
TSH Test Showed 10. Prescribed LevoT. Have Constipation And Feel Fatigue. Continue Tablets? What To Do?

I have numerous allergies including a severe reaction to any kind of soy. Needless to say, I eat natural food and cook a lot because soy is in everything. I have food allergies, severe allergy to bee, wasp, mosquito, ant etc. bites. Severe allergy to most anti-biotics, have slight asthma for which I take no medication. I take two antihistamines a day, carry a E-Pen, take HBP pills w/ the hydrochlorothiazide, Vit D, Omega 3's, take Omeprazole since Feb for GERD pain, and Methocarbamol for rigid and spastic muscles in my back. My liver enzymes have also been elevated since last Feb. I am very protective of myself with all the allergies and do NOT add anything into my life without great caution. I am the one who gets the hives, breathing difficulties, watery nose and eyes, and a choking sensation. So, I am very careful. What bothers me is the "here is high a TSH result – take this pill and come in 8 wks for a lab test. Oh, it is PA by the way ... I am in a large medical plan system in CO. Thanks for any thoughts you might have on this ......
Your tests indeed show low thyroid function; the benefits of thyroid replacement will not only come from improvement of your physical symptoms (actually very important because they are classic) including fatigue (95 percent of patients report profound fatigue), cold intolerance, constipation and weight gain.
There are other less tangible benefits; but in my opinion as important: Patients with TSH of 10 or greater are at increased risk of heart complications on the long term, cholesterol panel is usually abnormal in patients like that and supplementation improves lipid profile
However at the end of the day, you are the decision maker of your health, and our job as doctors is as teachers, counselors and coordinators of care
Hope that helps, Let me know if you need clarification.
God speed
Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN


Thanks for clarifying.
I agree with you that closer monitoring will be benefitial to see how your body is adjusting to the medication; this could be achieved with a 1 or 2 week post visit telephone call; I agree that the soonest that you should check the Tsh before dose adjustments is 6 weeks; most family practitioners and internists should be able to manage uncomplicated hypothyroidism, but then if you have ongoing issues after starting replacement a subspecialty consult would be in order
Yours truly,

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