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Chronic Hyperthyroidism.

Resolved Question:

I would like to contact an endocrinologist
I have been hyperthyroid for 10 years multi nodular goitre and graves disease age 74
My medication was neomercazole 10 mgms daily
Dr suggested I come off medication I refused as I am multi nodular
Neomercazlole was not available and I was put on polypylthouracil 50 mgms 1x3 times a day
After 1 month I had a blood test and my TSH is 0.005 and T319 T3 4.2
Neomercazole is now available and I am back on my 10 mgms a day
Recent blood test 2 weeks after last is TSH 0.007 T4 14.8 and T3 4.6
Not sleeping much at night
Can you help?

Category: Endocrinologist

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Dr. J Muthukrishnan
Category: Diabetologist
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 27 Doctors Online

Expert:  Dr. J Muthukrishnan
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Hello,

Thank you for choosing DoctorSpring.

Your Thyroid Levels are still poorly controlled and would require increase in the dose of Neomercazole to 20mg OD. (in consult with your Doctor). Have you considered Surgery or RadioIodine treatment ? You will need to undergo surgery/RadioIodine treatment for your Hyperthyroidism, as you are unlikely to recover with medications alone. Discuss this option with your Doctor.

Have you checked your fasting blood sugar ? (In view of passing too much urine in night )?

Hope this helps
Thank you

Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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