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Endocrine & Hormonal Imbalances
Question #11978
231 days ago
501

Hormones imbalance want to know - #11978

Ilma

• “6 saal pehle mera weight 90 kg tha, bhook bahut kam thi lekin weight badhta ja raha tha. Diet plan se 70 kg tak aa gaya, lekin ab pichle kuch saalon se weight continuously kam ho raha hai.” • Old symptoms: • “Tab bhi mujhe thand bahut lagti thi, periods irregular aur heavy flow hote the, headache, palpitations,loss of appetite,breathlessness hote the.” • Current symptoms: • “Ab bhi bhook bahut kam hai, extreme thakan hai, thand bardasht nahi hoti, raat ko sweating hoti sometimes hai, muscles pain aur fingers stiff ho jati hain subah, palpitations, saans lene mein dikkat hoti hai.” • “Sabse zyada problem ab throat mein hai – gala band sa lagta hai, saliva nigalna mushkil hota hai, saans atakti hai.Kbhi grmi kbhi thnd sweating somethimes".

Age: 26
Tsh-0.212 total t3-94 total t4-4.87 free t3-2.69 free t4-0.91 vit d - 3.34 vit b12- 101 hb 9.2
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
231 days ago
5

Investigation:

Thyroid Profile:

TSH, Free T3, Free T4

Thyroid Antibody Tests:

Anti-TPO Anti-TG CBC, ESR, CRP Fasting Blood Sugar, HbA1c Vitamin B12 and Vitamin D3

Your pattern (weight gain, now unexplained weight loss, cold intolerance, fatigue, throat tightness, irregular periods) strongly suggests a thyroid hormonal imbalance possibly autoimmune thyroiditis or shifting thyroid function. Next step: get the above tests done ASAP, then review with an endocrinologist for definitive diagnosis and treatment.

1972 answered questions
59% best answers
Accepted response

6 replies
Ilma
Client
231 days ago

I have all these report except these Anti-TPO Anti-TG CRP I also met endocrinologist he has not given any good response and I am severely suffering from these

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
231 days ago
5

Please let me know your report.

1972 answered questions
59% best answers
Accepted response
Ilma
Client
231 days ago

Tsh-0.212 Total t3-94 Total t4-4.87 Free t3-2.69 Free t4-0.91 Esr- 5 Vit d - 3.34 Vit b12- 101 Hb 9.2 Hba1c-4.8

Ilma
Client
231 days ago

Thank u so much for explaining so nicely…can u suggest we literally think its autoimmune thyroid disease become this test is so expensive 😔 why so i am suffering from all this i am overwhelmed from my symptoms…

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
231 days ago
5

If it’s too costly right now, that’s okay. You can treat based on your symptoms and thyroid levels for now. Once you stabilize you can do it when it’s affordable.

1972 answered questions
59% best answers
Accepted response
Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
231 days ago
5

RX,

Tab. Uprise D3 60,000 IU 1 tablet once weekly after lunch × 8 weeks, then once monthly. Take with a meal containing fat (e.g., milk or ghee). Get rechecked after 2 months.

Tab neurokind od 1 tablet daily after breakfast × 3 months

For faster improvement Inj. Methylcobalamin 1000 mcg IM once weekly × 4 weeks (optional, under doctor).

Syrup dexorange 1 tsp daily after dinner × 3 months

No thyroid medicine yet — your T3/T4 are not high enough to treat for hyperthyroidism and not low enough for hypothyroidism. This needs repeat testing every 6–8 weeks to see which direction the thyroid is shifting.

Get Anti-TPO antibody test (for autoimmune thyroiditis).

If throat tightness continues, ask for neck ultrasound to assess thyroid size/inflammation.

You are currently in a transitional thyroid phase, with severe Vitamin D & B12 deficiency and anemia causing most of your fatigue and muscle symptoms. Start supplements immediately, repeat thyroid tests in 6–8 weeks, and consult an endocrinologist for autoimmune thyroid evaluation. Focus on diet, sunlight, and gradual recovery these deficiencies are completely reversible.

1972 answered questions
59% best answers
Accepted response

Considering the symptoms you have described, it appears you might be dealing with a hormonal imbalance, potentially involving the thyroid gland. The combination of weight changes, sensitivity to cold, irregular periods, palpitations, and throat discomfort are quite suggestive of thyroid dysfunction, possibly hypothyroidism or an autoimmune thyroid condition like Hashimoto’s thyroiditis. Your current throat symptoms especially demand attention since difficulty swallowing and breathing can become serious concerns. To get to the root of this, it would be essential to have a thorough evaluation, including blood tests to measure levels of Thyroid Stimulating Hormone (TSH), Free T3, and Free T4, along with thyroid antibodies if autoimmune conditions are suspected. Given the described difficulty with your throat, an ultrasound of the neck might also be necessary to check for any thyroid enlargement or nodules that could be affecting your swallowing or breathing. Additionally, symptoms like night sweats, muscle pain, and joint stiffness can sometimes overlap with rheumatologic disorders – these should be investigated if the thyroid tests do not reveal the full picture. It’s crucial not to ignore the swallowing and breathing difficulty you mentioned; these are considered red-flag symptoms that warrant prompt medical attention. You should prioritize seeing an endocrinologist or a general practitioner who can direct the appropriate investigation and manage treatment. Diet and stress management can support your recovery, but medications might be necessary to balance your hormone levels. Staying active, avoiding stressors where possible, and ensuring a balanced diet can help but are not the sole solution where medication is required.

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