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What are the options for chronic hypothyroidism treatment?

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

Patient's Query

Hi doctor,

I suffer from hypothyroidism for the past 10 years. Currently I am on a dose of 125 mcg Thyroxine. My recent blood test shows lower than normal TSH value. I have enclosed the report. Please suggest treatment and dosage change if required. Also, my vitamin D and vitamin B12 levels are low in the blood report. I got tested because of constant fatigue. Please suggest medicine and treatment for this as well.

Thank you.
Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

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Hello,

Welcome to icliniq.com.

From the attached reports (attachment removed to protect the patient's identity), it appears you are taking an overdose for hypothyroidism, and you need to decrease the dose slightly to correct it. I would suggest the following,

1) Tablet Levothyroxine 125 mcg six times weekly and tablet Levothyroxine 100 mcg once weekly.

2) Tablet Neurobion forte (vitamin B12, B1, and B6) twice daily for your low vitamin B level.

3) Tablet Vitamin D 50,000 lU once weekly for eight weeks.

You have some kind of infection that may be respiratory or urinary because you have slightly high WBC (white blood count) levels. I would advise you to get yourself checked by a local physician for any infection and take antibiotics if recommended by the physician.

I would advise you to repeat the thyroid function test after three months and get back for a review.

Medically reviewed by Dr. Infanteena Marily F.
Published At March 27, 2022
Reviewed At June 8, 2026

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

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

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Infanteena Marily F. is a dedicated Dental Surgeon, having graduated with a BDS degree from J.K.K.N. Dental College and Hospital in 2018. With 5 years of clinical experience, she provides personalized treatment plans to patients by emphasizing effective communication. She serves as a Medical Quality Assurance Analyst at iCliniq.

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Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

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

Consult other doctors in the same speciality
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