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How to treat overactive thyroid
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Mental & Emotional Health
Question #18381
71 days ago
191

How to treat overactive thyroid - #18381

Eric

My TSH level usually stays in 0.07, 0.10 , 0.09 etc Because of this i have a depression anxiety, hands shivering, hard to concentrate,foggy memory, sometimes high blood pressure, and palpitations, weight loss, dark circles

Age: 25
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
70 days ago
5

Hello.,

These are abnormally low

So please confirm the diagnosis. Redo the tests:

Free T3,T4 TSH Anti-TPO / TRAb antibodies

Then if it’s abnormal, you have to take medication

🛑Do NOT self-medicate or stop/start thyroid meds alone.

So kindly do these tests and consult an endocrinologist in person .

I trust this helps Thank you

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
70 days ago
5

Hello Eric Thanks for sharing your TSH levels and symptoms. A TSH level consistently around 0.07–0.10 is much lower than normal, which usually means your thyroid is overactive (hyperthyroidism). This can definitely cause the symptoms you described: - Depression, anxiety, and memory problems: Thyroid hormones affect your mood and brain function. - Hand tremors, palpitations, high blood pressure: These are classic signs of excess thyroid hormone. - Weight loss and dark circles: Overactive thyroid speeds up your metabolism, which can lead to weight loss and tiredness.

What this means for you:
Your symptoms and low TSH suggest you may have hyperthyroidism. This needs proper evaluation and treatment by an endocrinologist. Untreated, it can affect your heart, bones, and overall health.

What you should do next:
- Get a full thyroid profile (Free T3, Free T4, anti-thyroid antibodies) if not already done. - See an endocrinologist as soon as possible for diagnosis and management. - Avoid self-medicating or stopping any current medications without your doctor’s advice.

In the meantime:
- Try to rest and avoid stress as much as possible. - Eat a balanced diet and stay hydrated.

Thank you

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It seems like you might be experiencing symptoms often associated with hyperthyroidism, characterized by low TSH levels as you’ve described. To address an overactive thyroid, a few key treatment options exist, each with its unique implications. First, a consultation with an endocrinologist or your primary care doctor is crucial, as comprehensive clinical examination and additional thyroid function tests might be necessary to confirm the diagnosis and exclude other causes. Anti-thyroid medications, such as methimazole or propylthiouracil, are frequently used to reduce thyroid hormone synthesis and help stabilize the condition with regular monitoring of thyroid levels to adjust dosages appropriately. In some cases, radioiodine therapy is suggested, which involves taking radioactive iodine to shrink the overactive thyroid gland gradually. It’s usually safe but requires follow-up as thyroid function must be monitored closely afterward. Surgical intervention, like a thyroidectomy, could be considered, especially in cases where medication or radioiodine therapy isn’t suitable or effective. Lifestyle adjustments, such as stress management strategies, can also help alleviate symptoms such as anxiety and high blood pressure; regular moderate exercise under guidance and a balanced diet can support overall well-being. It’s important to control associated symptoms—like palpitations—with medications such as beta-blockers under medical guidance, which can help manage cardiovascular symptoms effectively. If any acute symptoms escalate like severe palpitations or unexpected changes in blood pressure, seek immediate medical attention to ensure safety. Always discuss potential side effects and implications of each treatment with healthcare providers to determine the best course tailored for your specific situation and needs.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
70 days ago
5

Hello dear See after careful evaluation it seems over active thyroid or hyperthyroidism. Usually the levels are 0.4-4 units. I suggest you to please get following tests done to rule out chances of grave disease or thyroiditis Serum t3 Serum t4 Usg thyroid Thyroid antibodies Repeat tsh if recommended by endocrinologist Kindly share the result with endocrinologist in person for better clarity Please donot take any medication without consulting the concerned physician Regards

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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.
70 days ago
5

Your condition is treatable and reversible. You are not “imagining” these symptoms. Ignoring low TSH long-term can cause:

Heart rhythm problems

Bone loss

Severe anxiety disorders

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