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Hormones imbalance want to know
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Endocrine & Hormonal Imbalances
Question #11978
18 hours ago
53

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.
18 hours 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.

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Ilma
Client
18 hours 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.
18 hours ago
5

Please let me know your report.

755 answered questions
69% best answers
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Ilma
Client
18 hours 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
18 hours 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.
17 hours 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.

755 answered questions
69% 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.
18 hours 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.

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