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First treat your hypothyroidism correctly .That may be your cause for low energy Get to know the correct tests to do as well as the treatment protocols. You might not get the right information from your treating doctor if he is not aware of the pitfalls of the testing and treatment protocols. That is the reason world wide hypothyroid patients are on life long medications with the the autoimmune component not addressed correctly. Do the right basic blood tests for Thyroid which is 5 of them .Not the Total T4 Total T3 and TSH testing done by your Dr. Adjust drug dosage not based on Normal TSH range but optimal TSH levels .Otherwise your labs will be fine but you will not be fine and you still have symptoms like Fatigue, Constipation,Hair loss ,Inability to loose weight etc What patients are prescribed is the synthetic. T4 Thyroxine known by brands like Thyronorm./Thyrox/ Synthroid /Eltroxin which may or may not be the correct drug you need. Because T4 -Inactive hormone - T3 is the Active hormone. T4 has to get converted to T3 only in the presence of a healthy liver and adequate levels of nutrients like, Iodine,Zinc, Iron,Magnesium ,B12 ,Selenium and many others. You are told to take lifelong medicines which is probably never needed if you treat the root cause and the triggers. The lesson everybody should learn is not to blindly believe your drs and the hospitals .They may have vested interests also. Please take personal responsibility for your own health and Get educated about the disease you have and question your Dr. Always take second and third opinions so that you know you are getting the correct treatment and not getting ripped off. Send a feedback with your name and contact number and please highlight your health issue and try to most probably reverse your hypothyroidism by diet and lifestyle and few food supplements without any medication. I am a Lifestyle, and wellness Consultant from abroad and only the initial consult works through Lybrate. I treat the root cause and not the symptoms Treat the triggers and taper your medicine and you may be able to even stop the medication by following a complete healthy lifestyle change as well as a thyroid friendly diet and supplements Make your thyroid work for you and not against you.

This might be due to lack of blood circulation in the hands and we suggest to do contrast bath therapy ie. Immersing in cold/hot water in the interval of 3-5 minutes which will help you reduce the pain.

Result of both are same one contain gavapentin others pregabalin both to treat diabetic neuropathy.

Kindly avoid artificial supplements which harm the body. Depend on sumptuous vegetarian foods for good health, mind and wellbeing in long run.

Dear Ms. lybrate-user, thanks for your enquiry. Take two tablets a day folic acid 5 mg two times a day (tablet folvite)