A lady of 34years working as executive, complaining of swelling over face off and on in morning, fatigue, weight gain, she consume coffee frequently in day and night. Her TSH is always 9.0....10.0 in spite of taking 75mcg of Levothyroxine for five years. I ask her for Anti TPO ANTIBODIES estimation which turned out to be more than 1300 .
What management to be advised to her?
- #general medicine
- #endo-diabetology
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Dr. Lal Chand
Active Contributor
Coffee is known to cause rise in Anti TPO ANTIBODIES. coffee consumption to be stopped. Increase dose of Levothyroxine in gradual process. Add Tab T3 5mcg in night for two months. Fruits,salad to be consumed in good quantity.Tab metformin SR 500mg to reduce insulin resistance. Walk and exercise, Gyming. In the last the cause of this much high AntiTpo ANTIBODIES, there is a lot destruction of thyroid tissue and that enter into blood stream, leading to formation of antibodies. Ultimately whole thyroid is damaged. It's better to remove thyroid gland in total.