Wednesday, March 25, 2026

46M Hypothyroidism 6 yrs, SOB while walking, Knee joint pain Telangana PaJR

 
25/03/2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS. 

                                                                      13/02/2026
05/09/2025
                                       
                                                                       27/01/2026
                                       
[7:20 am, 25/03/2026] CR: 46M patient is weaver by profession suffering with hypothyroidism since 6 yrs. SOB while walking and knee joint pains. He has to sit on the floor and work and is finding it difficult. Earlier he was on 100 mcg thyronorm, increased to 125, then 150 and currently on 125. 
Data given by patient @PPM1 doctor.
[8:50 am, 25/03/2026] PPM 1: Since when is he on 125 mcg?
He appears to be having metabolic syn with documented hypothyroidism and osteoarthritis.
I guess he should also be having documented hypertension and diabetes?
If not already documented we can ask him to measure his BP 10 times on a seluvu roju and fasting and 2 hours post prandial blood sugars (breakfast lunch and dinner) and share here?
[9:35 am, 25/03/2026] CR: Thyronorm 125mcg, Idi yeppatininchi vaduthunnaru
[9:41 am, 25/03/2026] PA: 125 mcg 2years Nundi vaduthunaru
[10:12 am, 25/03/2026] PPM 1: If the January TSH was low this dose may have been reduced
         



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