Does levothyroxine cause hair loss in some patients. How does thyroid dysfunction impact hair growth. What are effective ways to prevent hair loss while taking levothyroxine. When should you be concerned about hair loss as a side effect.

The Link Between Levothyroxine and Hair Loss

Levothyroxine is a synthetic thyroid hormone commonly prescribed to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. While levothyroxine is an effective treatment for hypothyroidism, some patients report experiencing hair loss as a side effect. But is there a direct causal relationship between taking levothyroxine and losing hair?

The short answer is that levothyroxine can potentially contribute to temporary hair loss in some patients, especially during the initial months of treatment. However, this hair loss is usually mild and resolves on its own as the body adjusts to the medication. In many cases, the hair loss associated with starting levothyroxine is actually due to the underlying thyroid condition being treated, rather than a direct side effect of the medication itself.

How Common is Hair Loss with Levothyroxine?

Hair loss is considered a relatively common side effect when first starting levothyroxine treatment, particularly within the first 1-3 months. Studies estimate that around 10-30% of patients may experience some degree of hair thinning or shedding during this initial adjustment period. However, for most people this hair loss is temporary and mild.

Why Does Levothyroxine Sometimes Cause Hair Loss?

There are a few potential reasons why levothyroxine treatment may be associated with temporary hair loss:

• Hormonal fluctuations as thyroid levels normalize
• Increased metabolism and faster hair growth cycles
• Stress on the body as it adjusts to the medication
• Exacerbation of pre-existing thyroid-related hair loss

It’s important to note that in most cases, the hair loss is not directly caused by levothyroxine itself, but rather by the body’s response to changing thyroid hormone levels as treatment begins.

Understanding the Thyroid-Hair Connection

To fully grasp why levothyroxine may impact hair growth, it’s crucial to understand the intricate relationship between thyroid function and hair health. The thyroid gland plays a vital role in regulating many bodily functions, including the growth and maintenance of hair follicles.

How Does Thyroid Dysfunction Affect Hair?

Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can lead to hair loss through different mechanisms:

• Hypothyroidism: Slows down hair growth and can lead to dry, brittle hair that breaks easily
• Hyperthyroidism: Can cause rapid shedding as hair follicles enter the resting phase too quickly

When thyroid hormone levels are either too high or too low, it disrupts the normal hair growth cycle. This can result in diffuse hair thinning across the scalp or even body hair loss in severe cases.

The Hair Growth Cycle and Thyroid Hormones

Hair growth occurs in cycles consisting of three main phases:

1. Anagen (growth phase)
2. Catagen (transitional phase)
3. Telogen (resting phase)

Thyroid hormones play a crucial role in initiating and maintaining the anagen phase. When thyroid levels are imbalanced, it can cause a larger proportion of hair follicles to enter the telogen phase prematurely, leading to increased shedding.

Differentiating Between Medication-Induced and Disease-Related Hair Loss

One of the challenges in assessing hair loss in patients taking levothyroxine is distinguishing between side effects of the medication and symptoms of the underlying thyroid condition. How can patients and healthcare providers determine the true cause of hair loss in these cases?

Timing of Hair Loss Onset

The timing of when hair loss begins can provide important clues:

• Hair loss that begins before starting levothyroxine is likely due to hypothyroidism
• Sudden increased shedding within the first few months of treatment may be related to the medication
• Gradual thinning that continues long-term could indicate suboptimal thyroid management

Pattern and Extent of Hair Loss

The characteristics of the hair loss itself can also help differentiate the cause:

• Diffuse thinning across the entire scalp is typical of thyroid-related hair loss
• Patchy hair loss or complete baldness in areas is less likely to be thyroid-related
• Loss of body hair in addition to scalp hair suggests severe hypothyroidism

Managing and Preventing Hair Loss While Taking Levothyroxine

For patients concerned about hair loss while taking levothyroxine, there are several strategies that may help minimize shedding and promote healthy hair growth:

Optimizing Thyroid Hormone Levels

The most important step in preventing thyroid-related hair loss is ensuring that thyroid hormone levels are properly balanced. This often involves:

• Regular blood tests to monitor TSH, T3, and T4 levels
• Adjusting levothyroxine dosage as needed under medical supervision
• Considering combination therapy with T3 if T4 alone is not effective

Nutritional Support for Healthy Hair

Certain nutrients are essential for optimal hair growth. Patients can support their hair health by ensuring adequate intake of:

• Iron
• Zinc
• Biotin
• Vitamin D
• Omega-3 fatty acids

In some cases, blood tests may be recommended to check for deficiencies in these key nutrients.

Gentle Hair Care Practices

Minimizing physical stress on the hair can help reduce breakage and shedding:

• Use a wide-toothed comb to detangle wet hair
• Avoid tight hairstyles that pull on the hair
• Limit use of heat styling tools
• Choose sulfate-free shampoos and conditioners

When to Seek Medical Advice for Hair Loss

While some degree of hair shedding is normal when starting levothyroxine, there are situations where patients should consult their healthcare provider about hair loss concerns:

Red Flags for Thyroid-Related Hair Loss

• Sudden, severe hair loss
• Hair loss that continues for more than 3-6 months after starting treatment
• Development of bald patches or complete loss of hair in certain areas
• Noticeable thinning of eyebrows, especially the outer third

Potential Need for Treatment Adjustments

In some cases, persistent hair loss may indicate that thyroid hormone levels need to be re-evaluated. Your doctor may recommend:

• Adjusting the levothyroxine dosage
• Checking for other underlying causes of hair loss
• Considering alternative thyroid medications or combination therapy

Other Potential Side Effects of Levothyroxine

While hair loss often receives significant attention, it’s important to be aware of other possible side effects that may occur when taking levothyroxine:

Common Side Effects

• Weight changes
• Increased appetite
• Nervousness or irritability
• Difficulty sleeping
• Headaches
• Muscle weakness
• Menstrual irregularities

Less Common but Serious Side Effects

Patients should seek immediate medical attention if they experience:

• Chest pain
• Rapid or irregular heartbeat
• Shortness of breath
• Severe headache
• Allergic reactions (rash, itching, swelling)

Long-Term Management of Thyroid Health and Hair Growth

Successfully managing thyroid health and maintaining healthy hair growth is an ongoing process that requires attention and care. Here are some key strategies for long-term success:

Regular Monitoring and Follow-Up

Consistent medical supervision is crucial for optimal thyroid management:

• Schedule regular check-ups with your endocrinologist or primary care physician
• Undergo periodic blood tests to assess thyroid function
• Report any new symptoms or concerns promptly

Lifestyle Factors for Thyroid and Hair Health

Certain lifestyle choices can support both thyroid function and hair growth:

• Maintain a balanced diet rich in thyroid-supporting nutrients
• Engage in regular exercise to boost metabolism and circulation
• Manage stress through relaxation techniques or mindfulness practices
• Get adequate sleep to support hormone balance and cellular repair

Exploring Complementary Therapies

Some patients find additional benefit from complementary approaches:

• Scalp massage to improve blood flow to hair follicles
• Herbal supplements (under medical supervision) to support thyroid function
• Acupuncture for overall hormone balance

It’s important to discuss any complementary treatments with your healthcare provider to ensure they are safe and appropriate for your individual situation.

Understanding Levothyroxine Alternatives and Combination Therapies

While levothyroxine is the most commonly prescribed medication for hypothyroidism, it’s not the only option available. In some cases, especially when patients continue to experience symptoms or side effects like hair loss, alternative treatments may be considered:

Natural Desiccated Thyroid (NDT)

NDT is derived from animal thyroid glands and contains both T4 and T3 hormones:

• May be beneficial for patients who don’t convert T4 to T3 efficiently
• Requires careful dosing and monitoring
• Not suitable for all patients, especially those with certain autoimmune conditions

T3 Supplementation

Adding synthetic T3 (liothyronine) to levothyroxine treatment:

• Can help some patients who still have symptoms on T4 alone
• Requires more frequent dosing due to shorter half-life of T3
• May increase risk of side effects if not carefully managed

Compounded Thyroid Medications

Custom-made thyroid hormone preparations:

• Allow for personalized T4/T3 ratios
• May be helpful for patients with sensitivities to fillers in standard medications
• Require specialized pharmacies and careful quality control

The choice of thyroid medication should always be made in consultation with a knowledgeable healthcare provider, taking into account individual patient factors, symptoms, and lab results.

In conclusion, while levothyroxine can potentially contribute to temporary hair loss in some patients, this side effect is usually mild and self-limiting. By understanding the complex relationship between thyroid function and hair growth, patients and healthcare providers can work together to optimize treatment, minimize side effects, and support overall health and well-being. With proper management and care, most individuals with thyroid conditions can achieve both stable hormone levels and healthy hair growth.

Does levothyroxine cause hair loss?

Medically reviewed by Carmen Pope, BPharm. Last updated on Aug 25, 2022.

Yes, levothyroxine, the main treatment for a sluggish thyroid gland, may cause hair loss in addition to other side effects. You may experience partial hair loss in the first few months of treatment, but this usually resolves and hair growth goes back to normal within a short time.

People with thyroid disease commonly experience hair loss, and taking levothyroxine can initially increase this hair loss. This is because hair growth depends on proper functioning of the thyroid gland. When you have an overactive thyroid and have too much thyroid hormone, the hair on your head can become fine, and you may experience widespread hair thinning over your entire scalp. When you have an underactive thyroid and produce too little thyroid hormone, you can lose hair not just on your scalp but everywhere on your body.

Hair loss with levothyroxine is common during the first month of treatment and is particularly common in children. Once thyroid hormone levels stabilize hair growth usually resumes.

Levothyroxine is the name of all man-made forms of the thyroid hormone T4. It mimics the hormone that is produced by the thyroid. Brand names include:

• Synthroid
• Levoxyl
• Unithroid
• Tirosint
• Levo-T

In addition to hair loss, more common levothyroxine side effects may include:

• Weight changes
• Headache
• Upset stomach
• Fever
• Menstrual cycle changes
• Heat sensitivity
• Joint pain
• Leg cramps
• Heat intolerance

Sometimes more serious side effects can also occur with levothyroxine use, including:

• Shortness of breath
• Increased heart rate and chest pain
• Hives, rash or itching
• Swelling of the hands, feet, ankles or lower legs
• Flushing
• Stomach pain, nausea or vomiting
• Trouble keeping blood sugar under control if you have diabetes
• Weakened bones

Hypothyroidism, or an underactive thyroid, occurs when the thyroid gland is no longer producing enough thyroid hormone, and as a result can’t regulate many of the body’s key functions, including heart rate, breathing, weight, digestion and mood.

Common causes of hypothyroidism include an autoimmune disease like Hashimoto’s thyroiditis, the surgical removal of the thyroid gland or radiation treatment to the chest and neck area.

Symptoms of hypothyroidism may include fatigue, weight gain, feeling cold, thinning hair and depression, among others.

References

1. U.S. National Library of Medicine MedlinePlus. Levothyroxine. 2022. Available at: https://medlineplus.gov/druginfo/meds/a682461.html. [Accessed August 25, 2022].
2. U.S. National Library of Medicine MedlinePlus. Hypothyroidism. 2022 Available at: https://medlineplus.gov/hypothyroidism.html. [Accessed August 25, 2022].
3. U.S. Food and Drug Administration. Tyrosant. December 2017. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021924s013lbl.pdf. [Accessed August 25, 2022].

Related medical questions

• Does levothyroxine cause weight gain or loss?
• How soon after taking levothyroxine can I take omeprazole?
• What happens if you stop taking levothyroxine?
• What can I eat for breakfast after taking levothyroxine?
• Can I take other medications with levothyroxine?
• How long after taking levothyroxine can you drink milk?
• Can I lie down after I take levothyroxine?
• How long does levothyroxine stay in your system?
• What is the difference between Levoxyl and Synthroid?
• What is the difference between Unithroid and Synthroid?
• Can you take thyroid supplements with levothyroxine?

Drug information

• Levothyroxine Information for Consumers
• Levothyroxine prescribing info & package insert
  (for Health Professionals)
• Side Effects of Levothyroxine
  (detailed)

Related support groups

• Levothyroxine
  (140 questions, 579 members)

Medical Disclaimer

Does Levothyroxine Cause Hair Loss In Women? How To Prevent It

Drug-induced hair loss is a condition where some oral medication may cause your hair to fall out. Some individuals often complain that Levothyroxine causes hair loss (1). This oral medication is prescribed to treat hypothyroidism. While it does help treat hypothyroidism symptoms, what does science say about its relation to hair loss? Keep reading this post to learn more about the link and what you can do to stop the hair loss.

In This Article

Does Levothyroxine Cause Hair Loss In Women And Children?

Image: Shutterstock

To understand if levothyroxine causes hair loss, we need to dive deep into the relation between thyroid dysfunction and hair loss. Thyroid dysfunctions are known to cause hair loss. Hypothyroidism (low thyroid functioning) causes the scalp to become oily due to an insufficiency of thyroid hormones. It also makes hair coarse and scanty, and may even lead to baldness. Excess thyroid function, on the other hand, causes hyperthyroidism that also makes hair fine and very scanty. Hair thinning is a common occurrence. Such thyroid imbalances can cause alopecia areata (2).

Related: 12 Natural Remedies For Hypothyroidism And Prevention Tips

While levothyroxine is used to treat thyroid imbalances (and their associated side effects, like hair loss), it also may cause hair loss in some cases.

Did You Know?

Levothyroxine was first synthesized in 1949, representing a significant advancement in hypothyroidism treatment.

In a study, a 10-month infant diagnosed with hypothyroidism faced sudden diffuse alopeciaⁱ  XAutoimmune condition causing hair loss that affects the whole of the scalp beyond concentrating in localized areas, thereby leading to reduced hair density. on the scalp (3). The cause was found to be an overdose of levothyroxine, leading to an excessive thyroid function, causing hair loss. Hair loss occurred after two weeks of starting levothyroxine and ended a few days after the dosage was reduced. This shows that there needs to be an accuracy in the prescribed dosage. When ingested in the appropriate dosage, levothyroxine only balances the thyroid level without causing hair loss.

In another study conducted with 255 women, thyroxine (commonly levothyroxine) was shown to cause diffuse hair loss (4). This shows that anti-thyroid medication can cause drug-induced hair loss.

Drug-induced hair loss leads to either telogen or anagen effluvium (5). Telogen effluviumⁱ  XTemporary hair loss usually caused due to stress or trauma. A condition of generalized hair loss noticed for two to three months following the trigger events. normally occurs two to four months after you start taking the drug (including levothyroxine). Anagen effluviumⁱ  XLoss of hair in the initial stages of the hair growth cycle (anagen). It is rapid and caused mostly due to chemotherapy, drugs or toxins. occurs within a few days or weeks from drug intake. These can lead to patterned or diffused hair loss and can be acute or chronic.

Hair loss is a common occurrence in pregnancy due to changes in hormone levels. Although it may cause hair loss, levothyroxine is one of the few medications safe for pregnant and nursing women (6).

Should You Discontinue Levothyroxine To Stop Hair Loss?

Since treatment with levothyroxine is lifelong, it cannot be discontinued. But depending on your thyroid levels, the dosage may be increased or decreased. Stopping anti-thyroid medication can have severe effects on the body. But there are some other treatment suggestions and lifestyle and dietary changes you can make to prevent hair loss.

Here are some tips you can try to prevent hair loss while taking levothyroxine.

How To Prevent Hair Loss In Women Who Take Levothyroxine

Image: Shutterstock

Levothyroxine medication is to be taken lifelong. But the dosage may be increased or decreased based on your serum TSH levels. If you take levothyroxine to regulate your thyroid levels but are experiencing hair loss, do not panic. Here are a few tips to help reduce such drug-induced hair loss and thinning hair.

• You can try homemade hair masks made with natural ingredients like eggs, milk, oils, yogurt, and fenugreek seeds. These may stimulate hair growth and prevent hair loss.

• Massaging your scalp with warm oil can improve blood circulation and stimulate hair growth. Massaging can also improve hair thickness and length (7).

Related: 12 Effective Foods To Improve Blood Circulation In The Body

• Topical minoxidil can be used to treat hair loss and stimulate hair growth (8). Other medication like finasteride, topical steroid treatments, radiation therapy and tretinoin might help (9).

• Aromatherapy and herbal treatments may also help reduce hair loss, and even stimulate hair growth (9).

Related: 12 Natural Home Remedies For Hair Growth And Thickness

• Stress is another cause of hair loss. Improving your lifestyle to mitigate stress factors may help reduce hair loss. Exercise, meditate, and practice yoga or Pilates.

• Consume more fruits and vegetables. These contain vitamins and minerals essential for hair growth (9).

• Avoid crash diets or overeating.

• Do not color your hair with regular hair dyes that use chemicals. Stop excess use of styling tools. Avoid going for hair chemical treatments too frequently.

• Avoid hairstyles that pull on your hair.

• Stop using shampoos and other hair products that contain chemicals, as they may cause an imbalance of the scalp and hair pH.

Quick Tip

Drinking at least two liters of water daily will hydrate the roots to prevent hair loss and breakage.

There is a specific method to diagnose hair loss caused by drugs. Know more in the next section.

Diagnosing Drug-Induced Hair Loss: When To See A Doctor

Image: Shutterstock

It is normal to lose 80 to 100 hair strands a day. But consult a doctor if you notice excessive hair loss. The doctor may perform a gentle pull test to confirm drug-induced hair loss (9). You may be asked to stop washing hair for five days before the test. After five days, a lock of hair is gently pulled at the ends to note the amount of hair loss occurring. Hair loss beyond 10% could be diagnosed as alopecia. The doctor might perform other tests to confirm drug-induced hair loss and may suggest any alternatives.

Although levothyroxine causes hair loss, it is potentially reversible, temporary, and treatable. You lose about 80-100 hair strands daily. However, if you observe a lot of hair loss, you should see a doctor. When the dosage is reduced, you are more likely to detect hair growth. However, while levothyroxine must be taken for the rest of your life in most situations, you must also work on improving your lifestyle and eating habits. If you follow the appropriate habits regularly, you can improve the health of your hair and body.

Frequently Asked Questions

Can I take biotin with levothyroxine?

While no adverse reactions have been reported when taking biotin with levothyroxine, biotin may lead to false thyroid levels. Therefore, it is recommended to consult a doctor before ingesting biotin with levothyroxine.

How common is hair loss with levothyroxine?

Hair loss is a common side effect noticed in people taking levothyroxine. But, it should stop once you discontinue the drug.

What are the side effects of levothyroxine?

Apart from hair loss, other side effects of levothyroxine include nausea, weight gain or loss, puking, diarrhea, appetite changes, fever, menstrual cycle changes, etc.

What is the highest level of levothyroxine?

The highest dosage of levothyroxine is 100 mg/tablet.

Key Takeaways

• Levothyroxine is an oral medication to treat hypothyroidism that may result in occasional hair loss.
• The right dosage is important to reap its benefits without affecting your hair growth, strength, or texture.
• DIY hair masks, home remedies, and diet changes can help manage this drug-induced hair loss.

Learn about the use, dosage, and side effects of levothyroxine, a medication used to treat hypothyroidism. Get the facts by clicking on the video below to make an informed decision.

Sources

Articles on StyleCraze are backed by verified information from peer-reviewed and academic research papers, reputed organizations, research institutions, and medical associations to ensure accuracy and relevance. Read our editorial policy to learn more.

• Levothyroxine,
  https://www.ncbi.nlm.nih.gov/books/NBK539808/
• Thyroid Dysfunction in Alopecia Areata,
  http://www.turkjem.org/uploads/pdf/137611244857589.pdf
• Diffuse Scalp Hair Loss Due to Levothyroxine Overdose,
  https://www.idoj.in/article.asp?issn=2229-5178;year=2015;volume=6;issue=7;spage=58;epage=60;aulast=Kumar
• Drug-Induced Diffuse Hair Loss in Females: An Observational Study,
  http://www.astrocyte.in/article.asp?issn=2349-0977;year=2014;volume=1;issue=2;spage=80;epage=83;aulast=Garg
• Drug-induced hair loss and hair growth. Incidence, management and avoidance ,
  https://pubmed.ncbi.nlm.nih.gov/8018303/
• Levothyroxine,
  https://www.nhs.uk/medicines/levothyroxine/
• Standardized Scalp Massage Results in Increased Hair Thickness by Inducing Stretching Forces to Dermal Papilla Cells in the Subcutaneous Tissue,
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740347/
• Minoxidil and Its Use in Hair Disorders: a Review,
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/
• Drug That Causes Hair Loss and Promotes Hair Growth-A Review,
  https://www.researchgate.net/publication/300852952_Drug_that_Causes_Hair_Loss_and_Promotes_Hair_Growth-A_Review
• Diffuse Hair Loss Induced by Sertraline Use,
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589582/

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Thyroid hair loss – causes and treatment

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The Cosmedica Team

We are an international team committed to providing the best hair transplant services on the market and to informing and educating people around the world about hair loss and its treatments.

Contents of the article

Both hyperthyroidism and hypothyroidism can lead to increased hair loss . An examination by an internal medicine doctor will provide information.

Depending on the genetic predisposition and hair color, we have 80,000 to 120,000 hairs on our head , which grow completely independently of each other. Up to 100 of them fall daily. During this process, the scalp sheds old dead hair and makes room for new hair.

However, if more hair falls out suddenly, the scalp shows through between the hairs, or bald spots form , this is definitely a cause for concern. If so, don’t be afraid0013 see a doctor .

Endocrinological diseases and, accordingly, thyroid dysfunction are almost always among the suspects.

Hair loss due to thyroid problems

This small butterfly-shaped organ, located in the front of the neck under the larynx, produces the hormones T3 (triiodothyronine) and T4 (thyroxine) , which, in turn, affect the metabolism in the human body.

If the thyroid gland is out of balance, all metabolic processes in the body are disrupted , including those responsible for hair growth. Even a slight overabundance or deficiency can lead to a change in the structure of the hair and their loss.

Other typical symptoms that may indicate a thyroid problem are:

• Sudden weight gain or loss
• Constant tiredness/fatigue
• Depression
• Circulatory problems
• Slow reflexes
• Dry and rough skin
• Goiter

Hyperthyroidism and hypothyroidism

With hyperthyroidism , i.e. when there is too much thyroid hormone in the blood, the metabolism speeds up. Thanks to this, the hair grows faster, which is positive, but there is a small catch. Hair falls out faster because more hair goes into the so-called resting phase at the same time. This makes the hair structure thinner.

With hypothyroidism there is too little thyroid hormone in the blood, which slows down the metabolism . As a result, hair grows less quickly and looks dry and dull. In addition, the hair becomes brittle, their density decreases. Hypothyroidism doesn’t just affect the hair on your head. Eyelashes and eyebrows, as well as other body hair, may also fall out.

Circular hair loss and thyroid gland

At alopecia areata , the scientific name for circular hair loss, the body’s immune system suddenly attacks the hair roots as they are recognized as foreign bodies. As a result, a typical circular hair loss forms on the head. What exactly causes this disease has not yet been fully elucidated.

However, most often alopecia areata occurs in combination with other autoimmune diseases, including Graves’ disease and Hashimoto’s thyroiditis, which occur when the thyroid gland malfunctions and becomes inflamed.

How are thyroid disorders diagnosed?

If you suspect that you are suffering from hyperthyroidism or hypothyroidism, you should make an appointment with a doctor, preferably an endocrinologist. He or she usually does a complete blood count, sometimes a urinalysis is also needed.

Thyroid disorders usually respond well to medical treatment.

Will my hair grow back?

Hair usually grows back when thyroid disease cured and thyroid hormones return to normal .

However, it is important to understand that this may take some time. Hair grows at about 1 cm – 1.5 cm per month. Therefore, it will take some time before you can enjoy a full head of hair again.

What should I do if my hair stops growing back?

However, it also happens that the hair does not grow back or grows back very rarely. With Hair Transplant in Turkey , as is done at the Cosmedica Clinic, bald areas can be refilled – if necessary, also in the area of ​​the eyebrows and beard.

Dr. Levent Akar and his team will be happy to answer all your hair transplant questions. By the way, hair analysis in clinic Cosmedica is free of charge.

If you have any questions about hair transplant in Turkey , Dr. Levent Acar and his team will be happy to help you. Get a free, no-obligation hair consultation today.

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Endocrinologist Larisa Nifontova answers your questions

author: Nifontova Larisa Valentinovna

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Endocrinologist Larisa Nifontova answers questions from Doc.ua Facebook page subscribers. In order, everything you wanted to know but were embarrassed (or weren’t embarrassed) to ask a hormonal health expert.

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Nifontova Larisa Valentinovna

Doctor of the highest category

Honored Doctor of Ukraine, endocrinologist of the highest category, chief physician of the Modern Diabetes Center. He is engaged in the treatment of diabetes in adults and children, the installation and maintenance of insulin pumps, systems for continuous monitoring of blood glucose levels. The doctor also consults patients with any other hormonal disorders, diseases of the endocrine system, including thyroid gland, obesity, metabolic syndrome, adrenal dysfunction, impaired growth and sexual development in children, etc.

850 UAH

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At the moment, there is no appointment with a doctor through our service

Question 1: I have a question about taking hormonal oral contraceptives: how long can they be taken without a break? ?

Larisa Nifontova: It all depends on age. Second: did you give birth or not? What is the purpose of oral contraceptives? In principle, they can be used for a long time, especially for women who have given birth, often OK is prescribed for therapeutic purposes. There is no need to change them if the drug is suitable. All this must be coordinated with the attending physician, control of the general blood test, coagulogram, liver tests, well-being, do not abuse smoking. Cancel under medical supervision.

Question 2: My mother’s home blood sugar level is 7.8 on an empty stomach. There is excess weight. Please tell me, does this level of sugar indicate that this is already diabetes? And what additional examinations are needed to be sure?

Larisa Nifontova: Your mother is most likely to have type 2 diabetes. Needs to be investigated. You need to control the glucometer on an empty stomach, 2 hours after eating, and before going to bed, write down the indicators in a notebook. You should also control your blood pressure. Check the HOMA index (in what ratio does the patient have the hormone insulin and what is the blood glucose indicator), T4 St. blood, lipidogram, blood biochemistry. It is advisable to monitor glycated hemoglobin. With these analyzes come to the reception. It is also important to follow a diet and try to walk.

Question 3: I have a few questions. Two years ago I had my thyroid gland removed (diagnosis – papillary cancer). I take Euthyrox dosage 100. Now I am a nursing mother, my child is 10 months old. Tell me, please: how often do I need to take an analysis of TSH and what else, periodically, do I need to ask for tests? Should the child be seen by an endocrinologist? How often? And the last thing: I periodically take tests for sugar and all the time my indicators are high from 5 to 6 (venous blood). During pregnancy, I did a glucose test. The first indicator is 5.5 after 5.2. Whether it is connected with removal of a thyroid gland? Perhaps I need to start sounding the alarm about this? By the way, the local therapist and endocrinologist did not give me an answer to the last question.

Larisa Nifontova: Monitor TSH and T4F. blood once every 2-3 months, keep the state of compensation. Show the child to the endocrinologist when he is one year old. Your indicators: BG from 5.0 to 6.0 mm/l in venous blood and the level of GTT with glucose is normal. Do not worry, this is not related to the removal of the thyroid gland, because you are on suppressive therapy. Check your blood glucose once every 2-3 months.

Question 4: I am 45 years old and have a hemangioma in my lower spine. Is replacement therapy necessary at the onset of menopause (to maintain a normal level of bone tissue in the discs)? And when is it necessary to consult a doctor and take tests for hormones?

Larisa Nifontova: Every woman experiences menopause individually, at different ages, so if you have a menstrual cycle disorder or no menstruation, contact an endocrinologist right away. He will decide on substitution therapy only after the examination. Take vitamin D3 or fish oil 2 capsules daily and calcium supplements.

Question 5: I am 27 years old. About 7-8 years ago, I began to notice that I was dry at night. Didn’t attach much importance to it. Then I got pregnant, my husband and I got worried and donated blood for sugar with a load. The result is the upper limit of normal. Well, they seem to have calmed down. Last year, I took a test strip for glucose, also the upper limit of the norm (5.9tentatively). According to ultrasound, the thyroid gland is normal, TSH and T4 tests are normal, prolactin is normal. But it dries to this day at night, not always, but very often. Although I seem to drink enough, mostly tea with sugar. And now, recently, there were such sensations that I kind of drank, but again it dries and I feel that I can’t get drunk. What does this mean?

Larisa Nifontova: It would be good to pass glycated hemoglobin to finally exclude diabetes mellitus, specific gravity of urine (to exclude diabetes insipidus). It is necessary to control the amount of drunk and allocated liquid. Consultation of the neurologist is necessary. Sign up for an appointment with us.

4.9

Nifontova Larisa Valentinovna

Doctor of the highest category

Honored Doctor of Ukraine, endocrinologist of the highest category, chief physician of the Modern Diabetes Center. He is engaged in the treatment of diabetes in adults and children, the installation and maintenance of insulin pumps, systems for continuous monitoring of blood glucose levels. The doctor also consults patients with any other hormonal disorders, diseases of the endocrine system, including thyroid gland, obesity, metabolic syndrome, adrenal dysfunction, impaired growth and sexual development in children, etc.

850 UAH

House call

Excuse me 🙁

At the moment there is no appointment with a doctor through our service

and no changes Puncture was done once, everything is fine I do ultrasound once a year

Larisa Nifontova continue to do thyroid ultrasound once a year.0003

Question 7: I have autoimmune thyroiditis. I am a woman, the disease was discovered at the age of 15, now I am 32. Hypothyroidism from the age of 27, I started taking L-Thyroxine several times, the dose is from 50 to 100. As a result, my hair begins to fall out strongly. At the same time, when (for other reasons) stopped taking the medicine, hair loss stopped or stopped. Doctors unanimously say that this cannot be. It has been a year already on Thyroxine 75, TSH has fallen from 4.90 to 1, for several months it has been within 1-2 (normal 0.4-4.0), hair falls out very strongly, and diffusely, even bald patches have appeared. What should be done? Check female hormones? Testosterone? Hemoglobin is normal.

Larisa Nifontova: There are many reasons for hair loss and it is absolutely not related to hypothyroidism. Of course, you need to check Testosterone, estradiol and other indicators. It is better for you to first come for a consultation, decide on an additional examination, then proceed to treatment and draw conclusions.

Question 8: For two months, parts of the attack of drinking are spent in me at night. In 2012 suffered a heart attack, menopause came five years ago. There were no such attacks. I did an analysis for hormones of the thyroid gland. Tell me, be kind, how can these results be so unacceptable?

Larisa Nifontova: I need to see your thyroid, TSH and T4 results. blood.

Question 9: My daughter is 4 years and 10 months old. Height: 92 cm. They did an ultrasound of the thyroid gland and adrenal glands – a normal allergy to gluten. We were at the Institute of Endocrinology and Metabolism, prescribed hormonal tests in the hospital. Can you tell me what else can be done and checked? And what could be the reasons for such growth retardation?

Larisa Nifontova Your girl has a significant stunting. Thyroid hormones are normal, but I am not familiar with your family history, I do not see the results of hormonal examinations in the hospital, x-rays of the hands (bone age), your child’s growth dynamics and other concomitant diseases. Without these data, I cannot speak about the cause of the stunting.

Question 10: I have hair growing on one side of my chin. Can you help me figure out the reason? Ultrasound of the thyroid gland is normal, hormones too. I am a woman, 30 years old. Weight 68, height 176. The problem appeared at the age of 14.

Larisa Nifontova: You need to exclude all causes of hyperandrogenism: donate blood for adrenal hormones 17-OPG, DHEA-s, St. and do an ultrasound of the adrenal glands and an ultrasound of the pelvic organs.

Question 11: In January, my MRI showed a prolactinoma of about 5 mm. Prolactin at the level of 45. Until April, she was treated with Dostinex 1 tablet per week, but the last analysis showed prolactin higher than before – 55. The doctor increased the dose to 1.5 tablets per week and added Cyclodinone. I would like to know the opinion and comments about the treatment regimen from a good specialist.

Larisa Nifontova: I would recommend taking Dostinex one tablet twice a week and continue taking Cyclodinone (for three months). Everything is according to the scheme with the control of ultrasound of the pelvic organs and the control of PRL in a month.

Question 12: I am a girl, 26 years old, age 1.59, weight 43 kg, no bells and whistles, I lead a healthy way of life. Problem: tsukor falls quickly. After 3 years, after їzhi can be 1.5 and lower. This is accompanied by a second coordination of movement, impaired hearing and memory, nervousness. Even more sensitiveness rises to the point of pain; Ultrasound of the organs of the empty stomach does not show any problems, blood tests are also good. She was ill with hepatitis (they didn’t rejoice in any way and the fathers didn’t turn to doctors), in children there were few problems with the heart. A similar problem with tsukrom is in dida.

Larisa Nifontova: It is necessary to rule out insulinoma (formation of the pancreas). To do this, you need to check blood tests C-peptide, HOMA index, blood cortisol, TSH, T4 blood clotting and CT scan of the pancreas.

Question 13: What causes uncontrolled weight gain in hypothyroidism? And how to deal with it. I am taking L-Thyroxine 50 Berlin-Chemie: 75 mg. Does this mean that the dose is small (large)?

Larisa Nifontova: Weight gain in hypothyroidism occurs, as a rule, due to a decrease in metabolism in the body. Especially with decompensated hypothyroidism. It is necessary to control the process of compensation by the level of blood hormones TSH and T4f.

4.9

Nifontova Larisa Valentinovna

Doctor of the highest category

Honored Doctor of Ukraine, endocrinologist of the highest category, chief physician of the Modern Diabetes Center. He is engaged in the treatment of diabetes in adults and children, the installation and maintenance of insulin pumps, systems for continuous monitoring of blood glucose levels. The doctor also consults patients with any other hormonal disorders, diseases of the endocrine system, including thyroid gland, obesity, metabolic syndrome, adrenal dysfunction, impaired growth and sexual development in children, etc.

850 UAH

House call

Excuse me 🙁

At the moment there is no appointment with a doctor through our service. raised to 50 Is it necessary to reduce the dose after the birth of the baby and is it necessary to examine the daughter for a similar disease (we are 2 months old)? blood, especially when breastfeeding.After diagnosis, already decide on the dosage.I recommend that the child check TSH and T4 of blood in a planned manner.

Vitamin therapy according to the recommendations of endocrinologist Larisa Nifontova:

• vitamin D (fish oil) 1-2 drops a day for one month;
• B vitamins magnesium B6 two capsules daily for one month;
• vitamin E 200 mg/day for 1 month;
• Iodomarin 100 mcg per day for 2-3 months;
• food: greens, fruits, vegetables.

Question 15: How to support the immune system in the spring with type 2 diabetes?

Larisa Nifontova: Vitamin D (fish oil) 1-2 capsules per day, B vitamins, magnesium B6 two tablets per day and vitamin E 100-200 mg per day, iodomarin – 100 mcg per day. The course of vitamin therapy is one month. The main thing: food greens, fruits, vegetables.

Question 16: I am 45 years old and overweight. Height is 167 cm. I have been waking up for a week and a half and my head is spinning so much that I could easily fall.

Larisa Nifontova: It is necessary to check blood pressure, do an ultrasound of the vessels of the head and neck (check cervical osteochondrosis), check blood glucose, cholesterol and consult a neurologist.

Question 17: Thyroiditis was diagnosed. The doctor recommended thyroid hormone. Stop taking the medicine when the hormone is normal?

Larisa Nifontova: L-thyroxine (Eutyrox) intake is controlled by the level of TSH and T4 hormones. blood, the dose of the drug is agreed with the attending physician.

Question 18: I have an enlarged thyroid gland, now I have a rapid heartbeat. Where to go and what to do?

Larisa Nifontova: You need to contact an endocrinologist, you may need a cardiologist and an ECG. Check blood hormones TSH, T4 St. blood and ATPO. As well as ultrasonic shield glands.

Question 19: I am 54 years old, I have had a problem with my eyes for three years: my left is constantly wet and eye drops do not help. How to treat

Larisa Nifontova: You need to consult an ophthalmologist first of all.

Question 20: The son was told that the thyroid gland is enlarged on one side (the child is 11 years old). What tests should be done and what should be done? Who to contact?

Larisa Nifontova: You can come to our clinic to have an ultrasound of the thyroid gland, get a consultation from a pediatric endocrinologist. It may be necessary to check the thyroid hormones, but this will be decided by the doctor.

Question 21: I am 39 years old and overweight. According to medical indications, there were childbirth in the fall. During the winter I got sick 5-6 times. Help, please, restore the immune system.

Larisa Nifontova: Take a course of vitamin therapy: Vitamin D (fish oil) 1-2 capsules a day for one month, B vitamins, magnesium B6, two tablets. per day for one month and vitamin E 200 mg / day for 1 month, iodomarin 100 mcg per day for 2-3 months. Main food: greens, fruits, vegetables.

Question 22: My diagnosis is subclinical hypothyroidism. I take L-thyroxine: 37.5 mcg. For the summer period, it is necessary to reduce the dose, why not? Meni 47.

Larisa Nifontova: You need to donate blood hormones TSH and T4fr and, based on the results, consult with your doctor about the dose of L-Thyroxine.