Hypothyroidism, Internal Medicine FAQ - Page 3

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Can Symptoms of Hypothyroidism from Hyperthyroidism Treatment Return to Normal?

Can symptoms of hypothyroidism that occur during the treatment of hyperthyroidism return to normal? I have had hyperthyroidism for over ten years, during which I did not actively seek treatment and did not restrict my diet, resulting in consistently high levels (TSH undetectable,...


Dr. Li Jian Reply:
It is important to lower thyroid antibodies, as this can reduce the risk of developing heart disease or osteoporosis in the future. As for symptoms such as difficulty concentrating and poor mental clarity, a consultation with a neurologist may be advisable.

[Read More] Can Symptoms of Hypothyroidism from Hyperthyroidism Treatment Return to Normal?


Can Thyroid Issues Cause Gray Hair? Nutritional Solutions Explored

Gray hair issue? Hello, doctor! Since my thyroidectomy, my hair has been turning white. I have searched a lot of information online, but none of it mentions what nutrients I can take to restore my hair color. It only states that people with hypothyroidism experience this. I would...


Dr. Lin Jianliang Reply:
There are many factors that can cause hair to turn white, with thyroid issues being just one of them. Other factors also play a role. To determine if thyroid supplementation is adequate, a blood test can be performed. If hair turns white, it is advisable to consult a dermatologis...

[Read More] Can Thyroid Issues Cause Gray Hair? Nutritional Solutions Explored


Understanding Chronic Illness: Thyroid Issues and Vaccination Guidelines

May I ask the doctor? I apologize, but I would like to ask if having lifelong hypothyroidism due to surgery and requiring medication qualifies as a chronic disease patient. Is it only considered a chronic disease patient if one has received a chronic prescription? Regarding the f...


Dr. Hong Yuanbin Reply:
Hello, the term "chronic disease" does not have a strict definition; it generally refers to conditions that are expected to be non-recoverable in a short period. The thyroid issue you mentioned may still change in the future, and for now, it can only be considered a pot...

[Read More] Understanding Chronic Illness: Thyroid Issues and Vaccination Guidelines


Can I Take Birth Control Pills While on Levothyroxine for Hypothyroidism?

Is it appropriate to take oral contraceptives while using Ongentys 50 micrograms? I have Hashimoto's thyroiditis and hypothyroidism, and I am regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering adjusting my menstrual cycle b...


Dr. Li Jian Reply:
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still necessary.

[Read More] Can I Take Birth Control Pills While on Levothyroxine for Hypothyroidism?


Can You Take Birth Control Pills While on Levothyroxine for Hypothyroidism?

Is it suitable to take emergency contraceptive pills while on 50 micrograms of Entacapone? I have Hashimoto's thyroiditis and hypothyroidism, and I have been regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering adjusting my m...


Dr. Li Jian Reply:
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still recommended.

[Read More] Can You Take Birth Control Pills While on Levothyroxine for Hypothyroidism?


Can Taking Levothyroxine Affect the Use of Birth Control Pills?

Is it appropriate to take a pre-exposure prophylaxis (PrEP) pill while on 50 micrograms of Entacapone? I have Hashimoto's thyroiditis and hypothyroidism, and I have been regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering ad...


Dr. Li Jian Reply:
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still recommended.

[Read More] Can Taking Levothyroxine Affect the Use of Birth Control Pills?


Understanding Hypothyroidism: Heart Palpitations and Treatment Insights

Hypothyroidism and Palpitations Hello Dr. Lee, I would like to ask you a question. Last year, I underwent an advanced health check-up and was diagnosed with hypothyroidism. I am currently taking one tablet of Eltroxin 50 mcg. I often experience severe palpitations and sometimes h...


Dr. Li Jian Reply:
Palpitations are often a symptom of hyperthyroidism. When taking thyroid hormone, thyroid function should be monitored every three months to determine if it is normal and whether lifelong medication is necessary. Regular blood tests are required to assess this.

[Read More] Understanding Hypothyroidism: Heart Palpitations and Treatment Insights


Understanding the Link Between Hypothyroidism and Abnormal Menstrual Bleeding

Hypothyroidism with abnormal menstrual bleeding? Hello Doctor: I have Hashimoto's hypothyroidism and started taking Levothyroxine in March 2018 at the age of 46. I am unsure if it is due to the medication or my age, but starting in November of that year, I began experiencing...


Dr. Lin Jianliang Reply:
The causes of endometrial hyperplasia are rarely due to hypothyroidism.

[Read More] Understanding the Link Between Hypothyroidism and Abnormal Menstrual Bleeding


Managing Cholesterol Levels in Hypothyroidism Patients: A Guide

Hypothyroidism and Cholesterol Hello Dr. Li, I am a patient with Hashimoto's thyroiditis and have been on medication—Entresto—for the past two years. My total cholesterol is between 220 and 250 mg/dL, low-density lipoprotein (LDL) cholesterol is between 160 and 190 mg/dL, an...


Dr. Li Jian Reply:
The enteric-coated tablets primarily lower cholesterol and have a slight effect on reducing triglycerides, but the impact is not significant.

[Read More] Managing Cholesterol Levels in Hypothyroidism Patients: A Guide


Understanding High Thyroid Antibodies: Risks and Implications for Treatment

Thyroid antibody issues? Hello Doctor: I have some questions regarding thyroid antibodies. (1) If all three thyroid antibodies (Anti-THYG, Anti-TSHR, Anti-TPO) are elevated, is it possible for hyperthyroidism to improve and then lead to hypothyroidism? (2) If I undergo radioactiv...


Dr. Li Jian Reply:
1. Some individuals may experience hyperthyroidism in their youth, which can later transition to hypothyroidism in old age. 2. Radioactive iodine treatment and TPO antibodies can both lead to hypothyroidism; therefore, it is essential to regularly monitor thyroid function after...

[Read More] Understanding High Thyroid Antibodies: Risks and Implications for Treatment


Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels

Hypothyroidism issues? Six months ago, I had a premarital health check-up and my TSH level was 1.57 uIU/mL, which is normal. Recently, while preparing for pregnancy and taking traditional Chinese medicine, I had another test (on the second day of my menstrual cycle) and my TSH le...


Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the explanation: If TSH levels are abnormal (elevated), you should consult an endocrinologist to check Free T4. Both hyperthyroidism and hypothyroidism can affect the secretion of FSH, LH, and HCG, potentially leading to infertility. For he...

[Read More] Understanding Thyroid Dysfunction: Impact on Fertility and TSH Levels


Managing Edema: Effective Strategies Beyond Diuretics for Relief

Systemic lupus erythematosus (SLE) Currently, I have edema affecting only the left side of my body, including the chest, arm, and lower extremities. After a hospital examination, the following causes were identified: (1) kidney disease - proteinuria or nephrotic syndrome in the u...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. Please first confirm with your physician whether proteinuria and hypothyroidism are currently being treated with medication. If so, discuss with your physician the reasons why the edema is not improving. Generally, treatment requires some time ...

[Read More] Managing Edema: Effective Strategies Beyond Diuretics for Relief


Understanding Hypothyroidism: Symptoms, Diagnosis, and Treatment Options

Thyroid issues What is hypothyroidism? I have upper abdominal and chest pain and consulted a gastroenterologist who performed some tests revealing a gastric ulcer and pulmonary infiltration. The blood report indicated low thyroid hormone levels. The doctor keeps saying there are ...


Dr. Hong Yuanbin Reply:
Hello, a general thyroid function test typically checks three values: TSH, T3, and free T4. Among these, free T4 is the most representative of thyroid function, while the other two values serve as supplementary indicators. However, all three values can fluctuate due to an individ...

[Read More] Understanding Hypothyroidism: Symptoms, Diagnosis, and Treatment Options


Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation

Health check-up About a month ago, I underwent a routine health check-up, and my hematocrit (HCT) was 37% (reference range: 38-47%). My alkaline phosphatase (ALK-P) level was 16 U/L (reference range: 34-104 U/L). Based on my family physician's recommendation, I was referred ...


Dr. Lin Jianliang Reply:
Hello, I recommend that you continue to follow up with a gastroenterologist. Thank you.

[Read More] Understanding Low ALK-P Levels: When to Seek Further Medical Evaluation


Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?

Health check issues Hello doctor, I recently had a health check-up and my thyroid function tests showed a T4 (thyroxine) level of 5.14 and a TSH (thyroid-stimulating hormone) level of <0.005. Is this indicative of hypothyroidism? The physician at the health check-up clinic onl...


Dr. Lin Jianliang Reply:
It is recommended to first consult with an endocrinologist for an evaluation.

[Read More] Understanding Thyroid Test Results: Should You Wait or Seek Specialist Care?


Is There a Link Between Hypothyroidism and Adrenal Tumors?

Hypothyroidism Is there a relationship between hypothyroidism and adrenal tumors?


Dr. Hong Yuanbin Reply:
Hello, there are many types of adrenal tumors. Some are functional tumors, meaning they secrete hormones that can potentially affect the thyroid. However, if it is a non-functional tumor that does not secrete hormones, it will not have any impact. Thank you for your question.

[Read More] Is There a Link Between Hypothyroidism and Adrenal Tumors?


Understanding Low T4 Levels During Pregnancy: Impacts on Thyroid Health and Fetal Development

At 12 weeks of pregnancy, the T3 levels are normal, but the T4 levels are very low (0.4)? Hello Doctor, prior to the IVF procedure, I had a thyroid function test which showed normal values, but I tested positive for Anti-TPO. I started taking half a tablet of Antithyroid medicati...


Dr. Hong Yuanbin Reply:
Hello, the commonly used indices for thyroid function tests are TSH, T3, and T4, with T4 preferably measured as free T4. If TSH is very high and both T3 and free T4 are low, it indicates hypothyroidism. However, your values seem to be one normal and one low, which may not necessa...

[Read More] Understanding Low T4 Levels During Pregnancy: Impacts on Thyroid Health and Fetal Development


Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors

Hypothyroidism issues? Hello, Doctor. I have been diagnosed with hypothyroidism since birth and have been regularly undergoing blood tests and taking levothyroxine tablets. However, during puberty and after becoming an adult (while taking birth control pills), my dosage has incre...


Dr. Lin Jianliang Reply:
1. It is recommended to have a blood test to measure thyroid levels; if the results are within the normal range, hypothyroidism can likely be ruled out. 2. A normal, balanced diet, along with a healthy lifestyle and regular exercise, greatly contributes to overall health. 3. Cert...

[Read More] Understanding Hypothyroidism: Symptoms, Treatment, and Genetic Factors


Managing Thyroid Issues and Autoimmune Diseases: A Patient's Guide

Thyroid issues, intrauterine drug delivery system, autoimmune diseases? Last year, in 2017, I was diagnosed with Sjögren's syndrome and autoimmune thyroiditis. I had a Mirena IUD inserted in 2013, and it has been in place for a total of six years. My doctor mentioned that I ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Currently, there is no literature linking intrauterine devices (IUDs) to dryness syndrome. Additionally, the trace hormones contained in IUDs do not appear to have any associated information regarding dryness syndrome in the literature. It is re...

[Read More] Managing Thyroid Issues and Autoimmune Diseases: A Patient's Guide


Understanding Low Urine Creatinine Levels and Kidney Function

Low urine creatinine levels? Hello, doctor: I have a history of iron deficiency anemia and hypothyroidism, and I tend to experience mild edema. Recently, I underwent a physical examination, which included blood tests showing BUN 10, Cr 0.8, and urine tests showing Protein (urine)...


Dr. Wu Jiyu Reply:
Renal function is assessed based on eGFR. According to the data you provided, eGFR = 81.718 ml/min/1.73 m², which indicates that renal function is still within the normal range for your age. Regarding your question about urine creatinine (21.5 mg/dl), it is used to correct protei...

[Read More] Understanding Low Urine Creatinine Levels and Kidney Function


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