Dr. Ajeet Singh (Family Medicine) needs a second opinion on this medical case.
A 48 year old female presented to OPD with complaints of sweating on and off. She even had one episode of sweating in my chamber too.
She revealed that in June 2020, she had visited a local doctor for her complaints of weight loss etc and her TSH came out to be 5.8, after which doctor had put her on levothyroxine 50mcg.
Her present thyroid function report reveals her as a case of hyperthyroidism.
Her TSH is now 0.053 and T4 slightly elevated.
My concerns are -
1) I have stopped her levothyroxine completely, and asked her to repeat TFT after 6 weeks? Is it ok?
2) Would it have been wise to start her on carbimazole??
Kindly give your valuable opinion