Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I have hypothyroidism. I was taking levothyroxin for nine…

I have hypothyroidism....

I have hypothyroidism. I was taking levothyroxin for nine months. I noticed my alkaline phosphatase was going up, so I checked with a doctor, and stopped. My alkaline phosphatase is still high. The doctor wants me to take levy thyroxin again and said that this was not the reason my alk. phos. was high. I decided to look it up again, and I see that there are studies that say there is a correlation. I have osteopenia in my lower spine and left hip. ???!!! Not sure what to do.

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

It's a long list. Fatigue, slight nausea sometimes, cold sweats (recent), dry itchy skin, thin hair, pain in joints, sometimes weakness, can't lose weight, LDL cholesterol high (but HDL fine), short term memory loss, irritable,..........

Doctor's Assistant: Do you know if your family has a history of heart disease? In general, how would you describe your health lately?

My father and uncle (father's brother) both had heart attacks. I think my mother's brother had some heart problems. No females had heart problems. My health is rotten. I feel awful all the time. I do have appointments with two heart doctors who specialize in women's health.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have hypoglycemia, gastric reflux, asthma, and arthritis. It sounds awful, but actually I am pretty healthy, eat great, etc. But recently everything is going downhill.

Show More
Show Less
Ask Your Own Medical Question
Customer reply replied 1 month ago
It is 45 minutes since I sent this question. I have still not received an answer.
Answered in 8 hours by:
3/16/2018
DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 2,778
Experience: MBBS, FCPS
Verified

Hello! My name is***** to JustAnswer. I'm sorry for the delayed response as I was busy in hospital,I am reviewing your question now, and will post back with your reply momentarily.

Ask Your Own Medical Question

First of all I would suggest that you should have a gamma-GT level done

This will help in finding whether the source of this elevated alkaline phosphatase is liver or bone

Depending upon the source then you might require further evaluation

Osteopenia and osteoporosis can occur with levothyroxine as well as hypothyroidism but in that case usually alkaline phosphatase is normal unless there is an osteoporotic fracture

I sincerely ***** ***** I have helped you,and that I have earned my 5-stars rating today.

Please remember to rate my service by selecting 5-stars at the top of the screen(rating me now does not close your question)

We can continue further till you are satisfied and you simply use the reply box to let me know

Thank you and regards

Ask Your Own Medical Question
Customer reply replied 1 month ago
1. In October 2016 I apparently had that gamma-GT test done because it says "alk. phos. 135 high (range 40-120); Bone high 62 (range 0-55); liver OK 73 (range 0-94)." I will ask someone to do it again.2. Before and after Oct. 2016 they apparently just gave me an alk. phos. total. Total was OK from 2006 to 2015. Then high several times in 2016 and 2017.3. I have had osteopenia for at least ten years, way before taking levothyroxine. The last few bone densities have been steady, last one (I think March 2016) even a little better for lumbar spine.4. Also, most of the times before labs I was taking vitamins, which apparently can skew results of some lab numbers, which I didn't know. Not sure if that's a problem with alk. phos. numbers.
No alkaline phosphatase should not be altered by the vitamins
I would suggest that you get a gamma GT first and if that's normal then think about possible bony origin
Please do let me know if you have any other questions
If done please don't forget to leave a POSITIVE FEEDBACK RATING
Regards
Ask Your Own Medical Question
Customer reply replied 1 month ago
a. Not sure what you mean by possible boney origin (?). Could you explain?b. I am hesitating to take the levothyroxin the doctor prescribed. Previously I was taking 25 MCG per day for nine months. Then I stopped all levothyroxine 12 months ago. Now docto prescribing 37.5 MCG a day. But she also suggested it might not be my thyroid. So I am hesitant to take it. Should I wait until I have that GT test?
I mean if the cause of increased alkaline phosphatase is your bones then the gamma GT should be normal but if the GGT is high this means it's originating from liver
I won't mind continuing with lecothyroxine currently till you get the test
Regards
Ask Your Own Medical Question
Customer reply replied 1 month ago
OK, many thanks for your suggestions. I appreciate your time. By the way, are you an endocrinologist? Just wondering.
You are welcome
I am a Consultant Physician and Rheumatologist so deal a lot of such cases
Regards,
Ask Your Own Medical Question
Customer reply replied 1 month ago
OK. Actually the endocrinologist suggested I see a rheumatologist, so that is next on my list, along with appointments I already have with cardiologists and another thyroid sonogram (which in the past have been fine, as well as a thyroid biopsy being fine). I appreciate your answers. I feel a little more positive than I did before.
My pleasure
Please do let me know if you have any other questions
If done please don't forget to leave a POSITIVE FEEDBACK RATING
Regards
DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 2,778
Experience: MBBS, FCPS
Verified
DR.EHTISHAM and 87 other Medical Specialists are ready to help you
Ask your own question now
Was this answer helpful?
Ask DR.EHTISHAM Your Own Question
DR.EHTISHAM
DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 2,778
2,778 Satisfied Customers
Experience: MBBS, FCPS

DR.EHTISHAM is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

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.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,750 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,863 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,604 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I have hypothyroid deficieny. I now take my synthyroid at
No, I now take my synthyroid at night and it seems to allow me to sleep a little better. Can I take Cortisol in the a.m.… read more
Dr. Shah
Dr. Shah
MD
3,817 satisfied customers
I take Ad/Vaie for asthma - after taking it and goggling I
I take Ad/Vaie for asthma - after taking it and goggling I always sound horse. Is there any thing i can do for this or take a different medication. … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
804 satisfied customers
Having a lot of asthma like symptoms. No moved to area a few
No moved to area a few months ago but don't have a new doctor here yet my previous dr called in a rx for albutoral inhaler I have a lot of sinus and allergy problems and am now also taking Allegra but just constant drainage and coughing and wheezing … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
I've been struggling focusing and chronic fatigue during the
Hi I've been struggling focusing and chronic fatigue during the day. I've been trying to do some research but there are so many different things it could be I'm not sure where to start. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,172 satisfied customers
I had hypothyroidism diagnosed in October. I was Euthyroid
I had hypothyroidism diagnosed in October. I was Euthyroid as of mid February 2018. I had almost a complete pituitary check up. Testosterone 667. Normal adrenals and cortisol. My tsh came back to par … read more
DR.EHTISHAM
DR.EHTISHAM
Doctor
2,778 satisfied customers
I have hashimotos hypothyroidism and have for the last few
I have hashimotos hypothyroidism and have for the last few weeks been experiencing tingling(parasthesia) can this be down to too much or too little medication? … read more
Dr Stan
Dr Stan
DO
2,981 satisfied customers
What is the normal bp for a female. Fatigue blurred vision
fatigue blurred vision and whne checked first time it was 92/58 now it is102/92 I take a bp med but it is for my heart … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
Pulsating mild periodic discomfort pain below the thyroid.
pulsating mild periodic discomfort pain below the thyroid … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,494 satisfied customers
Is it possible to have a slightly enlarged thyroid and not
Is it possible to have a slightly enlarged thyroid and not have thyroid issues? … read more
Dr. A
Dr. A
Medical Degree
409 satisfied customers
I have been in and out of the hospital and have my asthma
I have been in and out of the hospital and have my asthma pumps but I used it up and one day my chest hurts it feels like my air way block it's like I'm making myself breathe and it's hard … read more
Dr Stan
Dr Stan
DO
2,981 satisfied customers
My daughter has been taking thyroid medication for
My daughter has been taking thyroid medication for Hypothyroidism for years and recently the MD has drastically reduced the dosage saying it was tooh high. Now she is suffering exhaustion and depressi… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,863 satisfied customers
I have hypothyroidism. I was taking levothyroxin for nine
I have hypothyroidism. I was taking levothyroxin for nine months. I noticed my alkaline phosphatase was going up, so I checked with a doctor, and stopped. My alkaline phosphatase is still high. The do… read more
DR.EHTISHAM
DR.EHTISHAM
Doctor
2,778 satisfied customers
I have several hypothyroid symptoms, but my lab work from my
I have several hypothyroid symptoms, but my lab work from my endocrinologist came back "normal." My free T4 was at 0.83 and my TSH was 3.580. Does this mean I don't have hypothyroid? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,494 satisfied customers
I was diagnosed with hypothyroidism back in October 2017. My
Hello. I was diagnosed with hypothyroidism back in October 2017. My tsh was a 7.83. Since then I've had my meds increased from 25 to 50 then to 75 MCG. I had my ultrasound, T4 check and testosterone. … read more
Dr. Scott
Dr. Scott
Doctor
1,110 satisfied customers
Last November, my husband became severely fatigued and
Last November, my husband became severely fatigued and bloodwork showed him anemic enough to be close to requiring a transfusion. He had no blood in his urine or stool, so he's been told to keep comin… read more
DR.EHTISHAM
DR.EHTISHAM
Doctor
2,778 satisfied customers
I just accidentally took my thyroid medication (hypothyroid)
I just accidentally took my thyroid medication (hypothyroid) when I already took it this morning around 11:30am. I'm scared that I may have accidentally overdosed. … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,321 satisfied customers
I have hypothyroidism, PCOS, peripheral neuropathy,
I have hypothyroidism, PCOS, peripheral neuropathy, retinitis pigmentosa, carpal tunnel, migraines, narcolepsy, bipolar I, and metabolic syndrome along with Crohn's disease. I can sleep for 48 hours a… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
909 satisfied customers
H I have all the symptoms of hypothyroidism, but the doctors
H I have all the symptoms of hypothyroidism, but the doctors says is not that. also in july and last week my T3 came low in 60, i been trying exercising, and doing diets but instead im getting more we… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x