Suggest Treatment To Normalized The Fluctuating TSH, T3, And T4 Levels While On Medication For Hypothyroidism

Posted on Fri, 7 Sep 2018

Question: My age is 27 and I am having hypothyroidism. I am under medication. I took thyroid for two months, then my tsh went too down and t3 & t4 went too up (hypertension). then I took anti thyroid then again t3 & t4 went too low and tsh went high. currently my reports : TSH : 8.74 uIU/ml T3 : 8.9 ug/dl T4 : 1.17 ng/ml I am having symptoms like hair fall and weight gain from last one year. I Am stuck between this cycle. please advise what needs to be done.
I had done Anti TPO test and had value of 0.8 IU/mL.

Answered by Dr. Mirjeta Guni (26 minutes later)

Brief Answer:
About your levothyroxine dose:

Detailed Answer:
Hi!
I have gone carefully through your concern!
In your case we have to find the proper dose of levothyroxine to improve the symptoms of hypothyroidism.
I usually recommend 50 mcg (to patients that has the TSH 8.7), fasting in the morning, with empty stomach and check the TSH level 6 weeks after.
It would be better if you report the dose you have been taking for 2 months, that caused hyperthyroidism. It would orientate us better about your levothyoxine needs.
Will be a pleasure to help you further.

Awaiting reply.
Take care,
Dr.Mirjeta

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Above answer was peer-reviewed by : Dr. Kampana