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How To Normalize TSH Levels?

Posted on Sat, 27 Dec 2014

Question: Hi doctor,

Recently i did my thyroid check up.. My TSH level is 6.56 with normal T3 and T4.
Please suggest suitable medicine to get my TSH level normalised.

Regards,
XXXX

Answered by Dr. Ajish TP (20 minutes later)

Brief Answer:
Please provide additional information

Detailed Answer:
Hi XXXXXXX

I've gone through your thyroid function reports. Your TSH is slightly high and T3, T4 is normal. You are suffering from sub clinical hypothyroidism - a mild decrease in thyroid function. The indications for treating this condition are

1. Presence of swelling in thyroid (goiter)
2. Pregnancy or planning to get pregnant
3. High blood cholesterol
4. Presence of anti thyroid antibodies in blood.

Please let us know if you have any of these. The treatment for hypothyroidism is thyroxine hormone replacement. Consult a physician to start you on medications if needed. The starting dose depends on your weight and other features (above mentioned 1-4)

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Ajish TP (23 hours later)

Thank you for the reply doctor. I am overwieght 90Kg. Trying to concieve.
My Cholestrol levels are normal.
Please suggest appropriate dosage of medicine.

Answered by Dr. Ajish TP (44 minutes later)

Brief Answer:
The usual dose we start with is 25 mcg

Detailed Answer:
Hi XXXXXXX

Thanks for the follow up question.

Since you are planning for pregnancy you should be immediately started on thyroid hormone replacement.

We have limitations in prescribing medication on line. But the usual dose to start is thyroxine 25 mcg in the morning empty stomach. Please consult a doctor before starting medication.

Regards
Dr Ajish TP
Consultant 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. Ashwin Bhandari