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How Can Low TSH Levels With Hypothyroid Symptoms Be Treated?

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Posted on Wed, 15 Nov 2023
Question: Hi I am 68 years old. Had my thyroid completely removed 40 years ago due to nodules caused by radiation. I am experiencing most of the hypothyroid symptoms. My physician did blood work. Just the TSH levels. TSH level was .09 I am on 1.75MG per day of synthroid. What should I do. My physician doesn't want to do anything. Said it is working.
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Answered by Dr. Mirjeta Guni (23 minutes later)
Brief Answer:

Decrease the dose as below;

Detailed Answer:

Hello,

The TSH level your reported is too low, suggesting for a high dose of levothyroxine.

I would recommend decreasing the dose (you may take one day 175mcg and the next day 150mcg) and check the TSH after 6 weeks, if normal, continue with this dose for the other 6 months.

Hope I have answered your query.

Take care

Regards,
Dr Mirjeta Guni, Endocrinologist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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How Can Low TSH Levels With Hypothyroid Symptoms Be Treated?

Brief Answer: Decrease the dose as below; Detailed Answer: Hello, The TSH level your reported is too low, suggesting for a high dose of levothyroxine. I would recommend decreasing the dose (you may take one day 175mcg and the next day 150mcg) and check the TSH after 6 weeks, if normal, continue with this dose for the other 6 months. Hope I have answered your query. Take care Regards, Dr Mirjeta Guni, Endocrinologist