Hypothyroidism means the thyroid gland makes too little thyroid hormone, which slows the body down and causes tiredness, weight gain, feeling cold, dry skin, hair fall and constipation. It is confirmed with a TSH blood test and treated with one levothyroxine tablet a day. Dr. Pranav Ghody, a thyroid specialist in Mumbai, finds the right dose and checks it until you feel well.
Medically reviewed by Dr. Pranav Ghody, MD, DM (USA), FACE
What causes hypothyroidism
In India the most common cause is Hashimoto's thyroiditis, where the immune system slowly damages the thyroid; it is far more common in women. Other causes are thyroid surgery or radioiodine treatment, some medicines such as lithium and amiodarone, and, less often, iodine deficiency or a pituitary problem.
Tests used to diagnose it
- TSH: high in an underactive thyroid
- Free T4: low in overt hypothyroidism, normal in mild (subclinical) cases
- Anti-TPO antibodies: show whether Hashimoto's is the cause
A mildly raised TSH with a normal T4 does not always need a tablet. Dr. Ghody decides based on the level, your symptoms, antibodies, and whether you are planning a pregnancy.
Treatment and follow-up
- Levothyroxine once a day on an empty stomach, 30 to 60 minutes before breakfast or tea.
- A TSH test 6 to 8 weeks after starting or changing the dose, then every 6 to 12 months once stable.
- A dose review in pregnancy, after big weight changes, and when starting medicines such as iron, calcium or some stomach tablets.
Treatment is available at both clinics: thyroid specialist in Vile Parle and thyroid specialist in Mumbai Central. For nodules and an overactive thyroid see thyroid disorders.
Hypothyroidism in Mumbai: getting the dose right
Hypothyroidism in Mumbai is one of the most common reasons people see an endocrinologist. Most people with hypothyroidism in Mumbai do well on one tablet a day once the dose is right, and Dr Ghody reviews it at both clinics.
Hypothyroidism in Mumbai's western suburbs
Patients with hypothyroidism in Mumbai's western suburbs see Dr Ghody at Vile Parle East for dose reviews and pregnancy planning.
Call Vile Parle East: +91 85913 58591Hypothyroidism in Mumbai Central and south Mumbai
At Wockhardt Hospitals, people with hypothyroidism in Mumbai Central and south Mumbai can do their TSH test in the hospital laboratory.
Call Mumbai Central: +91 98676 41854Questions patients ask
Short answers from Dr. Pranav Ghody. For advice about your own reports, book a consultation.
Is hypothyroidism lifelong?
When it is caused by Hashimoto's thyroiditis or surgery, it usually is, and the tablet is continued for life. Some types, such as thyroiditis after pregnancy, can recover, so Dr. Ghody may retest before deciding.
Can hypothyroidism cause weight gain?
It can add a few kilograms, mostly from fluid, and treatment usually removes that. If weight keeps rising when TSH is normal, other causes are looked for.
Should I take my thyroid tablet with food?
No. Take it with plain water on an empty stomach and wait 30 to 60 minutes before breakfast, tea or coffee. Keep calcium and iron tablets at least four hours away.
How common is hypothyroidism in Mumbai?
Hypothyroidism in Mumbai is common, especially in women over 30. A TSH test is cheap and confirms it.
Where can I get treated for hypothyroidism in Mumbai?
Dr Pranav Ghody treats hypothyroidism in Mumbai at Vile Parle East and at Wockhardt Hospitals, Mumbai Central.
Hypothyroidism treatment in Vile Parle and Mumbai Central
Leave your number and the clinic will call you back, or call the clinic you prefer directly.
- Vile Parle East+91 85913 58591
- Mumbai Central+91 98676 41854