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Based on the thyroid readings, can you please tell the cause of extreme fatigue?

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Patient's Query

Hi doctor,

Can you please give a second opinion of what you see with these thyroid test readings in a patient with extreme fatigue for 30 years? TSH - 0.170 mIU/mL, T3 - 48.9 ng/dL, reverse T3 - 29.5 ng/dL, T4 - 1.49 mcg/dL, TPO - 68 IU/mL.
Answered by Dr. Pawar Satyajit Jalinder

Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

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Hi,

Welcome to icliniq.com.

I have gone through the values you have provided. And I have some queries.

1. Values you have provided are incomplete. I would like to see an entire report with reference ranges to give an accurate opinion.

2. Is the value of TSH (thyroid-stimulating hormone) 0.170 or just 170?

3. Is the patient taking any medications related to the thyroid?

4. Are they free T3 (triiodothyronine), T4 (tetraiodothyronine), or total T3, T4?

5. Are there any other symptoms other than fatigue like sensitivity to heat, sweating, weight loss, appetite changes?

6. Are there any other blood tests other than thyroid which could contribute to fatigue?

TPO (thyroid peroxidase) levels are elevated, which points towards an autoimmune cause. TSH of 0.170 mIU/L is low with elevated T3. It could be related to Hashimoto’s thyroiditis with features of hyperthyroidism. I will need to see the entire report with reference ranges and medication or concomitant medical condition history to say accurately. I would be happy to help you if you have any more questions. Thank you.

Medically reviewed by iCliniq medical review team
Published At June 7, 2021
Reviewed At January 9, 2024

Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pawar Satyajit Jalinder
Dr. Pawar Satyajit Jalinder

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Education:

MBBS

Professional Bio:

Dr. Pawar Satyajit Jalinder is a dedicated medical oncologist with expertise in the diagnosis and treatment of a wide range of solid tumors and hematological malignancies. He has experience managing complex cancer cases and is certified in the treatment of various cancers using evidence-based and personalized approaches. In addition to oncology, Dr. Pawar Satyajit Jalinder has experience managing complicated multisystem rheumatological disorders and infections. He has contributed to medical research with publications on tuberculosis and cancers such as multiple myeloma, lung cancer, and sarcomas. Dr. Pawar Satyajit Jalinder is committed to delivering compassionate, patient-centered care while helping patients make informed treatment decisions.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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