Question: I'm 45 years old. Graves' disease (difuzn. toxic. Goiter) – relapse. When disease weight is not decreased. After recovery rates of hormones in weight added 8 kg (height 168 weight 80 kg) is very afraid recover even after surgery or treatment of radio-iodine (many complain). Please, in connection with this anxiety (weight gain) advise that choosing surgery or radio-iodine, and whether, given the right medication compensating at least stay in the same weight.
Answer: Weight gain is not related to the treatment of Graves' disease as such. Just a tendency to excess weight is many people with a healthy thyroid gland. Against the background of Graves' disease with an excess of thyroid hormones thinner people (and this is bad), when the excess hormone is removed – the weight back to where he was destined to be. Hormone deficiency – hypothyroidism – leads to excess weight. Against the background of treatment of Graves' disease should not prevent the development of hypothyroidism (ie, eliminate the deficit hormone gland them taking in pill form). For this purpose during and after treatment you will need to make regular visits to an endocrinologist, in time to conduct tests for hormones. The operation and radioiodine in this respect are equal (although in operation the excess hormone is removed immediately, but the treatment with radioiodine to decline within a few months, but some obvious implications for weight control it does not).
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Question: I have these questions: When does checkup, I have listened to the heart and not immediately probing nodes in the neck was sent to study thyroid gland, as they have determined that the problem is in it? Are thyroid function so strongly affect the entire body? After a study of cancer, revealed that the total volume of thyroid gland 6. 4 cm cube. It's not quite right? What should I do? We must take what it tests, to whom you refer, I can be what you drink, vitamins to normalize the thyroid
Answer: Lower limit of normal at the level of the thyroid gland does not. Small iron (by the way, not that you and the little…) Able to produce enough hormones. Thyroid gland is often done without reason, "just in case" – perhaps in your situation happened. Just like that determine the level of hormones, too much sense, but if someone from your doctor believes that certain problems may be due to diseases of the thyroid gland – is the basis for determining the level of hormones (TSH). If this figure would be the norm – the thyroid gland "not guilty" (because it can affect other organs almost exclusively due to changes in the level of hormones). Prevention of diseases of the thyroid gland – it is only sufficient for providing the organism with iodine. For most people, this is achieved with iodized salt, for adolescents, pregnant and lactating women – needed iodine tablets. No more "vitamins" for the thyroid gland is not necessary.
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Question: Good morning, Oleg. My name is Svetlana, I am 24 years old. A year ago, I surveyed the thyroid gland, everything was normal. At the moment I am at 12 weeks pregnant. For 10 weeks I was tested for TSH, which showed the result of 4,71. . . How much this figure above the norm? I endocrinologist diagnosed – subclinical hypothyroidism and appointed eutiroks 75 mcg. Should I use this drug. What is fraught with the diagnosis for my baby
Answer: The doctor did everything absolutely right! An elevated TSH indicates that the thyroid gland does not quite cope with the release of hormones. In the 1 st trimester normal TSH decreases (sometimes become lower than normal), and its level of above 2 – this is not normal (well above normal for nonpregnant women – even more so). Your doctor must in this situation, assign L-thyroxine during pregnancy, because pregnancy thyroid hormones must allocate more than the usual condition, and the deficit of these hormones in the mother's blood is harmful to umestvennogo child development. If you follow a doctor's prescription – your child will not suffer:) Also, do not forget to implement the recommendations of an endocrinologist on the Admission of iodine during pregnancy (L-thyroxine and iodine are not interchangeable – their role in this situation is different).
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Question: Dear Oleg, I live in a disadvantaged area of thyroid disease – Khanty-Mansi. I received treatment from Laurent (tonsillitis) and he sent me to the survey of thyroid hormones. The results following TSH – 3,925, T4 St. – 12,19, T3 St. – 1,062, Autoantibodies to thyroid perksidaze – 355,1. No more tests on the thyroid gland, I did not do, an endocrinologist at the reception was not. I feel good, no sickness, chuvtva coma in the throat, etc. It does not want to "sit" on the treatment of thyroid cancer. Can you please tell how critical my results of the survey and how necessary it is to me at the moment appeal to the specialist. Is it possible for me to improve the picture taking yodomarina, any other drugs (not hormones). Consider also the option of switching to hormonal contraceptives (which is better in my situation)? Thanks in advance for your reply.
Answer: 1. "Sit down" on the unreasonable treatment of thyroid gland does not really need. Reduced T3 with normal TSH (and T4) vozmozhenv norm, and does not require intervention. On antibodies – see FAQ, by themselves, they also do not require treatment, they re-define the definition of the dynamics of their level is not necessary. 2. Iodine preparations for therapeutic purposes in your situation are not needed, but in your region, as in most regions of Russia, there is a shortage of iodine in food. It completely eliminates the use of household iodized salt to pregnant and lactating women and school-age children are iodine (such yodomarina). 3. Condition of the thyroid gland does not affect the choice of contraceptives, in no event should begin receiving them without consulting a gynecologist, about why it should be and what product to choose – check out the FAQ section "Hormonal contraceptives.
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Question: Good day! 8 weeks of pregnancy. Diagnosis – AIT. A month before conception were the following tests: AT-TPO – 410 (0-35), T4 St. – 1. 27 (0. 8-1. 9), TSH – 3. 1 (0. 35-5. 5). Took Yodomarin 100. At the 5 th week, took the analysis of TSH – 4. 7 (0. 35-5. 5), 7 th week – 3. 6 (0. 35-5. 5). They appointed L-thyroxine 50 mcg. My weight – 69 kg. 1) Is the dosage of L-thyroxine? 2) Do I need to, in addition to L-thyroxine to Yodomarin and in what dosage? 3) Because of the morning vomiting take L-thyroxine at about 12 o'clock in the interval between meals. When, in this case it is better to take Yodomarin – morning or evening? 4) I Yodomarin at a dosage of 100 micrograms (in a different dosage can not buy, because in the UK, where I am now, not the drug). Do I need to take 2 tablets at the same time Yodomarina or, for example, 1 – morning, 1 – in the evening? Thanks in advance for the answer
Answer: 1. Yes, it will be adjusted based on the definition of St. T4 on the background of his admission (remember that the day of blood collection for analysis of tablet should be taken after blood collection). 2. Yes, in a standard dosage for pregnant women (appointed by watching you, doctor, bearing in mind whether you accept vitamins for pregnant women, iodine, and taking into account evidence of iodine deficiency in an area where you now are) 3. At any time of day. 4. If yodomarin appointed a dose of 200 mg / day – then 2 tablets can be taken simultaneously. But you probably do not need such a dosage.
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Question: Thanks for the answer on "Norma TSH and male infertility" I want to ask a question on the implications of taking thyroxine for life, because on the website http://www. chinesemc. ru / shitovidka / read the following information: "In this case, it is important to remember that the administration of drugs containing thyroid hormones, accelerates bone loss (ie, contributes to osteoporosis) and may lead to changes in the cells of the heart and other organs, increasing to old age the risk of atrial fibrillation (a condition bordering on cardiac arrest), and necrosis of tissues of any internal organs. "Please comment on whether there are reliable data on heavy or not receiving hormone effects long as possible to reduce these effects may take calcium, etc.? What you need to know more and work with people diagnosed with AIT and gipeterioz of life, except ezheutrennego taking thyroxine? Thank you in advance for your reply.
Answer: All of this is to be feared only if you are taking thyroxine in the mode of overdose (in this case TSH below normal). Very rarely (after removal of the thyroid gland for cancer) actually appointed by such treatment, an overdose is also possible in the absence of timely control of TSH or incorrectly assigned to a dose of the drug. You must remember that a healthy thyroid gland produces thyroxine life – and it does not lead to harmful consequences for the organism. In continuous use of thyroxine, we must remember the need for monitoring by an endocrinologist and determining the level of TSH of approximately 1 per year to correct dose of thyroxine if necessary. About hypothyroidism you can learn more if you read the section "For Patients" at www. thyronet. ru
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Question: Good day! I was diagnosed with hypothyroidism, accept Eutiroks 100. specifically no worries except for obesity (p. 167 ves81). I go to the pool and want to be like massage, but my mom (she, too, hypothyroidism) said that in hypothyroidism massage the neck area is contraindicated. Is this true? Thanks in advance
Answer: Massage is not contraindicated, but it is certainly not a method of weight loss. After reaching the normal level of thyroid hormones (selection of this dose eutiroksa to TSH was normal), treatment of excess weight is carried out according to general rules. This has recently been in the FAQ in the "Obesity" and see. . .
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Question: I registered with an endocrinologist for several years. Agree auteroks 100. The recently passed the tests I have raised anti-TPO rate of 0-50, and I have 433. This TSH is normal 1,1. Anti TG 48. Explain what this means
Answer: Hello, Marina! Primary hypothyroidism develops on the background of chronic autoimmune thyroiditis, in which the observed increase in AT.
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Question: I have chronic autoimmune thyroiditis, subtroficheskaya form with symptoms of subclinical hypothyroidism, 39 years old. Ultrasound: pr share – 2 cm3, left – 3,9 cm 3, the Isthmus of 2 mm in the right lobe to the formation of 5,4 mm decreased echogenicity, left – with small anekogennymi entities. Blood tests: prolactin 21.98 (norm 1,2-29,93), tioeotropny hormone 4.3134 (norm (0,4-4,2), T4 free 0,87 (norm 0,7-1,48) , antibodies to thyroperoxidase 1000 (the norm is less than 5.61). Two years ago, ultrasound – right proportion – 4.9 cm3, left – 7.05 cm3, education up to 4 mm. She has only once Celebrex 20 days and every six months taking selenium active 0,25 g to 1 t. x 2 p. a day for 1 month. Can you please tell whether it was possible treatment and maintenance of the thyroid gland nonhormonal drugs
Answer: Hello! If you put a diagnosis: subclinical gipotiroz, it means that your thyroid gland is no longer produce its own hormones, so regardless of the need to replace them. Nonhormonal drugs to cope with this problem is impossible.
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Question: My name is Ludmila. Seven years ago, I was diagnosed – hypothyroidism, take L-thyroxine to 225 micrograms, can I still lose weight, or all attempts are useless
Answer: Hello! If compensated hypothyroidism, you may.
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