The Symptoms That Get Dismissed
Unexplained fatigue, weight change, hair fall, cold or heat intolerance, irregular periods, constipation and low mood are all common thyroid presentations that are frequently blamed on stress or a busy schedule.
Which Tests You Need
A TSH test is the starting point, with free T4 and free T3 added when TSH is abnormal. Anti-TPO antibodies help identify autoimmune thyroiditis, and an ultrasound is used when a swelling or nodule is felt.
Repeating a full thyroid panel every month is unnecessary, levels take six to eight weeks to reflect a dose change.
Treatment and Follow-Up
Hypothyroidism is treated with a once-daily levothyroxine dose taken on an empty stomach, adjusted by TSH after six to eight weeks. Hyperthyroidism may need anti-thyroid medication, and nodules are assessed for size and character before any intervention.
Pregnancy changes thyroid targets significantly, so mothers under our obstetric care are screened and monitored jointly.
Frequently Asked Questions
Can thyroid medication be stopped once levels normalise?
Usually not, normal levels mean the dose is working. Stopping without advice causes relapse.
Our consultants are available across specialities at our HSR Layout campus.