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DrThomasMd, Board Certified MD
Category: Neurology
Satisfied Customers: 63757
Experience:  Internal medicine doctor, diagnose and treat neurology patients, many years
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I am a healthy 49 year old lady. I take 20 mg paxil daily

Customer Question

I am a healthy 49 year old lady. I take 20 mg paxil daily and have for several years. I do not smoke or use drugs. and I do not have any turmoin in my life. Lately I have been very on edge, I am uptight and nervous on the inside. I am offended easily, and just generally on edge. Normally I am super laid back, things do not bother me or get to me. I have also gained 40lb in the last 2 years.
Submitted: 2 months ago.
Category: Neurology
Expert:  DrThomasMd replied 2 months ago.


Thanks for the question.

I am a double board certified US doctor and will be happy to help.

You need your thyroid function checked.

Imbalance can be undermining your therapy.

The labs are TSH and T4

Make sure the TSH is between .3 and 2.5 [not up to 4.5 as most labs say].

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent (5)—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

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