Hyperthyroidism, Internal Medicine FAQ

Managing Hair Loss After Thyroid Dysfunction: Expert Advice

Thyroid-related hair loss issues? Hello Doctor, I was previously diagnosed with hyperthyroidism with the following lab results: 112/04 T4: 5.14 and 112/04 TSH: <0.005. After medication, my levels changed to hypothyroidism with 112/05 T4: 0.59 and 112/05 TSH: 0.058. On July 29,...

Dr. Li Jian Reply:
If thyroid function improves but hair loss continues, you may want to consult a dermatologist. Thank you for your inquiry.

Understanding Thyroid Hormone Fluctuations: From Hyperthyroidism to Hypothyroidism

Hyperthyroidism has transitioned to hypothyroidism: Free T4 0.884 / TSH 27.07? Hello, I was diagnosed with hyperthyroidism at the end of last year during a health check-up (T4 2.91/TSH 0.005). I have been taking medication in several phases: Carbimazole 10 mg/tab, one tablet each...

Dr. Li Jian Reply:
It is recommended that you consult an endocrinologist to determine whether there are positive TSH receptor antibodies. Thank you for your inquiry.

Could Thyroid Issues Be Behind Your Ongoing Health Problems?

Is it possible to have a thyroid problem? Hello, doctor. I am a recent college graduate, and I have been troubled by various issues since middle school, such as anxiety, insomnia, tremors, rapid heartbeat, frequent muscle cramps, and occasional swelling of my eyes. Additionally, ...

Dr. Li Jian Reply:
It is recommended that you first consult with a family medicine specialist. Thank you for your inquiry.

Understanding the Risks of Expired Propylthiouracil: What You Need to Know

Propylthiouracil has expired? Hello Dr. Li, I just organized some medications for my family and found that the Propylthiouracil tablets for hyperthyroidism seem to be expired. The label indicates an expiration date of 2304, which should be April 30, 2023. We have taken about 20 t...

Dr. Li Jian Reply:
Expired medications should generally not be used, as their side effects are difficult to assess. Thank you for your inquiry.

Does Hyperthyroidism Affect Fasting Blood Sugar Levels?

Does hyperthyroidism affect fasting blood glucose levels? Hello, doctor! Four years ago, I had my first adult health check-up, and my fasting blood glucose was slightly elevated at 106. Four years later, I had my second check-up, and my fasting blood glucose is still 106. Could t...

Dr. Li Jian Reply:
Thyroid antibody tests should ideally be monitored once a year. If fasting blood glucose levels are elevated, it is advisable to check glycated hemoglobin (HbA1c) to assess average blood sugar levels. Thank you for your inquiry.

Managing Hyperthyroidism in Children: Concerns and Treatment Insights

Hyperthyroidism in children? Hello Doctor: My child, around 8 years old, started showing signs of hyperthyroidism. After treatment (taking antithyroid medication and medication to lower heart rate), the free T4 levels quickly returned to normal, but the TSH has remained consisten...

Dr. Li Jian Reply:
Pediatric thyroid issues should be consulted with a pediatric endocrinologist for more specialized care. Thank you for your inquiry.

Understanding Anti-TPO Levels and Thyroid Surgery Decisions

Thyroid anti-TPO related issues? Dr. Li, I have had multiple thyroid nodules for 30 years (in 2016, the left side was over 5 cm, and I underwent an ablation procedure). During these 30 years, I experienced two episodes of hyperthyroidism. As of August 2022, my lab results are a...

Dr. Li Jian Reply:
If TPO antibodies are positive, regular monitoring of thyroid function is necessary, as there is a possibility of developing hypothyroidism in the future. Whether thyroidectomy is required should be considered in conjunction with the results of fine needle aspiration cytology, th...

Thyroid Issues: Dietary Considerations for TPO Antibody Positivity

Thyroid issues, dietary considerations? The free T4, TSH, and T3 levels are within normal ranges, while Anti-Thyroglobulin (Tg) is negative and Anti-Thyroid Peroxidase (TPO) is positive. This indicates the presence of autoimmune thyroiditis, but thyroid function appears to be nor...

Dr. Li Jian Reply:
Thyroid function is normal, so there is no need to restrict iodine intake; however, it is recommended to monitor thyroid function annually. Thank you for your inquiry.

Can Hyperthyroid Patients Safely Consume Astaxanthin and Carrageenan?

Patients with hyperthyroidism consuming astaxanthin? I would like to ask if patients with hyperthyroidism can consume dietary supplements containing astaxanthin and carrageenan. I found that these two are extracts from red algae, but I am uncertain about the risk of their iodine ...

Dr. Li Jian Reply:
For patients with hyperthyroidism, it is essential to reduce the intake of iodine-rich foods as part of dietary restrictions, which become more stringent with the severity of the disease. The sources of astaxanthin and carrageenan you inquired about are both derived from algae, a...

Understanding Thyroid Function: Interpreting Your Blood Test Results

Hyperthyroidism issues? Hello, doctor. Last week, my blood test results came back as follows: Ant-TPO: greater than 600, Ant-Tg: 351.6, Thyroglobulin: 0.34, TSH: 4.18, T4: 0.69. I would like to inquire what these values indicate regarding whether the medication is effectively con...

Dr. Li Jian Reply:
The normal ranges for thyroid function tests may vary slightly among different testing laboratories, so it is necessary to return to the original healthcare facility to confirm the interpretation.

Managing Thyroid Issues After Total Thyroidectomy: A Patient's Journey

Thyroid issues The family member is 63 years old, has undergone total thyroidectomy over a year ago, and has completed radioactive iodine therapy, with no other chronic illnesses. Initially, they were supplementing with 50 mg of Levothyroxine, but after a follow-up visit, the doc...

Dr. Li Jian Reply:
In addition to T3, it is also important to consider TSH and free T4 levels to determine their status. If there are concerns about excessive supplementation leading to hyperthyroidism, an electrocardiogram (ECG) and a bone density test can be performed to check for any arrhythmias...

Understanding the Connection Between Hyperthyroidism and Hashimoto's Thyroiditis

Hyperthyroidism and Hashimoto's Thyroiditis? Doctor, I have been suffering from Hashimoto's thyroiditis for six or seven years, and it has been quite stable until this year when I discovered that the tumor has grown larger and the markers have increased. I didn't h...

Dr. Li Jian Reply:
Patients with thyroiditis may sometimes experience hyperthyroid symptoms due to antibodies attacking the thyroid gland, leading to the release of thyroid hormones. Patients with hyperthyroidism may experience itching or rashes on the skin. In cases of hyperthyroidism, ultrasound ...

Impact of Hypothyroidism on Immunity After Hyperthyroidism Treatment

Hypothyroidism I would like to ask the doctor, if hyperthyroidism has turned into hypothyroidism after iodine treatment and I am regularly taking thyroid hormone, will my immune system be significantly different from that of a person with normal thyroid function? Or as long as th...

Dr. Li Jian Reply:
As long as the thyroid indices are normal, there is no difference in immunity compared to healthy individuals.

Understanding Thyroid Function: TSH Levels and Health Concerns

Thyroid-stimulating hormone (TSH) Hello Doctor, my recent thyroid blood test results are as follows: Thyroid Stimulating Hormone (TSH): (Reference range: 0.35-4.94) - 111/3/15: 1.193 IU/ml - 111/4/7: 1.121 IU/ml - 111/5/18: 0.818 IU/ml Free Thyroxine (FT4): (Reference range: 0....

Dr. Hong Yuanbin Reply:
1. Currently, it seems unlikely to flare up. 2. There shouldn't be any cause for concern. 3. It's not considered low. 4. This value appears to be normal. 5. They usually occur simultaneously. 6. There won't be any changes in the short term; follow-up is n...

Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes

Significant weight loss with normal thyroid function tests? Hello Dr. Lee, In early November last year, during my health check-up, my height and weight were 181 cm and 58.7 kg, respectively. Aside from being underweight, all other indices were normal (including CEA and fecal occ...

Dr. Li Jian Reply:
If thyroid function is normal, it may be advisable to consult a gastroenterologist to investigate whether the weight loss is related to chronic diarrhea.

Understanding Thyroid Issues: Low Free T4 and TSH Levels Explained

Thyroid issues Hello, doctor. I am 20 years old, with a height of 160 cm and a weight of about 48 kg. I have lost 10 kg in just one year. Recently, I had a blood test for my thyroid, and my Free T4 level was 0.76 and my TSH level was 0.695, both of which appear to be low. I did s...

Dr. Hong Yuanbin Reply:
Hello, if you have hyperthyroidism, free T4 levels would be elevated and TSH levels would be decreased. Conversely, if you have hypothyroidism, the opposite would be true. Your blood test results suggest that your significant weight loss may not be due to a thyroid issue. I would...

Impact of Stopping Thyroid Medication for Two Weeks After Surgery

Hypothyroidism medication was stopped for two weeks? Hello, doctor. I originally had hyperthyroidism and my levels decreased after surgery. However, I forgot to pick up my prescription and now I don't have enough medication. There are still three weeks until my next appointm...

Dr. Li Jian Reply:
The drug's half-life is approximately one week, so stopping the medication for three weeks may have an impact. It is recommended that you consider visiting another hospital to obtain your prescription.

Understanding Hyperthyroidism: Symptoms, Risks, and Diagnosis

Hyperthyroidism I have been sweating excessively for no apparent reason; as soon as I move my body, I sweat profusely. I have been unable to find the cause and discovered symptoms of hyperthyroidism online (heat intolerance, increased appetite but weight loss, excessive sweating,...

Dr. Li Jian Reply:
Please go to the hospital to check if there are any abnormalities in your thyroid levels. Currently, medication treatments are advanced, and it is rare for conditions to progress to a thyroid storm.

Can Hashimoto's Thyroiditis Trigger Folliculitis and Eczema?

Does Hashimoto's thyroiditis trigger folliculitis? Hello, doctor. I have a question regarding the topic. I have always had poor skin condition, which is dry and prone to itching. Before my thyroid issues were diagnosed, I was already prone to eczema, and I have been on thyro...

Dr. Li Jian Reply:
Hyperthyroidism may be associated with dermatitis, and antithyroid medications themselves can also induce dermatitis.

Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options

Thyroid issues Hello Doctor, I received the AZ vaccine on August 5th, and about 10 days later, I experienced rapid heartbeat, chest tightness, and some shortness of breath until I sought medical attention on August 19th. My thyroid blood test results were as follows, while other ...

Dr. Lin Jianliang Reply:
Hello: Question 1: The distinction between mild and severe is quite subjective. Based on your values: FT4: 1.86 (reference range 0.59-1.43), it is not significantly above the upper limit. Question 2: Please follow your attending physician's advice; if the doctor has not inst...

Previous｜Page ｜Next