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Hypothyroidism with hyperthyroidism?


Question

Patient with hypothyroidism on Synthroid came into ER with tingling sensation. Physician diagnosed patient with anxiety and hyperthyroidism. The TSH level was 0.04. The physician only mentions that patient should call when arriving home with dosage of synthroid so that the physician could call in a lower dose of thyroid medication. Is it possible to have hypothyroidism and hyperthyroidism? Should I query the physician? 

Answer

I would query the physician.  If the physician is planning to reduce the dosage of synthroid it sound like an overmedication issue which I would not consider hyperthyroidism.


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