Thank you for reaching out. Based on the information provided, your wife's
TSH level of around 7 indicates a mild form of hypothyroidism. This can be associated with symptoms like fatigue, weight gain, dry skin, and more. Additionally,
vitamin D and
B12 deficiencies, along with low hemoglobin, are common in hypothyroid patients and can contribute to further symptoms such as muscle weakness, low energy, and cognitive issues.
1.
Thyroid Management: The elevated TSH level suggests that thyroid hormone replacement therapy (like levothyroxine) might be necessary. A full thyroid panel, including free T3 and T4 levels, will help in tailoring the dosage.
2. Vitamin D and B12 Deficiencies: These deficiencies should be corrected with supplements. For vitamin D, a weekly dose of 60,000 IU for 8-12 weeks followed by maintenance, and for B12, oral supplements or intramuscular injections depending on severity can be started.
3. Dietary Modifications: I agree with Dr. Gaurav's advice on avoiding fried and spicy food. Focus on a balanced diet rich in green leafy vegetables, lean protein, and whole grains. Since hypothyroidism can affect metabolism, it's important to avoid excessive processed sugars and incorporate a diet supportive of thyroid health.
I would recommend you schedule an appointment for a more detailed evaluation and to discuss personalized treatment options. You can WhatsApp me at eight zero zero nine eight two one double three two for further advice.