I am hypothyroid and type 2 Diabetic. I take 75 mcg Thyronorm and 1000 mg Metformin twice a day. My latest t3 Total is 0.88 ng/mL, t4 Total is 8.20 ug/dL, TSH is 4.10 uIU/mL. According to report it's within limits. However I am getting feeling of tightness in the neck from few days. There is no visible lump or even nothing to touch. What further test I need or am I taking the right dose?

Dr. Pramod Kumar SharmaEndocrinologist38yrs exp

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You need to increase the dose of thyronorm in consultation with your doctor.  

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Dr. Ambadi KumarIntegrated Medicine Specialist33yrs exp

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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. 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. 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. 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 . 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 Your type 2 diabetes is also reversible without medicines with complete lifestyle and diet changes Make your thyroid work for you and not against you.  

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