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Hinduja Hospital Webinar Series
 A Health Awareness Initiative

           Know your Thyroid
                 Dr. Roshani Sanghani
       MBBS (Bom), Diplomate of American Board in
Internal Medicine, Endocrinoloogy, Diabetes and Metabolism
                 Consultant Endocrinology
Did you know?
Q: I am losing weight…is it my thyroid?

A: Only some people with weight loss have a
  thyroid problem
                    FACT!!
For thyroid problems to cause weight loss the
  TSH needs to be much lower than normal
Overactive=HYPER Thyroid




        TSH   MUCH
        LOWER THAN
          NORMAL=
         OVERACTIVE
          THYROID
Overactive=HYPER thyroid
• Weight loss         • Feel very hot
• Nervousness, poor   • Frequent stools
  sleep               • Light menstrual periods
• Hands shaking
• Heart pounding
Hyperthyroid: Testing
1.   TSH
2.   Free T4
3.   Nuclear uptake and scan Tc99
4.   TSH receptor antibody
Hyperthyroid: Treatment
      Hyperthyroid: Treatment
1. Block thyroid hormone
    • Carbimazole/steroids
2. Destroy thyroid gland
    • Radioactive Iodine
3. Surgical removal of gland
    • Total/Partial Thyroidectomy
Did you know?
Q: I am gaining weight…is it my thyroid?

A: Most people with weight gain do NOT have a
  thyroid problem

                    FACT!!!
 For thyroid problems to cause weight gain the
  TSH needs to be MUCH higher than normal
Underactive=HYPO Thyroid




            TSH
        MUCH HIGHER
           THAN
          NORMAL=
        UNDERACTIVE
          THYROID
Underactive=HYPO thyroid
•   Weight gain          • Dry skin
•   Fatigue/drowsiness   • Feeling very cold
•   Low energy           • Heavy menstrual
•   Constipation           periods
Hypothyroid: Testing
1. TSH
2. Free T4
3. TPO/Microsomal Antibody
Thyroid Nodules/Goiter: Testing
1. TSH
2. Thyroid/neck ultrasound
3. Fine needle aspiration biopsy (FNAC)
Thyroid nodules/Goiter: Treatment
Thyroid Nodules/Goiter: Treatment
1. Wait & Watch
  •   TSH
  •   Ultrasound
2. Surgical removal if cancer/suspicious
Thank You!
For further queries write to us at: info@hindujahospital.com
To view previous webinars – Register for our Webcasts
http://www.hindujahospital.com/communityportal/webinar/

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Know your Thyroid - by Hinduja Hospital

  • 1. Hinduja Hospital Webinar Series A Health Awareness Initiative Know your Thyroid Dr. Roshani Sanghani MBBS (Bom), Diplomate of American Board in Internal Medicine, Endocrinoloogy, Diabetes and Metabolism Consultant Endocrinology
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  • 6. Did you know? Q: I am losing weight…is it my thyroid? A: Only some people with weight loss have a thyroid problem FACT!! For thyroid problems to cause weight loss the TSH needs to be much lower than normal
  • 7. Overactive=HYPER Thyroid TSH MUCH LOWER THAN NORMAL= OVERACTIVE THYROID
  • 8. Overactive=HYPER thyroid • Weight loss • Feel very hot • Nervousness, poor • Frequent stools sleep • Light menstrual periods • Hands shaking • Heart pounding
  • 9. Hyperthyroid: Testing 1. TSH 2. Free T4 3. Nuclear uptake and scan Tc99 4. TSH receptor antibody
  • 10. Hyperthyroid: Treatment Hyperthyroid: Treatment 1. Block thyroid hormone • Carbimazole/steroids 2. Destroy thyroid gland • Radioactive Iodine 3. Surgical removal of gland • Total/Partial Thyroidectomy
  • 11. Did you know? Q: I am gaining weight…is it my thyroid? A: Most people with weight gain do NOT have a thyroid problem FACT!!! For thyroid problems to cause weight gain the TSH needs to be MUCH higher than normal
  • 12. Underactive=HYPO Thyroid TSH MUCH HIGHER THAN NORMAL= UNDERACTIVE THYROID
  • 13. Underactive=HYPO thyroid • Weight gain • Dry skin • Fatigue/drowsiness • Feeling very cold • Low energy • Heavy menstrual • Constipation periods
  • 14. Hypothyroid: Testing 1. TSH 2. Free T4 3. TPO/Microsomal Antibody
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  • 16. Thyroid Nodules/Goiter: Testing 1. TSH 2. Thyroid/neck ultrasound 3. Fine needle aspiration biopsy (FNAC)
  • 17. Thyroid nodules/Goiter: Treatment Thyroid Nodules/Goiter: Treatment 1. Wait & Watch • TSH • Ultrasound 2. Surgical removal if cancer/suspicious
  • 18. Thank You! For further queries write to us at: info@hindujahospital.com To view previous webinars – Register for our Webcasts http://www.hindujahospital.com/communityportal/webinar/ Follow us, Follow Health  Facebook: https://www.facebook.com/HindujaHospital Twitter: https://twitter.com/WellnessMumbai YouTube: http://www.youtube.com/user/HindujaHospitalMRC Linkedin: http://www.linkedin.com/company/hinduja-hospital