liothyronine) replacement inaddition to T4 replacement. You should talk to your doctor about your levels. Depending on the reason for your thyroidectomy, like thyroid cancer, you may want to have higher T4 levels to suppress your tsh. ...Read more

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Why would my TSH be normal but T4 and T3 (liothyronine) be high 3 days after total thyroidectomy?

Many reasons: Why did you have the "total thyroidectomy"? - cancer?, hyperthyroidism? Were you taking thyroid before the surgery? Why was the blood test done so soon? Ask your surgeon why he/she did it and what they expected. ...Read more

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Thyrolar (thyroxine and liothyronine) and weight loss common?

Thyrolar (thyroxine and liothyronine) and weight loss common?

We no longer: Use thyroid hormones to augment weight loss. It can have serious complications like irregular heart rhythms. In reality, we use thyroid hormones like Liotrix to replacement someone's levels to normal. Hypothyroidism can lead to weight gain and restoring levels to normal(thyroid wise) can help some element of weight loss. in reality, it doesn't usually lead to significant weight loss. ...Read more

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8 days post total thyroidectomy, total plasma metanephrine 301, normeta 237 and free metanephrine 64? Anything to worry about?

8 days post total thyroidectomy, total plasma metanephrine 301, normeta 237 and free metanephrine 64? Anything to worry about?

Complex question: Why were these tests performed? Why was the thyroidectomy performed? Was cancer found? What kind? Presumably someone is thinking of pheochromocytoma. What is the normal range of values in the lab where they were performed? Your question, and perhaps your situation, is too complex for a 400 character answer. Please discuss with your endocrinologist. ...Read more

Dr. Brendan Stack Jr.
370 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...Read more