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: 27440
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

I'm 57 and have over last 4-5 months put on 4.5 kilos which

Customer Question

I'm 57 and have over last 4-5 months put on 4.5 kilos which is totally unlike me. I'm slim with no history of weight gain or loss, even as I went through menopause. Anti depressant medication change coincided with weight gain (Trimipramine). Thyroid tests normal though I do have some other indications of hypothyroidism .No significant changes in diet or lifestyle.
Clothes not longer fit, my appearance has obviously changed and it's getting me down.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.
Hi. What were your other indications for possible low thyroid and do you know what your TSH level is?
Customer: replied 1 year ago.

Long standing issues with puffy eyes, greatly thinning eyebrows, very dry skin and hair and chronic tiredness (though that could be down to anything.)

TSH just measured at 2.09, no more detailed results. Father had a goitre.

Expert:  Dr. Chip replied 1 year ago.
OK Dee. With the symptoms you have and that TSH level, I consider you hypothyroid since your TSH should be closer to 1.0. It's possible that your doctor is not aware of newer guidelines from the endocrinology society about this. You need to discuss this with him and, if necessary, see an endocrinologist and be placed on thyroid hormone supplementation
Customer: replied 1 year ago.

Thank you for that. I have suspected hypothyroidism for some time, but did nothing until I informed myself a bit better and it began to make more sense.

Asked to be referred to endocrinologist though it was done with some reluctance given seemingly normal TSH results. Got a letter back from endocrinologist to say she wouldn't see me as TSH levels indicated it unnecessary and "hope that you feel better soon". Where from here please.

Expert:  Dr. Chip replied 1 year ago.
Then talk to your doctor about either his putting you on the medication or being referred to a different endocrinologist. I think it was totally unprofessional for that endocrinologist not to actually see you in tneir office for an interview and exam.
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27440
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.

Again, thank you. Lastly you mentioned newer endocrinology guidelines which my doctor may not be aware of. How do I address that issue on return to my doctor.

Customer: replied 1 year ago.

Thank you again. Lastly you mentioned newer endocrinology guidelines which my doctor may be unaware of. How do I address that issue on return to my doctor.

Customer: replied 1 year ago.

Lastly you mentioned newer endocrinology guidelines which my doctor may not be aware of. How do I address that issue on return to my doctor.

Expert:  Dr. Chip replied 1 year ago.

Sorry I was off.. Here's a link you can show your doctor

http://thyroid.about.com/cs/testsforthyroid/a/labs2003.htm

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.