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Female | 59 years

What strength of Levothyroxine for TSH level 19.1?

I am 59 years female and I have HYPOTHYROIDISM. Last week I got my lab tests done and the reports show T4 - 6.1 ugh/dL TSH - 19.100 ulU/mL So, my Q is, what strength or how many micro grams LEVITHYROXINE medication should I take?

Answered on 18th Feb '25

Your lab results indicate that your TSH level is elevated, suggesting that your thyroid hormone replacement might need adjustment. Symptoms of hypothyroidism can include fatigue, weight gain, and cold intolerance. The dosage of levothyroxine typically starts low and is adjusted based on TSH levels and individual response. It’s vital to consult your endocrinologist to determine the appropriate microgram strength for your needs. Regular monitoring is essential to ensure effective management of your condition. 

2 people found this helpful

Questions & Answers on "Endocrinology" (350)

i think i have starting symptoms of thyroid

Female | 18

Tire­dness, weight shifts, anxiety, fast he­art, trouble focusing - these could signal thyroid trouble­. It may make too little (hypothyroidism) or too much (hyperthyroidism) thyroid hormone­. A blood test from your doctor will give clarity. If thyroid issues e­xist, medications can balance hormone le­vels to help you fee­l better. Consulting a doctor is crucial for proper diagnosis and finding the­ right solution.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

thing..my daughter is 13 yrs old n 165 cms tall..she had her first period 2.4 years back.father height 5.8 inch n mother height 5.1 inch..can she get few more inches.or she has got adult height...pls suggest

Female | 13

A 13-year-old may still have some growing to do. The growth spurt during puberty is different for everyone. Most girls stop growing taller between 14 and 16 years old. However, it is true that a few factors that can affect a person's height are genetics and nutrition. Environmental factors (nutrition) and genetic endowments are the ways to ensure her growth. If you want her to grow, make sure she's getting a sufficient diet and moving a lot. 

Answered on 29th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I'm 19 year old female, I've imbalance harmons for 6 months one month I get period the next I didn't, I've gain weight during that so much that's now up to 81 kg also increase my belly fat up to 42 inches from waist

Female | 19

Your complaints of irregular periods, weight increase, and fat around the belly may be a result of your hormones being unbalanced. Hormones in the body are the communication agents that regulate several functions such as our menstrual cycle and weight. It is vital to consult a doctor who will find out what the problem is and prescribe the needed treatment. They may offer lifestyle changes, medicines, or other alternatives to regulate your hormones and improve your health. 

Answered on 4th Dec '24

Dr. Babita Goel

Dr. Babita Goel

Suddenly I found my sugar level is 33 I feel very bad.. What should I do now. Its urgent

Male | 32

A sugar leve­l of 33 is dangerously low. Symptoms like shakiness, dizzine­ss, sweatiness, and confusion occur. This happens whe­n insulin dosages are high or food intake is insufficie­nt. The immediate fix is consuming sugary ite­ms like juice, soda, or candy. These­ quickly raise blood sugar levels. Afte­r that, eat protein-rich snacks to stabilize it. Discussing this e­pisode with your doctor is crucial.

Answered on 5th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Hi I am 21 years old and I recently tested my whole body test. And I found out that my follicle hormone is 21.64

Female | Mansi Chopra

An FSH of 21.64 is a bit high. Symptoms may include irregular periods or problems with getting pregnant. To bring this level down, the best thing you can do is consult with your doctor who will on what lifestyle changes are necessary if any at all as well as possible treatments that may help lower its amount.

Answered on 4th June '24

Dr. Babita Goel

Dr. Babita Goel

Not gaining weight. My age is 19 nd weight is 28 .

Female | 19

People your age should gain weight bit by bit. Perhaps you are not eating enough or have thyroid issues among other things which commonly lead to a lack of weight gain. Have balanced diet meals that are inclusive of proteins, carbohydrates, and healthy fats. To rule out any health complications, go for regular checkups with a physician. 

Answered on 13th June '24

Dr. Babita Goel

Dr. Babita Goel

hi doctor i would like to ask a question please. as i am a type 1 diabetic patient for 4 years the last 1 month i use fiasp insulin now can i change to novarapid insulin because now i dont have money to give another consultation charge and admission charge for that same hospital. i got novarapid throw away pen 10 nos which my formal country had given me with no charge. please suggest me what should i do i really appreciate for the respond thank you sirs. shijin joseph joy from kerala, india

Male | 38

You should discuss any insulin regimen changes with a doctor before you do anything. Both Fiasp and Novarapid are rapid-acting insulins to be used to treat diabetes by controlling blood sugar levels. It is recommended to follow only the insulin given by the doctor to avoid any complications. 

Answered on 18th June '24

Dr. Babita Goel

Dr. Babita Goel

Hi I’m a 23 year old female, I got few test done which says I have UTI and a prolactin level of 33, HCG <2.0, TSH 1.16. Can I know the reason of it ?

Female | 23

UTI means Urinary Tract Infection which can give rise to such symptoms as pain during urination. Prolactin level 33 could be high affecting periods and fertility. HCG <2.0 means you are not pregnant. TSH 1.16 is normal for thyroid function. UTIs can be cured by antibiotics while elevated prolactin may require further assessment by a doctor to determine its cause.

Answered on 13th June '24

Dr. Babita Goel

Dr. Babita Goel

Hi I'm Gopinath. I'm diagnosed with low vitamin d (14 ng/ml). I feel really exhausted and leg below knee hurt so much. I'm currently taking D rise 2k, Evion LC and Methylcobalamin 500 mcg. How long it will take to cure and I feel normal

Male | 24

Having low vitamin D can make you fe­el very tired. It can also cause­ pain in your legs. The medicine­s you are taking are good. But it takes time­ to feel bette­r. It usually takes a few wee­ks or months for your vitamin D levels to go up. And it takes time­ to feel normal again. Kee­p taking your medicines eve­ry day. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

I am 16 year old boy. But doesn't have any facial hair . I am eating speman tablet Himalayas. Is it good...or will work ?

Male | 16

It's normal to be concerned about facial hair during teenage years; everybody grows differently. Our body directly uses the supplements for reproductive health so we can consider them as a part of our diet. Insufficient facial hair is because of genetic factors or it may also be due to low hormones. Talking to a doctor could be the best way to know more about the situation and get some help or advice. 

Answered on 22nd July '24

Dr. Babita Goel

Dr. Babita Goel

Increased risk for diabetes (prediabetes): 5.7-6.4% Diabetes: > or =6.5% When using Hemoglobin A1c to diagnose diabetes, an elevated Hemoglobin A1c should be confirmed with a repeat measurement, fasting glucose, or other test for diagnosing diabetes. All hemoglobin A1c methods are affected by conditions that increase or decrease red blood cell survival. Falsely high results may be seen with iron deficiency or splenectomy. Falsely normal or low results may be seen with hemolytic anemias, unstable hemoglobins, end-stage renal disease, recent or chronic blood loss, or following transfusions. Hemoglobin A1C View trends Normal range: 4.0 - 5.6 % 4 5.6 4.6 Estimated Average Glucose View trends mg/dL Value 85

Female | 27

If you have a Hemoglobin A1c level of 5.7-6.4%, you are at risk for diabetes. If your level is 6.5% or higher, it means that you have diabetes. Signs of this condition include thirstiness, frequent urination, weariness, or unclear eyesight at times. Overeating, genetics combined with little or no physical activity could be the cause behind it all or some of these symptoms coming up. Controlling your blood sugar requires eating well-balanced meals regularly and exercising often if not daily; medication may also be necessary depending on other factors such as age, sex, race, etc.

Answered on 6th June '24

Dr. Babita Goel

Dr. Babita Goel

Persistent fatigue low BP low energy low mood, possibly due to hormonal changes

Female | 47

Persistent tiredness, low blood pressure, diminished energy, and a feeling of sadness can stem from various factors, including hormonal fluctuations. These symptoms may signal issues like adrenal or thyroid function or stress. It's essential to focus on a balanced diet, regular physical activity, and adequate sleep to enhance your overall well-being. Incorporating stress management techniques, such as mindfulness or relaxation exercises, can be beneficial as well. However, I recommend consulting with a healthcare professional for a comprehensive evaluation and personalized guidance. 

Answered on 1st Feb '25

Dr. Babita Goel

Dr. Babita Goel

I have been diagnosed hypothyroidism yesterday with 6.407mul last month it was 3 and i even have pcos

Female | 24

Hypothyroidism is low thyroid gland hormone le­vels. Symptoms: Fatigue, weight gain, fe­eling chilly. PCOS involves hormone imbalance­, irregular periods, and fertility struggle­s. Hypothyroidism treatment: Thyroid hormone me­dication. PCOS management: Lifestyle­ changes, medications prescribe­d. 

Answered on 28th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I am 43 yr old male on healthy life style. Suddenly started to gain weight in past 1 month. Need a solution.

Male | 43

Many reasons can lead to weight gain. Among the most popular are: eating more than your body needs, lack of exercise, stress, or medical conditions. Be observant if you're experiencing more fatigue or hunger than usual, and also notice if you have a strange thirst. Do your best to eat balanced meals and be more active. Water is much preferable to sugary drinks as it can help too. Keep an eye on your weight and how you feel. Moreover, if necessary, don't hesitate to visit a doctor.

Answered on 8th Aug '24

Dr. Babita Goel

Dr. Babita Goel

My hba1c is 11.3 and ppbs is328.5 and fbs is 261.6

Male | 32

Having a high HbA1c value of 11.3 means your body struggles with sugar manage­ment. Additionally, blood sugar readings of 328.5 after me­als and 261.6 when fasting indicate the same­ issue. You may experie­nce increased thirst, fre­quent urination, and fatigue as symptoms. This condition could be diabe­tes. To improve, make die­tary changes, exercise­ regularly, and consider medication pre­scribed by a doctor for better blood sugar control.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

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