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Doctor insights on: What Distinguishes Panhypopituitarism From Primary Hypothyroidism

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What diet should someone with hypothyroid follow ? Avoid what foods?

What diet should someone with hypothyroid follow ? Avoid what foods?

Iodine good.: foods from the sea have iodine good. ones that bind up iodine bad (these are all the healthy broccoli family foods like broccoli, kale, cabbage). Just have more good than bad and don't do silly amounts of either ...Read more

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Dr. Joseph Mathews
15 doctors shared insights

Panhypopituitarism (Definition)

Hypopituitarism is a medical condition in which the pituitary gland, located in the brain, does not function. The pituitary gland is responsible for making many important hormones that tell other glands in the body to produce hormones such as thyroid hormone, growth hormone, estrogen, and testosterone. Children with hypopituitarism have inadequate levels of one or ...Read more


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What's the primary cause of hypothyroidism?

What's the primary cause of hypothyroidism?

Several: But the most common is thyroid inflammation which damages the thyroid's ability to make sufficient hormone. Luckily, it's easy to diagnose and treat with brand name T4 replacement and it's like you never had a problem in the first place. See your doctor. ...Read more

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Why there is hypertension in primary hypothyroidism?

Several Reasons: There are several proposed mechanisms, and they all probably contribute. They include: 1)increased peripheral vascular resistance (t3 (liothyronine) needed for vasodilitation as hypothyroidism increases Alpha receptors and down regulates beta receptors on vascular smooth muscle) 2)increased arterial stiffness ; 3)decreased GFR and water retention. ...Read more

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What is central hypothyroidism? What specific labs would be required to diagnose this?

Check free T4 & TSH: Central hypothyroidism is much less common than primary hypothyroidism and is most often associated with disease in or near the pituitary. It is suspected when the free T 4 is low but TSH does not increase to compensate. However if the free T 4 is only slightly low it is more likely either a normal variant or a lab issue. Would need more info on your symptoms and test results to help you more ...Read more

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Age:40, early osteoarthiritis changes are seen on my knee x-rays. How to find out if it is primary or secondary? Any tests? Does hypothyroid cause it?

Age:40, early osteoarthiritis changes are seen on my knee x-rays. How to find out if it is primary or secondary? Any tests? Does hypothyroid cause it?

Possibly: There are several labs that can be done to distinguish other possible causes of arthritis, though there is no test that is specific for osteoarthritis and yes, thyroid problems can contribute to bone issues. ...Read more

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Is a TSH basel of 4.14mu/l (slight high) & norm ft4 14.1pmol/l & ft3 4.9pmol/l clinical hypothyroid? Primary phys says normal. Another opinion?

Is a TSH basel of 4.14mu/l (slight high) & norm ft4 14.1pmol/l & ft3 4.9pmol/l clinical hypothyroid? Primary phys says normal. Another opinion?

Probably normal: A TSH of 4.14 is within the normal range in most labs. If it is above your lab's normal range and the free t 4 is normal, you may have subclinical hypothyroidism. If it is slightly high, i generally recommend waiting and rechecking. ...Read more

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My brother has hypothyroidism.His TSH is 4.500 H. Does he need a specific medicine or complements?.will his TSH increase in the future? Or stabilize?

My brother has hypothyroidism.His TSH is 4.500 H. Does he need a specific medicine or complements?.will his TSH increase in the future? Or stabilize?

Hard to tell: your brother needs to see an endrocrinologist, or a pediatric endocrinologist if still under age, TSH isn't the only parameter, history, physical exam and other tests would tell, doctors treat patients not lab results, wish you both wellness ...Read more

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Should i seek a specialist to treat my subclinical hashimoto hypothyroidism before becoming pregnant? I'm currently taking levo from my primary doc.

Should i seek a specialist to treat my subclinical hashimoto hypothyroidism before becoming pregnant?  I'm currently taking levo from my primary doc.

Definitely: Get your level stabilized w/brand name T4 replacement before becoming pregnant. A good endocrinologist can help you do this. Thyroid replacement needs can change during pregnancy, so expect to be retested as your pregnancy progresses. Good luck. ...Read more

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I have Hashimoto Thyroiditis, and Hypothyroidism. Would it be in my best interest to have a specialist along with my primary doctor?

 I have Hashimoto Thyroiditis, and Hypothyroidism. Would it be in my best interest to have a specialist along with my primary doctor?

YES: A Board Certified ENDOCRINOLOGIST should evaluate you once year (if all is "going well")! Hope this helps! Dr Z ...Read more

Dr. Su Fairchild
1,212 doctors shared insights

Hypothyroidism (Definition)

The thyroid gland is an endocrine organ located in the front part of the neck. Its role is to make thyroid hormones, which control the way cells use energy. Hyperthyroidism results when the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more