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?
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General Physician
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.
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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
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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
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Dr. Babita Goel
I Have deficiency of Vitamin D In lab report it shows 11ng Somthing So I started Taking 5000UI Daily but in internet there is Problem called Blood Calcification Somthing Do I need any other Tablets like Magnesium Zic K2?
Male | 21
Vitamin D deficiency can lead to symptoms like fatigue, bone pain, and muscle weakness. Your lab result indicates a significant low level, and starting 5,000 IU daily is a common approach for repletion. It's essential to monitor calcium levels, as excessive vitamin D can contribute to calcification. Adding magnesium, zinc, or vitamin K2 may support overall health, but it’s best to consult your healthcare provider before making any changes. They can tailor a plan based on your specific needs and ensure safe supplementation. Regular check-ups are important for monitoring progress and adjusting dosages as needed.
Answered on 8th Feb '25
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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
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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
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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
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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
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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
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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
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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
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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
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Dr. Babita Goel
Tsh level is 5.46 is normal
Female | 39
Your TSH level measures 5.46. TSH is high, meaning your thyroid may work improperly. Symptoms like exhaustion, weight gain, and cold sensitivity could occur. Hypothyroidism or certain medications can cause this. Medication balancing thyroid levels might help. Discuss results and symptoms with your endocrinologist.
Answered on 24th July '24
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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
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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
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Dr. Babita Goel
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?
Female | 59 years
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.
Answered on 18th Feb '25
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Dr. Babita Goel
What hormonal imbalance cause persistent symptomatic tachycardia all the day? Does taking marvelon oral contraceptive for more than 3 years cause palpitations and breathlessness and sinus tachycardia attacks lasting for more than a month?
Female | 32
Sometimes tachycardia, a fast heart rate, has symptoms. It can happen from hormone problems like hyperthyroidism. Taking the pill Marvelon for a long time, over 3 years, may cause palpitations. Your heart feels like it's racing or pounding. You might feel short of breath too. These tachycardia attacks can last more than a month. If you have symptoms like these, it's crucial to see a cardiologist. They can check what's causing it and help treat it properly.
Answered on 17th July '24
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Dr. Bhaskar Semitha
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
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Dr. Babita Goel
USG SOFT TISSUES OF NECK Thyroid gland: Right lobe: - Measures 3.5x1.2x1.3cm. Left lobe: - Measures 3.3x1.5x1.0 cm. Isthmus:-3.6 mm. Both lobes and isthmus are normal in size and echotexture. A cyst in right lobe of thyroid measures 2mm. Two spongiform nodules in left lobe of thyroid measures 9x5mm and 2mm - likely colloid nodules The gland moves well with deglutition. Thyroid parenchyma shows normal vascularity on colour Doppler imaging. Multiple subcentemeter sized cervical lymph nodes seen in the posterior aspect of neck on left side. Few prominent bilateral level II and III cervical lymph nodes largest one measures 22x6mm on right level II and on left side measures 10x4mm in level II. The vascular bundle appears normal bilaterally. Bilateral parotid and submandibular salivary glands appear unremarkable. I want to know about this report
Female | 41
The ultrasound report indicates that your thyroid gland is within normal size and structure, with a small cyst and two benign colloid nodules, which are generally harmless. The presence of some lymph nodes is common and not unusual, particularly if they are small and observed during imaging. While these findings are generally not alarming, it’s wise to discuss them with your endocrinologist to ensure that monitoring or further evaluation is appropriate. Maintaining regular check-ups can provide peace of mind and clarity regarding your health.
Answered on 18th Feb '25
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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
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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
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Dr. Babita Goel
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