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Is hypothyroidism curable?

Q: My 26 years old female friend is suffering from hypothyroidism and her TSH is 52.80. Her weight is 75 kg and height is 5.1 feet. She is taking Thyronorm 75 mg daily.

  • Is hypothyroidism curable?
  • Is it possible to lose weight? If yes, please suggest a diet plan.
  • Can she get married? If she gets pregnant, is it safe to have a baby?
  • Is it a lifelong problem?

A:In most patients, hypothyroidism is a permanent condition, therefore requiring lifelong treatment. Therapy consists of thyroid hormone replacement unless the hypothyroidism is transient which is not common.

The aim of therapy is restoration of the normal thyroid state, which can be readily accomplished in almost all patients by oral administration of synthetic thyroxine (T4). Appropriate treatment reverses all the clinical manifestations of hypothyroidism. The treatment of choice for correction of hypothyroidism is synthetic thyroxine. Successful treatment reverses all the symptoms and signs of hypothyroidism; adequate treatment normalises resting energy expenditure.

Yes, it is possible to cure high TSH. The most common blood test for hypothyroidism is TSH (thyroid stimulating hormone). TSH is the most sensitive test because it can be elevated even with small decreases in thyroid function. Thyroxine (T4), the main product of the thyroid gland, may also be measured to confirm and assess the degree of hypothyroidism. This would go down and normalise with treatment and may need adjusting dose.

Yes, she can lose excess weight with treatment. No special diet plan for thyroid patient.

Yes, she can marry. She can get pregnant once TSH is normal (less than 3). Yes, she can have normal baby as long as treated well during pregnancy with thyroxine. During pregnancy target TSH below 2.5.

Women often need higher doses of Thyroxine during pregnancy. Testing is usually recommended every four weeks, beginning after conception. Once the optimal T4 dose is established, testing is usually repeated at least once per trimester. After delivery, the woman's dose of T4 will need to be adjusted again.

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