questions to ask an endocrinologist
Medical Debate Guide: 15 Questions to Ask About HypothyroidismSymptoms such as weight gain, cold sensitivity, dry skin and fatigue might have sent your doctor for a diagnosis. Now that you know that you have hypothyroidism—a subactive thyroid gland—you can focus on managing symptoms and learn to live with the condition. In addition to seeing your primary care doctor, you can also visit a specialist who treats thyroid disorders, called endocrinologist. Because you only have a limited amount of time with your doctor on each visit, help prepare. Use this list of questions to guide your exam, and make sure you learn everything you can about your hypothyroidism and your treatment. Women are not men to achieve this condition. You may have developed hypothyroidism if a disease or surgery damaged your thyroid gland and prevented you from doing enough of your hormone. The causes of hypothyroidism include: The treatment you receive for hypothyroidism will depend on how low your thyroid hormone level has decreased. Doctors usually treat this condition with a form made by the man of thyroid hormone called levothyroxine (Levothroid, Levoxyl Synthroid). This medication will bring your thyroid hormone levels back to normal, which should relieve your symptoms. If your thyroid hormone level is only slightly low, you may not need treatment. Your doctor will choose your dose of thyroid hormone based on your weight, age, and any other condition you have. You'll have a blood test once every six to eight weeks after you start taking thyroid hormone. This test checks your thyroid-stimulating hormone levels, which directs your thyroid gland to release your hormone. Your doctor will adjust your thyroid hormone dose based on the test result. Once your thyroid hormone level stabilizes, you will have tests once every six months to make sure it is still in the right dose. Most people take this drug every day. Ask your doctor for specific recommendations. Your doctor may suggest you take this medicine in the morning when your stomach is empty. Having food in your stomach can prevent your thyroid hormone from absorbing completely. Some medicines and supplements may interfere with the absorption of thyroid hormone. It is usually recommended to take levothyroxine four hours before or after taking these. If you forget a dose, it's better to take it as soon as you remember it. If it is almost time for your next dose, skip the missed dose and return to your regular dosing schedule. It doesn't bend in the dose. Several different brand names and generic versions of thyroid hormone replacement are available. However, it is a good idea to remain in the same medicine. Although all these medications contain the same active ingredient, they may also contain different inactive ingredients that may affect your treatment. You may need to be in the thyroid hormone for the rest of your life. But the dose could change over time, depending on the hormonal levels. When you take thyroid hormone at the recommended dose, you should not have many side effects. In larger amounts, it may cause: Ask your doctor what side effects are serious enough to schedule a visit. Some medicines and foods can prevent your body from properly absorbing levothyroxine. Ask your doctor if you need to stop eating or taking any of these: Find out if you should limit or avoid any food. If you have Hashimoto thyroiditis, you might need to be careful with eating foods that are high in iodine, such as seaweed and algae. Some cough syrup also contain iodine. Hypothyroidism can increase your level of LDL cholesterol ("bad"), which could lead to heart disease. Other complications include depression, nerve damage and infertility. Untreated hypothyroidism can cause a condition that threatens life called myxedema coma. Because hypothyroidism slows down your heart rate, suddenly jumping into an exercise program could be dangerous. You may need to wait until your thyroid hormone level stabilizes. Ask your doctor when you can start exercising again, and how to safely start a new routine. Treatment is especially important during pregnancy. Untreated hypothyroidism can be dangerous for you and your baby. In pregnant women, low thyroid hormone levels can cause anemia, preeclampsia, congestive heart failure and postpartum bleeding. Babies need thyroid hormone to develop their brain normally. Talk to your doctor about any concerns you have regarding hypothyroidism while you are pregnant. Last medical review on February 16, 2017Read this following
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