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What Causes Changes In TSH Level?

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Posted on Thu, 22 May 2014
Question: My tsh level was 6.36 when I advised to take eltroxine 25 mcg and I take one tablet in morning time for 3 months.I again test my thyroid and it tsh level was 4.90 I again asked to take thyronorm 50mcg I take this and again tested my thyroid it found tsh level is 5.10.Now tell me what shold I take eltroxine or thyronorm.What will happen if doctor change the brand of medicine which I noticed.The tsh level was elevated from 4.90 to 5.10 after taking 50 mcg thyronorm instead of eltroxine 25 mcg.
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Answered by Dr. Muhammed Aslam (1 hour later)
Brief Answer:
It unlikely due to change in brand.

Detailed Answer:
Hi XXXXXXX welcome to HealthcareMagic.

I am Dr Aslam here to help you. I have gone through the uploaded reports.

The change in your TSH level is likely from changes in functional status of the remaining thyroid tissue, and need escalation of thyroxine dosage;and not from change in the brand. Both eltroxin and thyronorm are good brands,and I uses both of them in my clinic.

I can give a more clear idea, if you tell me the diagnosis, if your doctor had given you.

If you have any follow up question,please include the following:
1)For how long you are on treatment?
2)What was the reason for initial TSH test(simply for swelling?or for any symptoms?)?
3)Had you undergone any thyroid aspiration cytology/biopsy?If,what was the result?
4)Had you an ultrasound scan?If,what was the final impression?

Wishing you healthy days ahead.Thank you.
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. Shanthi.E
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Answered by
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Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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What Causes Changes In TSH Level?

Brief Answer: It unlikely due to change in brand. Detailed Answer: Hi XXXXXXX welcome to HealthcareMagic. I am Dr Aslam here to help you. I have gone through the uploaded reports. The change in your TSH level is likely from changes in functional status of the remaining thyroid tissue, and need escalation of thyroxine dosage;and not from change in the brand. Both eltroxin and thyronorm are good brands,and I uses both of them in my clinic. I can give a more clear idea, if you tell me the diagnosis, if your doctor had given you. If you have any follow up question,please include the following: 1)For how long you are on treatment? 2)What was the reason for initial TSH test(simply for swelling?or for any symptoms?)? 3)Had you undergone any thyroid aspiration cytology/biopsy?If,what was the result? 4)Had you an ultrasound scan?If,what was the final impression? Wishing you healthy days ahead.Thank you.