### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am having a host of issues I think are all pointing back to my thyroid.  I am having trouble getting into my GP and I really want some answers.  I had a thyroidectomy in 2000 removing the left lobe and center of my thyroid.  My most recent test was 4/2/13.  My levels are TSH-0.11, T3-30, T4-7.3, Free T4-2.2.  I am not sure why the TSH is so low and the others are within the normal ranges.  I am 30 pounds overweight and I can not seem to lose it with diet and exercise.  Secondly, Im apparently going through perimenapause because I have been having raging hot flashes and I have not had a regular cycle since January.  Lastly, I had several kidney stones (all small except one) and had lithotripsy two weeks ago.  Needless to say... I feel like poop and Im not really sure where to start and where to go from here.

### output:

Helloas you have said you are a patient of thyroidectomy, and your fresh thyroid status shows subclinical hyperthyroidism with low TSH and normal t3, t4, in premenopausal status, with kidney stone sin premenopausal period women have increased calcium absorption from bones and hence more stone shot flushes are common in premenopausal period and best treatment is vitamin E with venlafaxine subclinical hyperthyroidism again causing more calcium absorption and hence more stones your residual thyroid has become over active or about to become overactive .....treatment is complete thyroidectomy or neomercazoleyou need to go to endocrinologist for thyroid problemsgynaecologist for hot flushes nothing to worry about, follow my advice and your problems will be solved in a week take care