Patient: My daughter was diagnosed with hypothyroidism at 13 days old, TSH>100, and has been taking Raltez. Whenever there is any problem, including sleep, weight, stool, etc., it is easy to associate with the side effects of hypothyroidism, and I always worry whether she will be retarded. From birth to now, we have been taking blood tests for TSH/T3/T4 almost every month, and often the T3 and T4 are high, but the TSH is normal. The dosage was 1/2 at the beginning, but was adjusted to 3/4 when she was one year old, and then to 1 tablet for the last 2 months. The baby has always been more “introverted” and does not like to play with other children. I went to Xiamen City Women’s Hospital to check the development quotient, only 85, low, recommended to go to early education! I take her to class twice a week, but I don’t think it’s very effective. She started crawling on her hands and knees at 10 months, walked on her hands and knees at 11 months, and walked completely alone on Tuesday, but never jumped and never walked backwards. She can only call her mommy (at about 11 months, she can only call her mommy now), but she understands words (for example, she can take her cell phone to her mommy or an apple to her grandma), she can identify people, her five senses, and the furnishings of her house, and she can remember the grandma she saw a month ago. She can pick her own shoes to wear (not by herself), she likes to read books, and when she wakes up, she has to show them to her, pointing her finger and asking people to tell her what they are, and if they don’t tell her, they keep on telling her, turning the page and continuing. But the ability to recognize things is not very good, can not identify exactly what she wants to recognize She just came to not wiggle her butt to music and so on, can not walk backwards, can not talk, can not … She will only ever say one finger, but no matter how much she is taught, she will never say two fingers, and she can say two, but not very accurately. The actual fact is that you can find out if your IQ is OK, but I thought IQ was natural. The other thing is, is the effect of Raltez the same as that of Eugenol? What are the side effects of this drug? Every physical examination weight is on the top, height is in the upper, body type is considered proportional type of trace elements check zinc deficiency, other values are normal, but closer to the reference value of low value, hemoglobin 106, one week three fontanel is still 1.2 * 1.2 a day diet arrangements are as follows, breakfast 08:30 eggs + shrimp + nori / black fungus + tomatoes + a small amount of walnut powder / sesame powder + porridge oil together with steam breakfast 10:30 milk powder 200ml, finished within 3 minutes Lunch 12:30 Lean meat/foot tendons/bones + dried sea tones + carrots + rice (rice / millet / red rice / brown rice / oats / corn each a small amount) + Huai Shan + mushrooms stewed together, then add broccoli, leafy greens, sometimes any one of several lunch 15:30 200ml of milk powder, finished within 3 minutes Dinner 18:30 General fish noodles (put tofu, carrots The first time in a week, I ate pork liver / pork liver and vegetables noodles twice a week, and only on Tuesday I weaned three meals are a baby bowl (filled with water is about 210ML), eating time within 15 minutes. A: As long as the diagnosis of hypothyroidism should adhere to treatment, do not check once a month, the amount of medication to regulate can be checked once every 2-3 months, the development of treatment and thyroxine has a great relationship, but with the acquired education also has a great relationship, go to kindergarten as early as possible, every day and the best older children of the same age to play, do treatment to develop back to help children’s intellectual development. Retis and Euthyrox are the same two drugs, both are thyroxine, both can be used. The last time I was within the reference value for several months, so I went 3 months apart, the result was TSH: 18, so I had to go once a month again Now the nanny takes her to the park every morning, and takes her downstairs to play with children in the afternoon, but she does not like to play with others I also bought some Montessori teaching aids, she has no interest at all. I love to flip through books, or play with the family pot / rice bucket or something, completely uninterested in toys she is too well behaved, do not love to make a fuss, well behaved to my fear I tried very hard to teach her, but sometimes really discouraged A: patience, there is no good way, only to strengthen training. The TSH in the A gong, even if 18, will not affect the child, so you can also check once every 3 months, appropriate to use some brain-awakening Chinese medicine to try. Patient: Well, I’m relieved that you said that, I’m so worried that she will not become stupid again if she has 18 for 3 months. Sometimes TSH is within the range of 0-5.5, but T3 and T4 are high. What is the herbal medicine to wake up the brain? The doctors here haven’t prescribed any, but I often switch between the Women’s Hospital and the First Hospital, and they just look at the data and adjust the dosage. I read that the most important time for a baby’s brain development is in the first trimester, so if she doesn’t have thyroid hormones by then, won’t that affect her more? Is there any way to check the IQ (not the developmental quotient, which I understand is natural, but the developmental quotient is how far she has developed, kind of like potential, right?) My baby does not look like retarded, but she is really worse than others, I am so afraid that the gap is very large, sometimes I really want to take her out of this world and forget about it, I am very worried about her in case she is really retarded do not know how to do, so her life is too miserable, but this side of the women and children said the baby to 3 years old to fully determine, so I will try very hard very hard until then Thank you doctor, this year and then try, if possible, I want to go to A: If you insist on taking the medication, check on time, generally will not fall sequelae, the brain can be developed early, environmental factors are still very important, you can contact after each check-up, just adjust the amount of medication. However, these children do not have any problems in the language in the future, math class may eat some strength, especially to junior high school after the obvious. Repeated education and intensive education is always still possible. Don’t be in a hurry, take your time! Patient: I understand, thank you doctor Patient: The results of the test 2 days ago are as follows, T3 2.57nmol/L The reference value is 0.92-2.37 high T4 148.4nmol/L The reference value is 58.1-140 high TSH 0.48uIU/ml The reference value is 0.35-5.5 within the range Does this medication need to be adjusted? What is the herbal medicine to wake up the brain? I want to buy some to give her to eat Now one and a half years and 10 days, height 85cm, weight 13.65kgs, a little fat, fleshy but very strong, physical examination said is proportional, very good health, rarely catch a cold Now can say single words, father, mother, aunt, grandmother, aunt, mother-in-law, car, tree, rabbit, horse, chicken, duck, cow, sheep and so on, the other does not yet, colors and so on all know. I can almost identify the things I have taught her, I can associate them, pretend to take medicine to adults, give injections and so on, the developmental test a few weeks ago was 110, but she still looks stupid and her eyes don’t work. I’m already trying very hard to teach her.