Doctor insights on:
Treatment Subclinical Hypothyroidism
Will subclinical hypothyroidism turn into hypothyroidism? Why some doctors prefer not to treat subclinical hypothyroidism? Is the treatment bad?
If someone has subclinical hypothyroidism (sch) which is being untreated, and also has anemia, does lack of treatment cause the anemia to become worse and worse over time? (assuming sch is causing anemia)
How can I get treated for subclinical hypothyroidism if labtests always show within normal values (near limits, but still w/symptoms)? Doc won't treat it
Maybe not hypo: If the tests (including tsh) are normal, then you probably do not have hypothyroidism. That is not to deny your symptoms. Your doctor likely understands that your symptoms are real. But the sx of hypothyroidism are common to many conditions, and giving you thyroid hormone will not help. ...Read more
High TSH but with: Normal thyroid levels. It "usually" entails a symptom free state but if the cause is autoimmune in nature, there might be some signs or symptoms. The thyroid profile will need to be monitored regardless. ...Read more
Sometimes: If it is truly subclinical, meaning that there are no associated symptoms or signs of too little thyroid hormone, a doctor may choose to just watch, and recheck hormone levels in a few months. But many people with "subclinical" hypothyroidism do have symptoms and signs of low thyroid levels, if a doctors asks the right questions or looks closely, and these people would benefit from treatment. ...Read more
None: True subclinical hypothyroidism should have no symptoms because the free hormone levels are normal. It is only the TSH that is elevated. I think of this as the body is having to work a little harder to produce appropriate amounts of thyroid hormone (thus needing more TSH to meet those needs). ...Read more
No: You just have to do it the old fashioned way - eat less and exercise more. ...Read more
I have subclinical hypothyroidism TSH9.90 and FT4 and FT3 in the middle normal range should I be treated? I am 63
Yes: A TSH of 9.9 is clear indication of low thyroid function and you should follow your doctor's advice for treatment. ...Read more
I am suffering from subclinical hypothyroidism and also low ferritin.....suggest me to control both by taking natural foods?
Better options: "Natural"foods are not an easy answer. What is your idea of "natural" foods? Do you consider eating thyroid gland of cows or pigs natural? There are safe and effective medications that will address the issues. Both iron and thyroid supplementation is available in pills that can be taken by mouth. There is no virtue in not taking effective medication. Please consult your doctor for the medications. ...Read more
I was told I have subclinical hypothyroidism; is there a way to treat it without medication, exercise, cutting out sugar, etc?
Hypothyroidism: The proper way to treat hypothyroidism is to administer the correct amount of thyroid replacement to bring the tsh to normal range. General measures like exercise, diet or weight reduction wouldn't significantly affect tsh levels. Your physician or throidologist is best qualified to advise you, however. ...Read more
Why are not all doctors familiar with subclinical hypothyroidism... When you have all the symptoms but tests are in normal range. Its so common!
Not real: Symptoms of low thyroid are extremely common in the population. Most people with these symptoms have no thyroid problem. When you say that normal is not normal, it means that there are no normal people in the world. Treating a normal person with a medication (including thyroid) that is not indicated is unethical, against the hippocratic oath, and outright dangerous. ...Read more
What is subclinical hypothyroidism? Will the patient (an infant) need to take the medicine for the rest of her life? Right now she's on levothyroxine
Sub clinical hypothy: This is chemical excess thyroid by blood testing but no clinical signs of hypothyroidism. Tricky DX in adults and must be even more so in infants. The need for RX will depend on the cause of the hypothyroidism. Trust you are being seen by a pediatric Endocrinologist, ...Read more
I was diagnosed having subclinical hypothyroidism 2 years ago with TSH 3.0 and T-4 14. I started to take levothyroxine 0, 05 mg daily. My TSH went to 0.01 but since I had relief in symptoms of fatique and no symptoms related to hyperthyroidism my doctor sa
Truncated.: Not sure the question. Looks like the end got chopped off. It is always a good idea to have thyroid tests repeated before committing to treatment. ...Read more
After taking Armour Thyroid for 6 months at 120mg/day for borderline subclinical hypothyroidism, would it likely be safe to stop cold turkey?
Check with md: It should not be a problem, but at that dose I would go a bit slow instead of stopping altogether at once to make sure your own thyroid "wakes up" and starts to produce thyroid hormone. If you had hypothyroidism (not subclinical) I would be cautious about this as you can become ill stopping thyroid hormone that your body needs (called myxedema). ...Read more
My 7months baby has subclinical hypothyroidism & always seems so restless and difficult to fall asleep. Is there any relationship between them?
Thyroid dysfunction can be associated with sleep disturbance usually hyperthyroidism/ too much thyroid replacement. In my experience restlessness can be found in both hypo & hyperthyroidism. Follow up now with a pediatric endocrinologist, as untreated infant hypothyroidism has lifelong cognitive effects.
https://www. Endocrineweb. Com/conditions/hypothyroidism/hypothyroidism-children ...Read more
Is subclinical hypothyroidism curable? I'm 21, male and was diagnosed with it. I have no symptoms, antibodies negative but doc prescribed medication.
Thyroid function: This condition exists and often can be related to autoimmune thyroiditis or simple lab error. Please have your throid functions rechecked. Additionallym get a thyroid ultrasound and scan. ...Read more
Is it necessary to treat subclinical hypothyroidism with a TSH below 10 or can the patient just be screened at 6 month intervals if that's what they want?
Does a baby diagnose with subclinical hypothyroidism still needs to continue levothyroxine even her TSH readings are normal now? (T4 normal too)
Needs consultation: Babies may not show any "clinical " signs of hypothyroidism but still have a need for thyroid meds. The brain growth is so important in infants that you should be very sure the kid does not need them before you stop, or you put baby's developmental progress at risk. Of the newborn screenings the thyroid test is one I find more likely to be falsely positive. Yet I let the endocrine guys decide ...Read more
62yr woman. Left supraclavicular swelling for 2mnth. Non-tender. Soft. Frozen shoulder for 6mnth. BP 140/90.subclinical hypothyroidism. Why the swelling?
Lymph nodes: Make sure not small lymph node that has gotten large. May or may not be related to the shoulder issue. ...Read more
If subclinical hypothyroidism and anemia exist in a patient, does this mean the patient has to be treated for the sch? Even if TSH is below 10?
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 more
I have subclinical hypothyroidism. Sometimes I feel a kind of tingling sens. Inside my throat, and after that I feel much better. What could this be?
Unrelated: Subclinical hypothyroidism is a laboratory finding/diagnosis in which you are completely asymptomatic (no symptoms). So tingling in throat that resolves on own is unrelated. If any difficulty or painful swallowing, go see your Family Doc & ENT. But do mention your concerns to prescribing physician as possible side effect of Aripiprazole (http://www. Drugs. Com/sfx/aripiprazole-side-effects. Html). ...Read more
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?
You prob won't: With subclinical, essentially no symptoms and just a laboratory diagnosis, then truly the follow-up blood test will let you know. ...Read more
I have subclinical hypothyroidism. Tsh:7.03.T3, (liothyronine) T4 normal. Can it cause low libido or e.D.? Because I am facing these peoblems for last one year.
See below: By administration of an appropriate amount of levothyroxin until the thyroid normalizes, then maintenence therapy can begin. ...Read more
I have subclinical hypothyroid from 3-4 year with symtoms. Treatment will beneficial for me or not. Tpo normal?
Too little dose: Dose is so low you may not even need to take it. ...Read more
My levothyroxine (lowest dose) increases my blood pressure significantly. Is there an alternative? I have subclinical hypothyroidism.
It is possible that levothyroxine increases your blood pressure but not very likely.
You need to discuss this with your doctor.
You should also purchase a blood pressure system and check the pressure perhaps once a day or every other day.
If it remains high you should be referred to a cardiologist. ...Read more
I have subclinical hypothyroidism and with levothyroxine TSH went to 0.01 (t-4 is normal), but I'm still having severe constipation, dry skin, hair falling off, low body temp and pulse, very heavy period, weight gain etc. What should I do?
See a good doctor.: Your symptoms are not likely related to your thyroid. You need a better explanation for them. ...Read more
I have subclinical hypothyroidism, vitiligo and dermatitis. Am I at a higher risk of more autoimmune diseases like diabetes, MS etc?
Weight loss occurs when your body burns more calories than you consume by eating. Hypothyroidism may slow the body's metabolic rate, thereby decreasing caloric expenditure. Taking thyroid hormone will correct the deficiency and help you lose weight. Hypothyroidism is detected by measuring tsh, thyroid stimulating hormone; not thyroid hormone itself.
Vitamin d is a separate unrelated issue. ...Read more
I want to get pregnant. My IVF says that I hv subclinical hypothyroidism. T3 (Method ECLIA; sample serum) 119.23 ng/dl T4 7.12 microg/dl TSH 6.77 microIU/dl My fam doctor did not say anything though. Should I be on meds?
? Hypothyroid: Hypothyroidism should only be diagnosed if follow up blood tests (at least 1 month apart) are also low or the trend is worsening. It is important to normalise you thyroid to increase your chances of falling pregnant, although it may not be the only reason you are having difficulty falling pregnant. More tests may be needed, so please speak to your gynaecologist ...Read more
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