TSH level of a 23 yr.old women is 8.30 micro IU/ml -T3 & T4 are res.0.85 & 7.9. What should be the treatment?

Question

Patients Blood Examination report:
(1) T3 level is 0.85 ng./ml against the normal range specified as 0.9 - 2.2
(2) T4 level is 7.90 microgram/dl. against the normal range specified as
5.5 - 16.0
(3) TSH level is 8.30 micro IU./ml against the normal range specified as
0.4 - 4.2
(4) LIPID PROFILE specifies only VLDL choleserol 40 mg/dl against
normal range specification of upto 30
(5) LFT Test shows higher Alkaline Phosphate level of 132 U/L against the
specified normal <98.
(6) A;G ratio is 1.43
All other parameters are within normal range. She got married in December 2002 and purposely avoided any isue till completion of her Postgraduate studies. Recently her weight increased by 6 kgs. to 74 Kgs.in last one month. Height is 5ft.-7inches. General health is O.K. with ocassional headache and pain on variable organs.She is a very cool and well behaved lady.Her father is under thyroid treatment since last 10 yr
Please suggests measures & treatment

Answer 1

I can't help wondering , since she had this panel done then she must have gone to a doctor for some reason.
Why then, did she not speak with her doctor about these results and their specific meaning as far as her health and any treatment needed?

To understand the CBC, go here
http://www.labtestsonline.org/understanding/analytes/cbc/test.html

To understand TSH level, go here:
http://thyroid.about.com/cs/hypothyroidism/a/6questions.htm

To understand T3 & T4, go here:
http://www.labtestsonline.org/understanding/analytes/t3/test.html

To understand Lipid Profile, go here:
http://www.labtestsonline.org/understanding/analytes/lipid/glance.html

To understand LFT, go here:
http://www.labtestsonline.org/understanding/analytes/liver_panel/glance.html

To Understand A;G ratio, go here:
http://www.labtestsonline.org/understanding/analytes/tp/test.html


Knowing a little about thyroid disease I have to say that if you suspect that she/you have a problem you really shoud get a few medical opinions because once you start meds for thyroid you can not stop them..EVER. Be very certain and know the risks involved with begining any thyroid replacement therapy!

Good Luck to you/her
What does getting married in 2002 have to do with the current results and treatment?

Answer 2

For sure. 1-5 yes. 6, if your an anime geek, you ladies do especially in their character traits of usually cold shoulder characters who are bad ***. 7-8 true. 9, not true if your a Southerner lady. 10-12 true that, but 12, we do it too, especially if they have female features that look like someone hot we know, so we shake it off knowing they have a penis and know they aren't them. 13-18, who cares about that crap. 19, that is not usually why we do it, it is to make sure there straitened and in proper positions instead of inside this one area I have no idea what it is called. 20-22, that is not valid privelages because that is a social standard and not an individual right, so some of us aren't fake and perfer not to be so who cares about what others think as long as we are ourselves. 23 is a lie, I know lots of women who do that. Saying you don't, your either lying to everybody or lying to yourself or your ashamed of it. 24-30, eh, that's not a privelage, those are more social

Answer 3

it sounds like she has hyphothyroidsm but is in almost the euthyroid state because of the oversecretion of THS.
I think that the first check up is complete, the next step is to measure antibodies against tyroid tissue, for rule out hashimotos thyroiditis,and maybe a I radioactive study for see any enlargement or nodule in the thyroid gland
the treatment is thyroid hormones, like tyroxine

Answer 4

Blood sugars? Treat for hypothyroidism as well as test for PCOS. If PCOS is positive treat with metaphormin and BC pills.

Answer 5

her tsh is slightly increased
but dont worry

normal