How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27476
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

My daughter is 23 and diagnosed with Hypothyroidism a few years

Resolved Question:

My daughter is 23 and diagnosed with Hypothyroidism a few years back. She moved from Ireland (home) to Dubai for work with an airline company (irregular long hours). She has also been B 12 deficient in the recent past (2014) requiring twice weekly I.m. Injections then 3 monthly until the level was at the upper end of the normal range. Her B 12 deficiency was not due to Pernicious anaemia as her intrinsic factor was normal. Again this was done a few years ago. She is complaining of extreme fatigue , Difficulty waking ."foggy feeling" for past 2 months approx and it seems to be getting worse. She is exceptionally pale. The airline doctor changed her thyroxine dose (t4) when she joined to 100mcg/day. She has never been prescribed T3. ( argument for same appears strong from my reading and research) . Her B 12 was checked 8 days ago and in Dubai came back around 250. Because it was in the normal range she was told she did not need replacement.i am very worried about her health at present as I feel she needs to consult with a good endocrinologist who works with thyroid patients and vitamin deficiencies. Can you please advise re B 12 situation and also if possible recommend an endocrinologist ??? I would be most grateful . Bernie
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.

Hi. We can certainly continue after this if you'd like.

She definitely needs an endocrinologist for two reasons--it sounds as though she is still hypothyroid and her TSH level needs to be kept around the 1.0 range.

She also needs a B12 booster injection and to resume the injections if she is no longer taking them

Here's my endocrinologist reference for you

http://www.primehealth.ae/departments_doctors.aspx?branch=1&department=4&branchname=Deira&deptname=Endocrinology

Customer: replied 1 year ago.
Do you think that the B 12 should be maintained at the higher end of normal range for someone who is hypothyroid ? I actually found this endocrinologist myself from google ...do you have any other to recommend please ... ?
Should she have T3 replaced too ?
Expert:  Dr. Chip replied 1 year ago.
Yes--her B12 level needs to be higher considering she's also hypothyroid, And I think she should be switched to Armour thyroid
Customer: replied 1 year ago.
O k thank you for that . I know nothing of Armour thyroid ..can you elaborate a little on this please particularly with regard to constituents of this drug and it's benefits also compared to thyroxine. Is it more active or does it maintain better control ? If so how ? Apologies for all the questions but I really need to arm her with useful relevant information for a good person to person consultation !!
Expert:  Dr. Chip replied 1 year ago.

It's natural thyroid hormone and a combination of both T3 and T4. I find it much better for controlling the levels and the TSH than the synthetic thyroid hormone replacements.

Absolutely no problem with the questions and let me know if you have any more.

Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27476
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 3 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
That's very interesting and very useful thank you.
Expert:  Dr. Chip replied 1 year ago.

My pleasure

Keep in touch and please remember to rate my service to you Bernie

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions