Hypothyroidism, Internal Medicine FAQ

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Hypothyroidism Hello, my girlfriend has been diagnosed with hypothyroidism after gaining significant weight, which prompted her to seek medical attention. The doctor advised that she does not need medication. I would like to know if the weight gain is indeed caused by the thyroid...

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, based on the underlying cause, treatment can be initiated to see if it is possible to prevent further hypothyroidism.

Effective Strategies for Managing Abdominal Obesity: A Guide

How to manage obesity? I want to lose weight, especially abdominal fat. How does your department handle this? What is the difference between seeing a metabolic specialist and a family medicine physician?

Dr. Lin Jianliang Reply:
Hello: The metabolic department focuses on obesity issues primarily related to endocrine disorders, such as hypothyroidism, among others. The management approach includes correcting endocrine abnormalities, dietary control, and exercise management. I'm not very clear on the ...

Understanding Hypothyroidism During Pregnancy: Key Hormone Levels Explained

Hypothyroidism If one side of the thyroid has been removed and you are taking 50 mcg of Levothyroxine (Enthexin) daily, currently at six weeks of pregnancy, and after increasing the dosage to two tablets, your blood test results show T3: 84 (64-152), T4: 0.94 (0.7-1.48), and TSH:...

Dr. Lin Jianliang Reply:
Hello: T3: 84 (64-152) T4: 0.94 (0.7-1.48) TSH: 23.3 (0.35-4.94) This indicates hypothyroidism. It is recommended to return to the original clinic for evaluation by a physician to determine if any adjustments are necessary.

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Hypothyroidism Hello, my girlfriend has been diagnosed with hypothyroidism after noticing significant weight gain, which prompted her to seek medical attention. The doctor mentioned that medication is not necessary. I would like to ask if the weight gain is indeed caused by the t...

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, based on the underlying cause, treatment can be implemented to see if it is possible to prevent further hypothyroidism.

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, treatment can be based on the underlying cause to see if it can be resolved.

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.

Understanding Elevated Basophils: Causes and Health Implications

Elevated basophils (Baso) Hello, Dr. Hsieh. In my personal health check reports from the past two years, the percentage of basophils (Baso) was 0.6% and 0.8%, but this year it has increased to 1.6% (which is above the normal range). Could you please explain what might be causing ...

Dr. Xie Rongyuan Reply:
Hello: Basophils account for approximately 0.5% to 1% of white blood cells in the circulatory system and are involved in promoting inflammatory responses in various immune reactions. Elevated levels are associated with allergic diseases, asthma, atopic dermatitis, chronic granulo...

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...

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...

Understanding Hypothyroidism: Key Questions and Management Strategies

Hypothyroidism Hello, here are some test results: Anti-TPO Ab: 428 (8/26), 242.7 (9/17); TSH: 0.01, Free T4: 0.63, Free T3: 1.6 (9/16); TSH: 8.611, Free T4: 0.67, T3: 0.51 (10/7); TSH: 4.881, Free T4: 0.75 (11/4); TSH: 1.317, Free T4: 1.12 (12/2); TSH: 0.791, Free T4: 1.05 (2/12)...

Dr. Li Jian Reply:
Thyroid function should be maintained within the normal range, which may vary slightly among different medical institutions. A positive TPO antibody indicates the possibility of Hashimoto's thyroiditis. Currently, cholesterol levels are slightly elevated and dietary control ...

Thyroid Medication for Pregnant Women: Concerns and Considerations

Pregnant women with thyroid conditions taking Antithyroid medication? Hello Doctor, I would like to briefly summarize my medical history. During middle school, I developed benign thyroid nodules and underwent a partial thyroidectomy, removing three-quarters of my thyroid. My th...

Dr. Hong Yuanbin Reply:
Hello, 1. The nutritional benefits of seafood can be obtained from other food sources, so it is advisable to temporarily avoid seafood. This should not significantly impact fetal development. 2. All seafood contains different components, so it is quite common to suddenly disc...

Impact of Uterine Fibroids and Thyroid Issues on Pregnancy

Uterine fibroids, hypothyroidism, and significantly elevated thyroid antibodies can impact fertility and pregnancy. Uterine fibroids may affect implantation and the overall pregnancy environment, while hypothyroidism can lead to hormonal imbalances that may interfere with ovulati...

Dr. Gao Jiankai Reply:
Hello, thank you for your message. Uterine fibroids can affect pregnancy, but for detailed information, it's best to consult a gynecologist. Although thyroid dysfunction is partially related to immune function, it falls under the specialties of endocrinology or metabolism. A...

Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights

Cushing's syndrome endocrine disorder Hello, doctor. For the past month, I have not had my period. My face appears round, and I have what seems to be "buffalo hump" at my collarbone. My mood has become depressed and irritable. My hands have become dry and even crac...

Dr. Lin Jianliang Reply:
Hello: It is recommended to visit a hospital for evaluation and examination by a physician. A diagnosis can only be made after a thorough consultation and examination; one should not rely solely on personal subjective feelings to make a diagnosis.

Should Patients with Congenital Hypothyroidism Get the AZ Vaccine?

It is recommended to administer vaccines for individuals with congenital hypothyroidism? Hello, doctor. I have congenital hypothyroidism and have been on medication for control. My blood tests have consistently shown normal results. Aside from gastritis and slightly elevated body...

Dr. Lin Jianliang Reply:
Hello, online user: For patients with well-controlled hypothyroidism, if there are no contraindications or precautions regarding the administration of the AZ vaccine, it is recommended that they receive the vaccine.

Managing Thyroid Hormone Levels: From Hypothyroidism to Hyperthyroidism

Hypothyroidism to Hyperthyroidism Hello Doctor, I was diagnosed with anti-microsomal antibodies at a titer of 1:1600 in 2009, and my T4 and TSH levels were normal, indicating Hashimoto's thyroiditis (hypothyroidism). From 2009 to June 2021, I took Eltroxin 50 mcg daily, but ...

Dr. Lin Jianliang Reply:
Hello: Since everyone's situation is different, some people resume medication after stopping or reduce the dosage. It depends on individual circumstances for adjustments. Regarding the other issue, it requires an in-person evaluation to provide a response, so I cannot addres...

Struggling with Hypothyroidism: Seeking Effective Treatment Solutions

Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...

Dr. Lin Jianliang Reply:
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...

Understanding Cholesterol and Triglyceride Changes in Health Checkups

Health check report: Elevated cholesterol levels, but decreased triglycerides? Hello, doctor. Three years ago, my health check report showed a height of 156 cm and weight of 48.3 kg, with total cholesterol at 202 mg/dL, HDL at 85 mg/dL, LDL at 107 mg/dL, and triglycerides at 50 m...

Dr. Lin Jianliang Reply:
Hello: The main factors affecting triglycerides include a high-fat, high-calorie diet, overweight and increased waist circumference, diabetes, alcohol consumption, and the use of female hormones. The sources of cholesterol come partly from synthesis and metabolism in the liver an...

Understanding Thyroid Disorders: Managing Hyperthyroidism and Hypothyroidism

Thyroid issues? The patient has been receiving treatment for hyperthyroidism (without exophthalmos) for many years and is taking medication for both hyperthyroidism and hypothyroidism. Recently, he has experienced increased shortness of breath. The original physician believes thi...

Dr. Li Jian Reply:
Some physicians may allow patients with thyroid autoimmunity to take both antithyroid medications and thyroid hormone replacement therapy simultaneously. This approach varies from person to person. If respiratory symptoms are present but cardiology evaluations show no significant...

Managing Thyroid Nodules: When to Pause Medication for Gastrointestinal Issues

Thyroid nodule During a physical examination, a thyroid ultrasound revealed a 1.8 cm nodule on the right side and a 0.4 cm nodule on the left side. A fine needle aspiration biopsy indicated that the nodules are cysts (fluid-filled). The physician has prescribed Eltroxin (levothyr...

Dr. Li Jian Reply:
You may consider having a blood test in advance to check for thyroid antibodies. If thyroid antibodies are present, it is advisable to discontinue medication. As for whether the use of thyroid hormone can inhibit the enlargement of thyroid cysts/nodules, this remains uncertain.

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