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What is the treatment for Hashimoto's thyroiditis disease?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 20-year-old female and about a year ago I got diagnosed with Hashimoto's thyroiditis. I experienced depression, memory loss, headaches, extreme fatigue, and weight gain. I am taking thyroid medication for the same. Out of the blue, my insulin levels rose, so they added Metformin to my list of medicines. During my previous round of blood work, I tested very high for human anti-mouse antibodies, which my doctors said caused false blood work, putting us in a difficult situation. Since they said they cannot rely on my TSH, they have to rely on my reverse T3 and T4 hormones to monitor, which is not very helpful they said. That is my current situation, and I am a little stuck and confused. I am currently dealing with appetite issues (not getting hungry often), on-and-off nausea, digestive issues, fatigue, and headaches. It is taking a toll on my everyday life, especially at my age. I am just curious to see if my doctors are taking the right approach. What should I do?

Please help.

Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology. She completed her MBBS from the University of Pune, MRCPI Internal Medicine from Ireland, MRCGP (Membership of the Royal College of General Practitioners) [INT] from Royal College of General Practitioners, UK. She has 20 years of clinical experience and currently practicing in UK.

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

Hello,

Welcome to icliniq.com.

I have just read your query and went through your detailed reports (the attachments removed to protect the patient's identity).

Your doctors have managed it quite well and I would not suggest that you change your doctors.

You do have the symptoms but they look kind of unrelated to thyroid function and more of a gastrointestinal cause.

Have you ever tried going gluten-free? Maybe it can help you with your digestive issues. Try to do meditation or yoga as it might help your thyroid and gastrointestinal problems as well. Sometimes stress makes matters worse, so try de-stressing this way.

Hope you find my advice of some benefit.

Good luck.

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At December 25, 2023
Reviewed At June 27, 2024

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology. She completed her MBBS from the University of Pune, MRCPI Internal Medicine from Ireland, MRCGP (Membership of the Royal College of General Practitioners) [INT] from Royal College of General Practitioners, UK. She has 20 years of clinical experience and currently practicing in UK.

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

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

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology. She completed her MBBS from the University of Pune, MRCPI Internal Medicine from Ireland, MRCGP (Membership of the Royal College of General Practitioners) [INT] from Royal College of General Practitioners, UK. She has 20 years of clinical experience and currently practicing in UK.

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

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