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Weight Loss along with symptoms of Hyperthyroidism : Doubtful about my thyroid disorder

Last Updated - Tue, May 15 2018

Detailed Question:

Hi doctor,

I am in doubt about my thyroid disorder. A thyroid lab test report is okay, nothing is wrong. But still, I feel that I am not okay. From last four months, I am suffering from under eye swelling, vaginal white discharge increased, I have knee pain and I feel a slight pain in the lower left side of my vagina during bowel movement with watery discharge from the vagina. I have become thin, 5-6 kg weight loss. Sometimes I feel slight cold. 
All this is happening from last 4 months. Below are my reports:

  • TSH - .706
  • T3 - 1.120
  • T4 - 7.58
  • TPO - 20.89
  • Antithyroglobulin antibodies - 20.73 IU/ml
  • vitamin D - 17.4 
  • Vitamin B12 - 350

I guess TSH is low normal. Am I mild hyperthyroid patient? Should I take medicine? Please help me. Thanks.

Category: General Physician


Yes, you could be suffering from subclinical hyperthyroidism. I would advise you to repeat your thyroid test in 1 month to check for progress and note the trend. Also if you have any previous thyroid reports, you can consult a general physician with it. This requires a regular follow up to correct the thyroid function and titrate medicines accordingly. The symptoms you have described all fit into hyperthyroidism. Apart from this, you must check your other parameters also. This includes getting a complete health check-up so that your baseline can be noted.
Hyperthyroidism 
Hyperthyroidism is a condition of the thyroid. The thyroid is a small, butterfly-shaped gland located at the front of your neck. It produces tetraiodothyronine (T4) and triiodothyronine (T3), which are two primary hormones that control how your cells use energy. Your thyroid gland regulates your metabolism through the release of these hormones.
Hyperthyroidism occurs when the thyroid makes too much T4, T3, or both. Diagnosis of overactive thyroid and treatment of the underlying cause can relieve symptoms and prevent complications.
Causes of Hyperthyroidism
  • Graves' disease, an autoimmune disorder, is the most common cause of hyperthyroidism. It causes antibodies to stimulate the thyroid to secrete too much hormone. 
  • Graves’ disease occurs more often in women than in men. It tends to run in families, which suggests a genetic link.
  • Excess iodine, a key ingredient in T4 and T3
  • Thyroiditis, or inflammation of the thyroid, which causes T4 and T3 to leak out of the gland.
  • Tumors of the ovaries or testes
  • Benign tumors of the thyroid or pituitary gland
  • Large amounts of tetraiodothyronine taken through dietary supplements or medication.
Symptoms of Hyperthyroidism
  • Restlessness
  • Anxiety
  • Agitation
  • Weight loss despite an increased appetite
  • Tremors
  • Rapid heart rate
  • Intolerance to heat
  • Sweating
  • Frequent bowel movements


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Doubt of having hyperthyroidism as weight loss and other symptoms

Weight loss along with other symptoms of hyperthyroidism are making me doubtful about my thyroid disorder. I have increased vaginal discharge, knee and abdomen pain
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