A 33 year old male who reported with complaints of palpitations, tremors, unable to sleep at night for last several weeks *History* He has history of thyroid disorder in the past but discontinued medicines He even adds to having weight loss in the past He even added that after last visit he had fever *Investigations* As per TFT, he is a hyperthyroidism case His CBC reveals leucopenia and mil anemia *Management* Started him on carbimazole 10 TDS Ciplar LA 40 OD after bfast Tab Seder OM after lunch Tab Ezolent Beta 0.5/20 after dinner Asked for follow up after 4 weeks and to repeat TFT after 6 weeks Your recommendation on this case?

Respected curofians, here is a interesting question , pls help me to solve it thank u.

41 yr old female k/c/o hyperthyroidism was on tab neomercazole 5mg bd for three months. After three months her T3 and T4 were in normal range, but TSH was 64, She was started on tab eltroxin 50 microgram od for three months her latest thyroid profile reports are posted below with high TPO... Ur kind comments and advise on the case friends!!!

young female with General weakness.. tremers.. sweating.. arthralgia.... TSH T3 T4 vitamin D3 Sr Calcium on exam hypothyromegaly + comment

bodyache,weight loss,cold intoleranc,irregular menses,,