Combined Lipase Deficiency Questions

Hello, thanks for the query.
I have seen the details given. Her tsh level is definitely lower than lab limit mentioned. Hence, it is better if dosage is reduced by 12.5 mcg to 112.5 mcg per day. Please remember after reducing the dosage (after every dosage change) there is need to check thyroid profile after 6 to 8 weeks to see if the desired change is achieved. In a well controlled patient tsh should remain around 2 to3 or 4 mu/l and t4 in normal range. If you have any questions please do c...more

Eat
no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Gluten
take more water
less mobile
medicine can not be advised for open question, for medicine and further advise contact on private chat.

Shortness of breath may be unrelated to hypothyroidism
you need to get a pft spirometry to ascertain whether you have obstructive or restrictive airway disease.
If any of this disease is detected on pft then further investigation can be done for evaluation of chest for the final cause of breathlessness.
Do you have any history of allergy to dust smoke animal dander, cold cloudy weather increases breathlessness.
Does nebulisations of duolin and budecort help you this means that un...more

Hello, thanks for the query.
I have seen the query. The information about thyroid profile is too old. You will have to get current thyroid profile (t3, t4 & tsh) done and report that. Plus madam please remember hypothyroidism is not cured. Patient has to take the supplement of levothyroxine (in adequate dosage) for life time. Abruptly stopping the treatment can lead to uncontrolled hypothyroidism and its various consequences. If you are looking for appropriate treatment advise then please co...more

Your father's bp 190/100 is quite high and with swelling face and legs, this is a matter of serious concern. He needs immediate personal examination and prescription medicine to be taken on long term basis. Please consult your local physician urgently.

In hyperthyroid status you need to avoid iodine containing food like iodised salt etc., The food items like fish, egg yolk etc., you need not stop completely but only avoid excessive consumption. The body looking slim is the nature of the hyperthyroidism. You need to keep the thyroid levels normal to gain weight. As for food take protein containing food like dal, non-veg etc., As for exercises easy and simple one is walking and jogging. Is facility available you can do weight training to build m...more

Hello, thanks for the query.
I have seen the question. Madam let clarify for hypothyroidism (if well confirmed with high tsh) only medication is to take adequate dosage of levothyroxine. There is no medicine in any other alternative branch or therapy. This is because hypothyroidism occurs due to insufficient or some times nill production (synthesis) of thyroxine (t4) by our thyroid gland. Only remedy is to supplement the required quantity by taking the synthetic hormone. I hope you have unde...more

Hello, thanks for the query.
Madam, I have seen the details mentioned. Tsh 5.9 mu/l means your hypothyroidism is not in control. Ideally tsh should be around 3 to 4 mu/l and t3 as well as t4 should be in the normal range (there is no mention of t3 & t4 levels). Please remember you can not or should not stop taking levothyroxine, that will make the condition still bad. If you have any doubts please do come back. Thanks.

There's no permanent cure for hypothyroidism. You need to maintain thyroid levels by taking tablets. We can’t give medication in open question forum. So come back in private consultation, where we can discuss about the issue and give prescription.

Although thyroid levels are important for conceiving and maintaining pregnancy, many other factors are also necessary. You should consult a gynaecologist with facilities for treating sterlity and continuous monitoring.