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Should I Trust My Pan-India Lab's High TSH Result for My Wife?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Jun 12, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Dec 30, 2023Hindi
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The routine blood-test report of my wife done from a pan-India reputed lab on 13/12/23 under a test package showed a TSH value of 10.6 μIU/ml, which her Doctors thought as pretty high and was about to prescribe some medicine for that when based on my previous experience I decided to carry out a confirmatory test. A few years back my report from the same lab showed a low level of Hemoglobin which when tested in another reputed lab in my city was found to be quite normal. So based on that experience she got her blood tested once again for TSH with one of the most reputed lab in our city on 16/12/23 which came as 4.33 μIU/ml. We are now totally at a loss as to which part of the reports from that lab can be relied upon and took up our grievance with the first mentioned lab and demanded complete refund of fees as we need to do all the tests once again with a different lab to check the veracity of the report. But the said lab states that the tests were done correctly following correct protocols and refuses to refund and states further that, at best, they can do the test once again. That, we find rather ridiculous. So our question is how can we resolve and recover our money.

Ans: NABL certified lab should be able to explain why is there a difference. If there is a wide difference, then we, need to check about their daily calibration run through. In any case it is always better to doubly sure about the readings, if they are high
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.
Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

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Dr Nandita

Dr Nandita Palshetkar  |71 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Apr 26, 2025

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Hello Dr., My wife aged 40 years have anemic problem continuously from past 2 years during this period she diagnosed with 2 times blood transfusion about 2 units 1st time and 3 units 2nd time and three times with iron drips. I have done all the tests but nothing comes out. about 5 doctors changes but nobody finds the reason of down Hb. Please suggest I am worried about her, her weight also loss now she is very week.
Ans: 40-year-old woman with anemia who has had multiple blood transfusions, is taking iron supplements, and has undergone tests with normal results, may have an underlying medical condition causing her anemia. The weight loss observed could be related to the anemia itself, or it could be a separate issue unrelated to the anemia. Further investigation to identify the cause of the persistent anemia and the weight loss is needed.
Possible reasons for persistent anemia:
Iron Absorption Issues:
Despite taking iron supplements, the woman may not be able to absorb iron properly due to conditions like celiac disease, inflammatory bowel disease, or prior surgery.
Bleeding Source:
A hidden source of bleeding, such as a polyp, ulcer, or other gastrointestinal issue, could be causing the blood loss that needs to be addressed.
Chronic Disease:
Anemia of chronic disease can occur due to conditions like kidney disease, heart failure, or inflammatory conditions, and the treatment focuses on managing the underlying disease.
Other Types of Anemia:
Conditions like aplastic anemia (where the bone marrow doesn't produce enough red blood cells) or hemolytic anemia (where red blood cells are destroyed prematurely) may also need different approaches.
Incorrect Iron Supplement:
The iron supplement being taken may not be the most effective type, or the dosage may be too low, preventing the anemia from being fully resolved.
Reasons for weight loss:
Anemia's Effects:
Underlying Medical Condition:
The woman's weight loss may be related to an underlying medical condition not related to the anemia, such as hyperthyroidism, cancer, or an eating disorder.
Iron Supplement Side Effects:
Some iron supplements can cause digestive issues like constipation or stomach cramps, potentially leading to changes in appetite and weight.

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