serum TSH 98.21uU/ml

A female patient age of 57 years ,plz see TSH level give best tt for her report attached with post Chief Complaints No any complaints only puffy face and slight pain in wrist joint History No c/o diabetes or HTN Vitals Normal Physical Examination NA D

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Start her supplementation of L Thyroxine, and yes as senior doctors pointed out, 100mcg empty stomach would be a good dosage to start with Also add Cap Thyrowel OD for 15 days Advise for Serum25(OH) D and give her a stat dose of Vit D 60K and wait for results Also check the lipid profile Repeat TSH after 4 weeks

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If the figures are correctly texted ,it's highly elevated. Surprisingly No Symptoms at this elevation Start Elthroxin 100.mg 1 tab OD. It is mandatory to repeat Thyroid profile ag other lab.

Hypothyroidism Tsh level multiply1 point 7 Eltroxin

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HYPOTHYROIDISM 1.shigru swarasam with kanchanaraguggulu 2tab, BID. 2.liquid.varanad kashayam 20ml+40ml lukewarm water with tab.trikatu 2tab, bid. 3.regular exercise pranayam 30min/day. 4.Aswagandha churnam +Triphala churnam + punarnava churnam 5gm with honey bedtime.

SUGGESTIVE. OF HYPOTHYROIDISM NICELY DISCUSSED IN. DETAILS... NEEDS PERIODIC REVIEW. OF T. F. T s....

* HYPOTHYROIDISM.. NEED'S.. ELTROXIN.. 100 MCG .. ANTI TPO .. ENDOCRINOLOGIST OPINION..

Tab Thyronorm 100 one in empty stomach Calcirol sachet once in a week for three months

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Do anti TPO antibodies. Thyroid ultrasound. Start on Tab Eltroxin 100 mcg at 6 am

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Hypothyroidism Start with 100 mcg Thyroxin supplement Repeat thyroid function test after 30 days

Eltroxin 50 Mcg o d empty stomach

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