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My son age 15 began losing weight. Follow up with doctor - LOW thyroid was determined. It took about 6 months to stablize thyroid. Other symptoms were 30 pounds of weight loss, began to eat then felt full and stopped, some diarrea, stomache pain. Ct scans - normal, radiology scans of intestines - normal, endo oscopy/colon oscopy - normal, various blood test - normal. He has seen pediatric endocrine specialist and gastro specialist. Mom's gut says - he still looks bad and something is still not right - eyes are drawn, he gained about 10 pounds back but is still very thin 5'9" 130 pds. Could something have been missed? Do I do anything else?

Response

Posted by dr at June 27, 2008 11:13 AM
Significant weight loss does not usually accompany hypothyroidism. He should have had thyroid antibodies done to confirm that he has an autoimmune thyroid disease. Assuming so, then he ought to be screened for celiac disease (transglutaminase antibodies), Addison's disease (21-hydroxylase antibodies) atrophc gastritis (parietal cell antibodies, IgA deficiency and diabetes (GAD and IA-2 antibodies) since he would have some increased risk of these additional problems. Should he have such done if not already done and a positive be found, then please send back the abnormal result and I will explain what needs to be done further. I suppose that he is not taking pills for attention deficit disorder as these can induce weight loss.
Kind regards,
Noel Maclaren MD

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