management of hypothyroidism | practical guide for healthcare professionals

[@rohitkggowda4158]

Sir pls do daily videos only based on how uu evaluate cases in hospital how to approach aa pt in emergency medical cases and how to select drugs in opd cases now im an intern pls do daily case evaluate and how to diagnose and treat for common medical conditions we encounter in our daily practices im an intern pls guide us sirr....

[@HasanAli-td4ym]

Sir best teaching skill plz write a book on all these topics

[@ashokchakkarwar8917]

Really helpful for general practice and right doses about tsh value, thanks 🙏

[@dr-arvindkumar]

Glad it was helpful!

[@Lapakchu]

In pregnant mother now low dose lt4 given if tsh>2.5 even if other parameters are normal

[@patelmayur4906]

Extraordinary teaching sir...🎉 Thanks

[@dr-arvindkumar]

So nice of you

[@gowthamhs4190]

Thanks you so much sir bringing this significant information sir. My gratitude..!

[@dr-arvindkumar]

Thanks and welcome

[@rajdeepsingh1718]

Sir please make a series on medical conditions and its management in pregnant patients. Thank you.

[@bharathm944]

Sir If patient is on 100mcg of throxine and she became pregnant she should take 100mcg daily and additional 100mcg on Monday and Saturday right like 9 doses per week

[@Redman-eo6hx]

Sir keep doing this type of videos.VERY HELPFUL FOR US GENERAL PRACTITIONERS

[@dr-arvindkumar]

Sure 👍

[@mobinkhan1878]

Kitna behtareen tareeka hai samjhane ka

[@dr-arvindkumar]

Dhanyawad 🙏

[@rameshyerukalao7698]

Thank you vmuch sir So much clear n helps us alot😊

[@dr-arvindkumar]

Always welcome

[@sbnp9357]

I have been suffering from hypothyroidism since 6yrs and i m 22 now and tsh is 8.3 ...... i am taking 25mcg thyroxine but last year i could not get periods after taking many medicine so go for ultrasound and found hypoplastic uterus which is not from birth i m sure because of i m getting very normal periods and 6yrs back report is also said that uterus size is normal i don't know what happenings .i m not getting periods without taking medicine which was prescribed by doctor..... please tell something what to do... next even i m not taking medication till 6month.....

[@aamirbashir1700]

Thank you so much sir for posting such videos , you have no clue how helpful these videos are for a practioner in his daily clinical routine ! Highly thankful 🫡

[@dr-arvindkumar]

It's my pleasure

[@neyazahmad76]

Sir kindly make a video on SLE and its manifestations in Indian population. I see many SLE patients remain undiagnosed for years and move one doctor to other.

[@VK-pd8zz]

Great sir

[@dr-arvindkumar]

You are welcome 🙏

[@matiarrahaman3017]

Many many thanks sir

[@shumaila29]

pt is on 75mcg levothyroxine about 4 yrs ..her t4 and t4 levels are normal but tsh level is increased about 19 then what is the dose for her?

[@mithidas4295]

Should we supplement Levothyroxin in subclinical hypothyroidism with dyslipidemia where TSH level is less than 10?

[@DrThaibaAmal]

This video is very much informitive and precise👍👍 Respect and highly appreciate ur effort sir 🫡

[@dr-arvindkumar]

Thanks a ton

[@papajango7065]

Very informative video

[@dr-arvindkumar]

Keep watching

[@ayushsehgal5283]

Informative videos in very shirt time. Thankyou sir . One doubt like for how much time that tsh should be in lower normal range , inorder to stop levothyroxine?

[@dr-arvindkumar]

Low normal is the target to maintain.Dose reduction when tsh below normal limits

[@abhishekdan281]

Sir, Patient is on Levothyroxin medication, is there any specific guidelines before testing TSH, FT4

[@MSShah-ph4yj]

Thank you sir.. If pt. is diagnosed with hypothyroidism in pregnancy fir 1st time then can v stop thyroxine after delivery?

[@mohammedishaqahamed6769]

Sir, plz suggest what is the normal reference values of Tsh in pregnancy.. B, coz some gynaecology dr. Prescribe thyroxine even it is above 3..

[@abhinavverma930]

Sir make an app for opd cases for general practitioner....

[@umamaheswararaoallada1625]

Sir many thanks for your nice video ; pl do video on FEVERS sir!

[@dr-arvindkumar]

Videos are there in this channel on malaria,typhoid,upper respiratory infections,urinary infections

[@udayshankargajulapalli3295]

Sir...once TSH values came to around lower limit of normal, should we continue treatment at lowest doses or stop thyroxine sir..may be a silly quetn plz clarify sir

[@dr-arvindkumar]

For this you need to visit thyroid specialist

[@niazali4635]

Than s sir... But how to increase the dose 15 Mico.... As only 50 and 100 micro avaible... The patient can not manage by herself if multiple strengths are not abmvaiable

[@dr-arvindkumar]

12.5 mcg is available

[@Sabnamparvin1992]

The dose of eltroxin in pregnancy 2_3 mcg/kg/ day

[@Tc-dr8od]

Thank u sir❤

[@dr-arvindkumar]

Most welcome

[@msmurthy6950]

K/c/o hypothyroidism, on treatment. TSH - normal and free T4 is high, what should be the treatment?

[@dr-arvindkumar]

Consult thyroid specialist doctor

[@MD.doc.]

Sir what is the reference for starting partial replacement doses of thyroxine based on S. TSH level ??

[@dr-arvindkumar]

AACE guidelines

[@AkhileshKumar-zl6ii]

sir if a patient had tsh above 20 ...after some month of thyroxine supplementation with appropiate triataion ...presently she is on thyroxine 25 mcg and her tsh , free t3 and free t4 is in range ...what to do next sir ???...what is the guideline to stop medication sir...plz help🙏🙏🙏🙏

[@rajdeepsingh1718]

Sir in patients aged >65yrs with subclinical Hypothyroidism, do we need to start thyroxine?

[@dr-arvindkumar]

Yes.Watch video at 2:30 minute time

[@subbareddysanaga2528]

Doctor sir my Tshvalue 5.5 t 3 t4 normal since 3 years having neck stiffness since 1 year please tell sir above tsh level cause neck pain

[@dr-arvindkumar]

Get yourself check from your local physician

[@sayakchakraborty3534]

Sir how to decide between complete and partial replacement? Like complete replacement is1.6mcg/kg...so for a 60kg man that'd be 96mcg/day. Now suppose he has a TSH value of 10, that partial replacement comes to be 50mcg...so how to decide this Sir?

[@dr-arvindkumar]

That’s totally physician decision.If partial replacement is started then after 2 months dose might be uptitrated.

[@sayakchakraborty3534]

@@dr-arvindkumar okay sir thanks 🙏

[@abdulrajik1648]

Sir..if someone with subclinical hypothyroidism after taking thyroxine reaches the target tsh level with particular dose like 50mcg..then what should be the dose of thyroxine after that?

[@dr-arvindkumar]

Continue

[@abdulrajik1648]

Sir should we continue the same dose or should we titre by 12.5-25mcg from here?

[@MdSajid-nf7qc]

Sir dose in pregnancy is same or different?

[@dr-arvindkumar]

Slightly more

[@venkateswarluerukala124]

Good morning sir

[@venkateswarluerukala124]

High tsh and then tsh in algorithm what it means sir

[@dr.rajgopaly2022]

How do we titrate the levothyroxine doses in Hashimoto's thyroiditis where the TSH levels may keep altering despite using a stable maintainance doses of levothyroxine as it's a destructive autoimmune condition.

[@dr-arvindkumar]

Yes.Dose requirement fluctuate in hashimoto thyroiditis

[@lone_wolfe_lost]

❤❤

[@sahoo4579]

Hypertension management !!

[@dr-arvindkumar]

Soon

[@Praveenrajpraveen]

Sir,pregnant patient newly diagnosed and started on levothyroxine Do they also need 9 doses/ week 9 doses/ week should be continued till end of pregnancy??

[@smart_khanx5556]

Awesome...its what we called practical medical education.👍👌

[@dr-arvindkumar]

Glad it is helpful for you

[@dhruvith23]

​@@dr-arvindkumarany special considerations in children regarding dosage of levothyroxin...

[@dr.g.amruthasai5986]

Thank you very much sir

[@dr-arvindkumar]

Most welcome

[@mohamedimran7908]

Sir kindly post regular videos for GPs .. we are very grateful to you for your teaching and we love your crystal clear speech and explanation.... Thank you very much sir 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

[@drrukhtaz7969]

Very helpful

[@dr-arvindkumar]

Welcome

[@dr_SagnikRoy]

Thank you Sir for making such informative videos with such authentic and valuable content. You are always an inspiration for us!🙏🙏

[@dr-arvindkumar]

So nice of you

[@SocratesThethinker]

Sir,is there a possibility for the k/c/o hyperthyroid pregnancy patients experiencing palpitation and other hyperthyroid symptoms when we give double the dose on those 2 days of the week?If so what can be advised?

[@TheThirdEyeLookingInwards]

Thank you sir. I have searched many places but nobody told about the partial replacement dose. Thank you very much.

[@dr-arvindkumar]

You are welcome

[@pavanpargaonkar9616]

32 ye female ..k/c/o hypothyroidism since 10 years ..her tsh value is around 10 in last six months....her wt is 62kg...she is already on thyronorm 100mcg ..should we increase the dose more than 1.6mcg per kg... (Otherwise asymptomatic & no other systemic finding )

[@lalitsharma7458]

Sir when we give sample for TSH test, what is the recommendation for taking thyroxine medication on that day or before 1,2 days??

[@cyrusgirdhar]

Hello sir a patient 43 yr old female in my opd having TSH - 330 what will be the next step?

[@dheerajnovember]

Sir, please suggest. Patient was started on L-thyroxine at 25mcg and TSH values came under normal range. But on the other hand T4 values increased. Does this need any attention? Please suggest.

[@samensaha1231]

His Thyroxine dose should be tappered slowly otherwise she will go into hyperthyroidism

[@imtiazhussain9472]

When to stop Thyroxine replacement? after TSH being Normalised to low reference level?

[@محمدزكي-ق7ج]

I'm not understand 😕 Increase the thyroxine to 9 doses/week ? Please 🙏 can one explain for me

[@dr-arvindkumar]

Watch again that portion

[@Shiv_bro]

Very good lecture Sir....simplified

[@dr-arvindkumar]

Keep watching

[@drjamunasunilkumar3464]

ONCE TSH NORMALISES DO WE TAPER AND STOP MEDICATION WHILE MONITERING EVERY 6 TO 12 MONTHS

[@drbratinshankar5141]

Such a concise and informative video. Clears several queries.

[@dr-arvindkumar]

Glad it was helpful!

[@faizankhan-jp2my]

Great sir....🎉

[@Praveenrajpraveen]

Sir,pregnant patient newly diagnosed and started on levothyroxine Do they also need 9 doses/ week 9 doses/ week should be continued till end of pregnancy??

[@dr-arvindkumar]

Depends on tsh values

[@gourangobhattacharjee9025]

Thank you Sir, such a concise and informative video, clears several queries. Please make more such videos for our education purpose.

[@dr-arvindkumar]

Thank you, I will

[@Dhananjay-re6rp]

I am taking thyrox 37.5 mcg from 47 days Should i recheck my tsh now?

[@dr-arvindkumar]

Yes

[@drkhajasamiuddin]

Thank you sir,much needed videos Please make more such videos based on common clinical conditions in opd

[@dr-arvindkumar]

Noted

[@sowmyaramamurthy4977]

Informative video sir..kindly post for hyperthyroidism also

[@dr-arvindkumar]

Will upload soon

[@sagarjain2532]

Sir Thanks for giving information in very easy way& simple smoothly way

[@dr-arvindkumar]

Keep watching

[@shrivanigowda7863]

Which time of a day is preferable to take thyroxine ?sir,,,, can it take before or after food ,,,,

[@dr-arvindkumar]

Before breakfast

[@anonymous_wayfarer]

Thank you so much sir....very helpful video for us

[@dr-arvindkumar]

Most welcome

[@souvikmandal7521]

Sir please continue sharing your valuable experience.

[@dr-arvindkumar]

So nice of you

[@doctorwriting4528]

Thank you sir for this informative video 🎉

[@dr-arvindkumar]

Most welcome

[@sumansingh9864]

Very useful.....appreciate the effort sir..

[@dr-arvindkumar]

Keep watching

[@freethinkers9133]

Sir , my TSH is 5.1 on 50mcg dose (normal range - 0.34 to 5.6 ) ,, should i need to increase dose as u say target TSH should be near to lower value of normal range

[@parulgandhi7766]

Thanks a lot sir

[@dr-arvindkumar]

Welcome

[@AkhileshKumar-zl6ii]

few month back i dealt with a case of subclinical hypothyridism ...patient had delivered baby ..she is on 25 mcg thyroxine ...her tsh and t3 is well within range ...Her t4 is 16 ...what to do next sir...kindly help🙏🙏🙏🙏

[@padmajahawaldar4319]

Wow so beautifully explained 😊

[@dr-arvindkumar]

Thanks a lot 😊

[@astronix0073]

Very nice, concise and well presented. Thank you sir. ❤

[@dr-arvindkumar]

So nice of you

[@mohdkhalid7254]

Good morning sir Sir ek question h Once TSH normalised then thyroxine dose same rkhna h? Or dose km Krna h or stop Krna h? Pt.taking thyroxine 100mcg and T4 is 8.6 and TSH is 2.9 now.

[@dr-arvindkumar]

Same dose

[@mohdkhalid7254]

Thank u sir ​@@dr-arvindkumar

[@reaperdrakeff1721]

I have a TSH level is now 0.05 So what happened

[@dr-arvindkumar]

Consult your doctor

[@saktimanpanda1284]

Sir if TSH levels are normal ft4 is just slightly raised and all other levels are normal. And still patient is experiencing sudden hot and cold feeling.sir how to adjust the dosage further? Currently taking 62.5mcg and weight is 51kg . Currently in medication of cilnidipine 10mg only

[@dr-arvindkumar]

If vitals ok then identify other causes of symptoms

[@saktimanpanda1284]

@@dr-arvindkumar thank you sir... I have seen almost all your videos.. I am an intern... Need your blessings to become a physician like you sir

[@abudaniyal715]

Thanks, really very informative for all of us.

[@dr-arvindkumar]

Glad it was helpful!

[@rahuldudwe1505]

Sir Management of Primary Hyperthyroidism ,Hyperthyroidism in pregnancy

[@jackalim04]

Thank you so much sir for this video Can you plz make video on " how to treat hyperthyroidism in pregnancy in opd or how to approach Also for giving fitness for OT cases what things we should see

[@isyisy8282]

Excellently explained sir.

[@dr-arvindkumar]

Thanks and welcome

[@Sureshburugu]

Thank you very much sir

[@dr-arvindkumar]

Most welcome

[@drjamunasunilkumar3464]

Is calcium tablets recommended along with thyroid tablets until pt on thyroid treatment

[@drjamunasunilkumar3464]

And dosage to be increase wen on calcium coz u said calcium carbonate interferes with thyroid drugs

[@drjamunasunilkumar3464]

Thank u sir good information never understood thyroid treatment so well before plz reply to my doubts sir

[@Christopher-nolan]

No better explanation than this❤❤❤

[@dr-arvindkumar]

Thank you

[@afsarsheikh9022]

Sir i have a patient in my opd she is on eltroxin 125mcg and her weight is around 50kg she is not responding to oral hypothyroidism drug .since last few months i already tritrate her dose yesterday's reports show sr Tsh more than 100

[@easy_medlife2793]

Love you sir from kashmir ❤❤❤

[@dr-arvindkumar]

🙏

[@rupeshchaurasia4354]

❤❤

[@preetraj996]

Thank you so much sir 🙏

[@dr-arvindkumar]

Most welcome

[@sultankhan3826]

I am so lucky I have a teacher like you.

[@dr-arvindkumar]

Best wishes

[@sachinas300]

Day of TFT wants to skip thyroid medication or take thyroxine any guidelines sir

[@dr-arvindkumar]

It will not make any difference in TSH result

[@sachinas300]

@@dr-arvindkumar Thank you sir

[@manideepguha1743]

Can thyroid medication be stopped if report comes normal for atleast a year in a case of 35yrs old male patient taking only 25mcg dose?

[@dr-arvindkumar]

It depends on many factors.Consult your thyroid doctor for the same

[@manideepguha1743]

@@dr-arvindkumar sir am a doctor myself. Pursuing ms in general surgery so am asking for my knowledge 😅. Patient took eltroxin 25 for approx 6-7months.

[@saritapatel5924]

Thank you so much Sir 🙏

[@dr-arvindkumar]

Most welcome

[@ayyansarwar9333]

Sir,what about if only Free T4 is low and TSH is normal

[@Vivek...5566]

Thank u sir...

[@dr-arvindkumar]

Welcome

[@sayanakp7602]

Sir in pregnancy 9 doses per week. I didn’t get that point. Can u plz explain it?

[@dr-arvindkumar]

If patient is taking 100 mcg per day(700 mcg per week) then make it 900 mcg per week by making it 100 mcg five days a week and 200 mcg two days a week.Now watch the video again

[@sayanakp7602]

Okay sir. Got it . Thank you sir.

[@أيمنرسولكاظم]

Great sir, on which guideline you depend upon?

[@dr-arvindkumar]

ATA guidelines

[@أيمنرسولكاظم]

Well done, 2023 or 2024? ​@@dr-arvindkumar

[@Doc_ashu19]

Sir pls.make video on hyperthyroidism and emergency management

[@dr-arvindkumar]

It’s already there in this channel

[@Doc_ashu19]

@@dr-arvindkumar ok sir -thank you again-- And sir how much maximum oral dose of thyroxin can be given to patient--

[@dr-arvindkumar]

@@Doc_ashu19no max dose.Increased till tsh under control

[@uttiyadeb7583]

Many thanks ❤❤❤

[@dr-arvindkumar]

Always welcome

[@pullaiahcreatechannelbcm5447]

More useful docto

[@dr-arvindkumar]

Keep watching