Know your Thyroid

Dr. Roshani SanghaniMBBS (Bom), Diplomate of American Board in

Internal Medicine, Endocrinoloogy, Diabetes and Metabolism

Consultant Endocrinology

Hinduja Hospital Webinar Series A Health Awareness Initiative

Did you know?

Q: I am losing weight…is it my thyroid?

A: Only some people with weight loss have a thyroid problem

FACT!!For thyroid problems to cause weight loss the

TSH needs to be much lower than normal

TSH MUCH LOWER THAN

NORMAL= OVERACTIVE

THYROID

Overactive=HYPER Thyroid

Overactive=HYPER thyroid

• Weight loss• Nervousness, poor

sleep• Hands shaking• Heart pounding

• Feel very hot• Frequent stools• Light menstrual periods

Hyperthyroid: Testing

1. TSH2. Free T43. Nuclear uptake and scan Tc99

4. TSH receptor antibody

Hyperthyroid: Treatment1. Block thyroid hormone

• Carbimazole/steroids

2. Destroy thyroid gland• Radioactive Iodine

3. Surgical removal of gland• Total/Partial Thyroidectomy

Hyperthyroid: Treatment

FACT!!!For thyroid problems to cause weight gain the

TSH needs to be MUCH higher than normal

Q: I am gaining weight…is it my thyroid?

A: Most people with weight gain do NOT have a thyroid problem

Did you know?

TSH MUCH HIGHER

THAN NORMAL=

UNDERACTIVE THYROID

Underactive=HYPO Thyroid

Underactive=HYPO thyroid

• Weight gain• Fatigue/drowsiness• Low energy• Constipation

• Dry skin• Feeling very cold• Heavy menstrual

periods

Hypothyroid: Testing

1. TSH2. Free T43. TPO/Microsomal Antibody

Thyroid Nodules/Goiter: Testing

1. TSH2. Thyroid/neck ultrasound3. Fine needle aspiration biopsy (FNAC)

1. Wait & Watch • TSH • Ultrasound

2. Surgical removal if cancer/suspicious

Thyroid nodules/Goiter: TreatmentThyroid Nodules/Goiter: Treatment

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