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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57370
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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what would cause all over body cramps, arms, legs, feet, sides,

Resolved Question:

what would cause all over body cramps, arms, legs, feet, sides, neck, back. Sometimes so bad, they leave brusies..
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 4 years ago.
Do you know what your thyroid studies were?
Specifically TSH
Did anyone take a magnesium level?
A CK?
Electrolytes?
dt
Customer: replied 4 years ago.

I was just at my thyroid dr on may 6 and the tsh was 3.852, magnesium was not checked

Expert:  Dr. Thomas, MD replied 4 years ago.
TSH is high.
You need more thyroid medication.
Criteria have changed somewhat and even a "high normal" TSH can cause symptoms.
Get a magnesium level; int needs to be on the higher end of the range.
Oral supplementation is often not reliable..just goes through.
We use sublingual drops of magnesium chloride or an absorbable magnesium cream or if an oral magnesium taurate. Calcium and potassium should also be checked.
CK should be checked to rule out muscle inflammation.
These areas are where I would start.
Customer: replied 4 years ago.

are these things that my general dr can check or do I need to make another appt with my thyroid dr?

Expert:  Dr. Thomas, MD replied 4 years ago.
Either one can check these, but your thyroid doctor should be aware that you are potentially under medicated.
Customer: replied 4 years ago.
should I take additional thyroid medication until I can get rechecked?
Expert:  Dr. Thomas, MD replied 4 years ago.
You would need to have the dose changed more gradually than taking extra pills.
Call your prescribing doctor and see if he/she will increase the dose.
Customer: replied 4 years ago.
i will give them a cal, thanks. what about over the counter meds for the weekend?
Expert:  Dr. Thomas, MD replied 4 years ago.
Nothing good for cramping.
Chelated magnesium found in health food stores.
To ER if cramping is worsening.
You also should touch base with your doc anyway on this as it sounds more than usual. He might give you a dose increase by a pharmacy call in.
Customer: replied 4 years ago.
ok, thanks so much. Is this a problem you have heard of before? Just wondering if these are normal symptoms for thyroid issues.
Expert:  Dr. Thomas, MD replied 4 years ago.
Thyroid problems
Electrolyte problems
Some neruologic problems [dystonias]
an more
An examination right now with some additional blood testing would be optimal
Customer: replied 4 years ago.
is there a specific blood test to request?
Expert:  Dr. Thomas, MD replied 4 years ago.
Magnesium level
And CPK, as mentioned before.
good luck again
dt
Customer: replied 4 years ago.
ok, thanks
Expert:  Dr. Thomas, MD replied 4 years ago.
Your welcome
dt
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57370
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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