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Abby, I am a 77 year old female and for about 2 months or

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Hi Dr. Abby, I...
Hi Dr. Abby, I am a 77 year old female and for about 2 months or longer I a so week and tired all the time. My TSH Serum is 2.l830 ulU/ml. Is this normal ?
Submitted: 2 years ago.Category: Medical
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Answered in 20 minutes by:
8/1/2015
Doctor: Dr Basu, Experienced Specialist replied 2 years ago
Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29,282
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Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

Your TSH looks normal. But that does not rule out hypothyroidism.

Serum Free T4 and T3 levels should be checked.

If they are low, then you definitely have hypothyroidism.

Another possibility can be adrenal gland insufficiency.

Adrenal glands produce cortisol in the body.

Cortisol deficiency will cause these symptoms.

Serum cortisol level at 8 AM should be checked.

Lastly, you may be experiencing postmenopausal symptoms now.

Hence, estrogen deficiency can be the explanation if all else is normal.

You can try DHEA supplementation 50 mg daily along with vitamin B12 1000 mcg daily.

L tyrosine 200 mg daily can boost your thyroid function.

And antidepressants like Fluoxetine can be used to improve your energy level.

Best wishes,

It was my pleasure to help you today.

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