Dr Remya Dhanapal

Dr Remya Dhanapal Chief Homoeopathic consultant at
Dr. Remya's Ayush Homoeo Care �
�18+yrs of clinical practice �
(1)

28/07/2026

Thyroid ചികിത്സ ചെയ്യുന്നുണ്ടോ? TSH കുറയാത്തതിന് പിന്നിലെ 5 പ്രധാന കാരണങ്ങൾ | Taking Thyroid Treatment But TSH Is Still High? 5 Common Reasons

Have you been taking thyroid medicine regularly but your TSH is still high?

Are you wondering why your thyroid levels are not improving despite treatment?

Many people think increasing the medicine dose is the only solution.

However, there are several common reasons why TSH may remain elevated, and identifying the cause is important before changing treatment.

In this video, I explain:

• Why TSH may remain high despite treatment
• 5 common reasons behind poor TSH control
• How to take thyroid medicine correctly
• Which medicines and supplements can interfere with absorption?
• When should your thyroid treatment be reviewed?

Important to know:

• Not taking thyroid medicine regularly, missing doses, or taking it at different times each day may affect TSH control. Levothyroxine is usually best taken on an empty stomach as advised by your doctor
• Taking calcium supplements, iron tablets, antacids, or certain other medicines too close to your thyroid tablet may reduce its absorption. Follow the timing recommended by your doctor or pharmacist
• The dose may need adjustment because of factors such as body weight changes, pregnancy, certain medical conditions, or medicines that affect thyroid hormone levels. Regular TSH monitoring helps guide treatment
• If your TSH remains abnormal despite taking your medicine correctly, or if you develop worsening symptoms such as severe tiredness, swelling, persistent weight changes, or palpitations, seek medical evaluation rather than changing the dose on your own

Many people assume their thyroid medicine has stopped working.

But unless the underlying reason for the abnormal TSH is identified and corrected, simply increasing or changing the medication may not solve the problem.

Thyroid, hypothyroidism, TSH, levothyroxine, thyroid medicine, thyroid treatment, high TSH, thyroid hormone, Hashimoto thyroiditis, thyroid tablet, thyroid health, thyroid tests

27/07/2026

Thyroid മരുന്ന് പെട്ടെന്ന് നിർത്തിയാൽ എന്ത് സംഭവിക്കും? | What Happens If You Suddenly Stop Your Thyroid Medicine?

Are you planning to stop your thyroid medicine because you feel better?

Have you missed your thyroid tablets for several days and wondered if it really matters?

Many people think they can stop thyroid medicine once their symptoms improve.

However, stopping thyroid medication suddenly without medical advice can cause thyroid hormone levels to become abnormal again and symptoms may return.

In this video, I explain:

• What happens if you stop thyroid medicine suddenly?
• Which symptoms may return?
• Can everyone stop thyroid medication?
• What should you do if you miss a dose?
• When should your treatment be reviewed?

Important to know:

• If you have hypothyroidism, stopping your thyroid medicine without medical advice may cause symptoms such as tiredness, weight gain, constipation, dry skin, feeling cold, and poor concentration to gradually return over days to weeks, depending on the individual
• Not everyone needs lifelong thyroid treatment. Whether medication can be reduced or stopped depends on the underlying thyroid condition and should be decided by your doctor based on follow-up assessment and thyroid function tests
• Do not stop, restart, or change the dose of your thyroid medicine on your own. Regular TSH (and, when appropriate, T4) testing helps determine whether your treatment needs adjustment
• If you have missed a dose, follow the advice given by your doctor or pharmacist. If you are unsure what to do, seek medical guidance rather than making changes yourself

Many people stop their thyroid medicine because they feel normal.

But unless your doctor confirms that your thyroid condition no longer requires treatment, stopping the medicine on your own may allow your symptoms to return.

Thyroid medicine, levothyroxine, hypothyroidism, thyroid treatment, stop thyroid medicine, TSH, thyroid hormone, thyroid tablet, thyroid health, thyroid medication, thyroid care, hypothyroidism treatment

25/07/2026

Thyroid ചികിത്സ എടുക്കുന്നുണ്ടെങ്കിൽ നിർബന്ധമായും ശ്രദ്ധിക്കേണ്ട 3 കാര്യങ്ങൾ | 3 Important Things To Remember If You're Taking Treatment For Thyroid Disease

Are you taking treatment for a thyroid problem?

Do you wonder whether you're doing everything correctly to keep your thyroid under control?

Many people think taking a thyroid tablet alone is enough.

However, successful thyroid treatment depends not only on the medicine but also on taking it correctly and following up regularly.

In this video, I explain:

• How to take your thyroid medicine correctly
• Why regular thyroid blood tests are important
• Common mistakes that can affect your treatment

Important to know:

• Take your thyroid medication exactly as prescribed, preferably on an empty stomach, and avoid taking it together with calcium, iron supplements, or antacids, unless advised otherwise by your doctor, as these may reduce absorption
• Do not stop, restart, or change the dose of your thyroid medicine on your own, even if you start feeling better. Dose adjustments should be based on your symptoms and thyroid function test results
• Attend regular follow-up visits and repeat thyroid function tests (such as TSH, with or without T4 depending on your condition) as advised, so your treatment can be adjusted if necessary

Many people continue taking thyroid medicine for years without reviewing whether the treatment is still appropriate.

But unless your medication is taken correctly and monitored regularly, achieving good thyroid control can become difficult.

Thyroid treatment, thyroid medicine, levothyroxine, hypothyroidism, hyperthyroidism, thyroid tablet, TSH test, thyroid follow up, thyroid health, thyroid medication, thyroid care, thyroid function test

24/07/2026

Thyroid ഉണ്ടോ? Thyroid Tablet കഴിക്കുമ്പോൾ ഈ 5 കാര്യങ്ങൾ നിർബന്ധമായും ശ്രദ്ധിക്കണം | 5 Important Things To Remember While Taking Thyroid Tablets

Do you take a thyroid tablet every day?

Are you wondering whether you're taking it the right way?

Many people think simply taking a thyroid tablet is enough for good thyroid control.

However, how and when you take your thyroid medication can affect how well it is absorbed and how effectively it works.

In this video, I explain:

• The correct way to take a thyroid tablet
• When should you take it in relation to food?
• Which medicines and supplements should be taken separately?
• What should you do if you miss a dose?
• Common mistakes to avoid while taking thyroid medication

Important to know:

• Levothyroxine is usually best taken on an empty stomach, ideally 30–60 minutes before breakfast, or as advised by your doctor, to help ensure consistent absorption
• Calcium supplements, iron supplements, antacids, and some other medicines can reduce the absorption of thyroid medication and are usually taken several hours apart, unless your doctor advises otherwise
• Try to take your thyroid tablet at the same time every day and avoid stopping, changing the dose, or switching brands without medical advice
• Regular follow-up and thyroid function tests (such as TSH, with or without T4 depending on your condition) help determine whether your dose needs adjustment

Many people continue taking thyroid tablets for years without reviewing how they take them.

But unless your medication is taken correctly and monitored regularly, achieving good thyroid control can become more difficult.

Thyroid tablet, levothyroxine, thyroid medicine, hypothyroidism, thyroid medication, TSH test, thyroid treatment, thyroid tablet before breakfast, thyroid care, thyroid health, thyroid hormone, thyroid management

23/07/2026

Thyroid Test ചെയ്യാൻ ഏറ്റവും നല്ല സമയം ഏതാണ്? രാവിലെ ചെയ്യണോ? വൈകുന്നേരം ചെയ്യാമോ? | What Is The Best Time To Do A Thyroid Test? Morning Or Evening?

Has your doctor advised you to get a thyroid test?

Are you wondering whether you should do it in the morning or later in the day?

Many people think the timing of a thyroid test does not matter.

However, the timing of the test, your medication schedule, and consistency can influence the interpretation of certain thyroid test results.

In this video, I explain:

• What is the best time to do a thyroid test?
• Should you take your thyroid tablet before or after the test?
• Do you need to be fasting?
• Why should follow-up tests be done under similar conditions?
• Common mistakes that may affect thyroid test interpretation

Important to know:

• TSH levels naturally vary throughout the day, so for follow-up testing it is generally best to have your blood sample collected at approximately the same time of day each time for better comparison
• If you are taking Levothyroxine, many doctors advise having your blood sample collected before taking your morning dose, unless you have been given different instructions by your treating doctor
• Fasting is usually not required for routine thyroid function tests unless other blood tests ordered at the same time require fasting
• Thyroid test results should always be interpreted together with your symptoms, medical history, medications, and other thyroid hormone levels rather than relying on a single value alone

Many people repeat thyroid tests without paying attention to timing.

But unless the tests are performed consistently and interpreted correctly, it may be difficult to accurately assess your thyroid function and treatment response.

Thyroid test, TSH test, thyroid blood test, thyroid test timing, levothyroxine, hypothyroidism, hyperthyroidism, thyroid function test, T3, T4, thyroid medication, thyroid monitoring

22/07/2026

30 വയസ്സിന് മുമ്പ് Thyroid വന്നോ? എങ്കിൽ ഈ 5 കാര്യങ്ങൾ നിർബന്ധമായും ശ്രദ്ധിക്കണം! | Diagnosed With Thyroid Before 30? Here Are 5 Important Things You Should Know!

Were you diagnosed with a thyroid disorder before the age of 30?

Are you wondering what you should do to stay healthy and prevent future complications?

Many people think taking a thyroid tablet alone is enough.

However, regular follow-up and a few healthy habits are equally important for long-term thyroid health.

In this video, I explain:

• 5 important things to do if you develop thyroid disease before 30
• Why regular thyroid monitoring matters
• Lifestyle habits that support thyroid health
• Common mistakes to avoid
• When you should seek medical review

Important to know:

• Take your thyroid medicine exactly as prescribed, preferably on an empty stomach, and avoid taking calcium or iron supplements at the same time unless advised otherwise
• Have your TSH (and when appropriate, Free T4) checked at intervals recommended by your doctor to ensure the correct dose
• Eat a balanced diet, stay physically active, get adequate sleep, and avoid stopping or changing your medication without medical advice
• If you develop symptoms such as persistent palpitations, significant weight changes, severe fatigue, neck swelling, or are planning pregnancy, consult your doctor for reassessment

Many people feel better after starting treatment and stop paying attention to their thyroid health.

But unless you continue regular follow-up and take your medication correctly, thyroid hormone levels may become abnormal again over time.

Thyroid before 30, hypothyroidism, hyperthyroidism, Hashimoto thyroiditis, thyroid treatment, TSH test, Free T4, thyroid medicine, thyroid health, young adults thyroid, thyroid follow up, thyroid care

21/07/2026

കുട്ടികളിൽ Thyroid എന്തുകൊണ്ടാണ് വരുന്നത്? എത്ര കാലം മരുന്ന് കഴിക്കണം? എപ്പോൾ മരുന്ന് നിർത്താം? | Why Do Children Develop Thyroid Disorders? How Long Is Treatment Needed & When Can The Medicine Be Stopped?

Has your child been diagnosed with a thyroid disorder?

Are you worried that your child will have to take thyroid medicine for life?

Many parents think every child with a thyroid problem needs lifelong medication.

However, the duration of treatment depends on the type and cause of the thyroid disorder.

In this video, I explain:

• Why thyroid disorders occur in children
• The common types of childhood thyroid disorders
• How long thyroid medicine is usually needed
• When can thyroid medicine be reduced or stopped?
• Why regular follow-up is important

Important to know:

• Children may develop thyroid disorders due to congenital hypothyroidism, autoimmune thyroid disease (Hashimoto's Thyroiditis), iodine deficiency (in some regions), thyroid inflammation, or certain genetic and medical conditions
• Not every child requires lifelong treatment—some conditions need lifelong thyroid hormone replacement, while others may require treatment only for a limited period, depending on the underlying cause and thyroid function
• Thyroid medicine should never be stopped or reduced without medical advice, even if the child appears completely well
• Regular monitoring with TSH and, when appropriate, Free T4, helps determine whether treatment should be continued, adjusted, or, in selected cases, safely discontinued

Many parents stop the medicine as soon as their child starts feeling better.

But unless the child's thyroid function is reassessed properly, stopping treatment on your own may affect growth, brain development, and overall health.

Childhood thyroid, thyroid in children, congenital hypothyroidism, Hashimoto thyroiditis in children, pediatric hypothyroidism, TSH test, Free T4, thyroid medicine for children, thyroid treatment, childhood thyroid symptoms, pediatric endocrinology, thyroid health

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20/07/2026

Hashimoto's Thyroiditis ഉണ്ടെങ്കിൽ ജീവിതകാലം മുഴുവൻ മരുന്ന് വേണമോ? ആദ്യം ചെയ്യേണ്ട 3 കാര്യങ്ങൾ! | If You Have Hashimoto's Thyroiditis, Will You Need Lifelong Medication? 3 Things You Should Do First

Have you been diagnosed with Hashimoto's Thyroiditis?

Are you worried that you'll have to take thyroid medicine for the rest of your life?

Many people think everyone with Hashimoto's needs lifelong medication immediately.

However, treatment depends on how well your thyroid is functioning, not just on the diagnosis itself.

In this video, I explain:

• Does everyone with Hashimoto's need lifelong thyroid medicine?
• When is treatment recommended?
• The first 3 important things you should do after diagnosis
• Which blood tests are needed for follow-up
• Why regular monitoring is important

Important to know:

• Hashimoto's Thyroiditis is an autoimmune disease that gradually damages the thyroid gland, but not everyone requires medication at the time of diagnosis
• Treatment depends on TSH, Free T4, your symptoms, and your doctor's assessment, not thyroid antibody levels alone
• The first important steps are understanding your diagnosis, attending regular thyroid function monitoring, and taking medication exactly as prescribed if treatment is indicated
• Some people may eventually need lifelong thyroid hormone replacement, while others may remain euthyroid (normal thyroid function) for years and require only regular follow-up

Many people panic as soon as they hear the word "Hashimoto's"

But unless your thyroid function is properly monitored over time, it's impossible to know whether medication is needed now or in the future.

Hashimoto thyroiditis, Hashimoto disease, autoimmune thyroid disease, hypothyroidism, Hashimoto treatment, Hashimoto symptoms, TSH test, Free T4, thyroid antibodies, thyroid medication, thyroid health, autoimmune thyroiditis

19/07/2026

ശരീരഭാരം കുറയുന്നുണ്ടോ? കൈ വിറയ്ക്കലും ചൂട് സഹിക്കാൻ ബുദ്ധിമുട്ടുമുണ്ടോ? Graves' Disease ആകാം! ഈ ലക്ഷണങ്ങൾ ശ്രദ്ധിക്കൂ! | Are You Losing Weight, Experiencing Hand Tremors & Heat Intolerance? It Could Be Graves' Disease!

Have you been losing weight without trying?

Do your hands shake, your heart race, or do you find it difficult to tolerate heat?

Many people think these symptoms are caused only by stress or anxiety.

However, they could be signs of Graves' Disease, the most common cause of hyperthyroidism, where the immune system overstimulates the thyroid gland.

In this video, I explain:

• What is Graves' Disease?
• Why it develops
• Common symptoms to watch for
• Which thyroid blood tests may be needed
• Why early diagnosis and treatment are important

Important to know:

• Common symptoms include unexplained weight loss, hand tremors, heat intolerance, excessive sweating, rapid heartbeat, anxiety, irritability, frequent bowel movements, muscle weakness, and difficulty sleeping
• Some people may also develop bulging eyes (thyroid eye disease) or swelling in the neck due to an enlarged thyroid gland
• Blood tests such as TSH, Free T4, Free T3, and in selected cases thyroid antibody tests help diagnose Graves' Disease
• Early diagnosis and appropriate treatment can help prevent complications affecting the heart, bones, and eyes

Many people think they're just stressed.

But unless the underlying thyroid problem is identified and treated, the symptoms may continue to worsen and affect your overall health.

Graves disease, hyperthyroidism, Graves disease symptoms, overactive thyroid, weight loss, hand tremors, heat intolerance, thyroid eye disease, TSH test, Free T3, Free T4, thyroid treatment

18/07/2026

ആണുങ്ങൾക്കും Thyroid വരുമോ? എന്തുകൊണ്ടാണ് വരുന്നത്? പ്രധാന ലക്ഷണങ്ങൾ എന്തൊക്കെയാണ്? | Can Men Get Thyroid Disorders? What Causes Them & What Are The Common Symptoms?

Do you think thyroid disorders affect only women?

Have you been experiencing unexplained fatigue, weight changes, hair loss, or low energy?

Many people believe thyroid disease is a problem seen only in women.

However, men can also develop thyroid disorders, although they are less common than in women.

In this video, I explain:

• Can men develop thyroid disorders?
• What causes thyroid problems in men?
• Common symptoms to watch for
• Which thyroid blood tests may be needed
• Why early diagnosis is important

Important to know:

• Common causes include autoimmune thyroid disease (such as Hashimoto's Thyroiditis or Graves' disease), thyroid inflammation, iodine imbalance, certain medications, and thyroid nodules
• Symptoms may include fatigue, unexplained weight gain or weight loss, hair thinning, constipation or frequent bowel movements, sensitivity to cold or heat, dry skin, mood changes, reduced concentration, and reduced libido in some men
• These symptoms do not always mean you have a thyroid disorder, as vitamin deficiencies, stress, diabetes, sleep disorders, and other medical conditions can cause similar complaints
• Blood tests such as TSH, and when necessary Free T4 and Free T3, help evaluate thyroid function and guide treatment

Many men ignore these symptoms because they think thyroid problems affect only women.

But unless the underlying thyroid disorder is identified and treated early, the symptoms may gradually worsen and affect your overall health.

thyroid in men, thyroid symptoms in men, hypothyroidism in men, hyperthyroidism in men, thyroid disease, Hashimoto thyroiditis, Graves disease, TSH test, thyroid blood test, male thyroid symptoms, thyroid diagnosis, thyroid treatment

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