Hello sir. My age is 29 (male) and I have been suffering from hypothyroidism for last 10 years. Currently taking tab thyronorm 112 mcg .most of the times thyroid function reports are normal and my recent reports which were done a week ago shows tsh 7.58 and t3, t4 normal. My local doctor advised me to start with thyronorm 125 mcg. Also hb level was 9.5. My problem is weakness and leg pain which I am continuously facing .also I am regularly taking cipcal 500 and nurokind plus tablets. Still suffering from weakness and legs pain .legs pain is not particularly at any point but whole both legs continuously pains. Actually it is dull pain. Please help me so that I would feel energetic to perform my daily activities. Thank you!

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Mr. lybrate-user, thanks for the quey. I have seen the details mentioned. My observations are as follows: 1)with a bmi (body mass index) of 29.29 kg/sq meter you are already in grade 1 obesity. Your ideal weight has to be < 60 kg. That means there is an excess of over 15 kgs. This can be the main reason for weakness. 2) hemoglobin should ideally be around 12 to 13 g/100 ml. That also is low, suggesting there is anemia. It is better to get a hemogram with peripheral smear done to see the size and shape of red blood cells. 3) tsh has to be maintained around 3 to 4 mu/l and t3 as well as t4 should be in the normal range. Tsh 7.8 mu/l suggests current dosage is inadequate. Needs to be increased and thyroid profile needs to be checked after 6 weeks to see if desired level is achieved. 4) there is a need to look at your dietary pattern and extent of daily exercise, because to remain healthy these two aspects along with proper weight maintenance are equally important. If you have any questions please do come back. There is a need for iron, b12, folic acid & vitamin d & c supplement. But in this communication we are supposed to give general advise, no drugs can be recommended or prescribed. Thanks.  

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