Hypo thyroid due to radiation on vocal cord cancer treatment

[Naseeryousuf]

I am hypothoride with following details and I am using .025 lavothroxine. I am feeling shortbreathing and tiredness eight loss. Kindly guide me

Serum anti thyroglobulin <20

Serum TSH 7.139

(Before medicine it was 11.39

Now Serum TSH 7.139

I am 63 year old

55 year to 87 range 0.5 to 8.9)

SERUM FT4 1.39

ANTI THYRODE proxidase 15.3

[greygoose]

Hi Naseeryousuf, welcome to the forum.

We really need the ranges for those results, because they vary from lab to lab. But, your TSH is so high, it's obvious that you need an increase in dose of levothyroxine. 25 mcg is a very, very small dose. How long have you been on that dose?

[Naseeryousuf in reply to greygoose]

Thanks for reply .

Before medicine it was 11.39

Now Serum TSH 7.139

I am 63 year old

55 year to 87 range 0.5 to 8.9

[greygoose in reply to Naseeryousuf]

That is wrong, I'm afraid. It doesn't matter what your age, when you are taking thyroid hormone replacement, your TSH should come down to 1 or under - wherever you need it to make you feel well. A TSH of 8.9 is not normal for anyone.

Do you have a range for the FT4 and the antibodies, please?

[Naseeryousuf in reply to greygoose]

FT4 1.39 ng/dl

(Range .89 to 1.76)

All ranges are in my lab reports in

Agha Khan hospital lab. One of the best hospital in Pakistan.

[greygoose in reply to Naseeryousuf]

OK, it's good that you've got the ranges, but you must give us the ranges when you give your results.

So, your FT4 is only just mid-range. It probably needs to be higher. You also need your FT3 tested. Can you get that?

[Naseeryousuf in reply to greygoose]

I only have above given test only. Do u commend for T3 test?

[greygoose in reply to Naseeryousuf]

Testing the FT3 is essential. It's the most important number.

[Naseeryousuf in reply to greygoose]

Ok thanks.

One more question.

I am feeling short breathing when I do exertions. Is this due do thyride or lavothroxine?

[greygoose in reply to Naseeryousuf]

It could be due to a lot of things. But, yes, it could be due to being hypo. Have you had your ferritin tested? Or your B12? If they are low they could cause breathlessness.

But I don't think it has anything to do with the levo.

[Naseeryousuf in reply to greygoose]

Thanks very very much. I will do test. God bless you

[greygoose in reply to Naseeryousuf]

You're welcome.