HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Elevated TSH Levels?

default
Posted on Thu, 6 Nov 2014
Question: Hi there, I had blood tests recently and I had asked them to check for Thyroid (due to Historic Family background). I have never being diagnosed with Thyroid before but they told me that the TSH levels were slightly higher then normal yet my Thyroid Hormones were normal. Since I do smoke marijuana rather frequently could that be the reason the TSH levels were a bit off? Thank you
doctor
Answered by Dr. Shehzad Topiwala (42 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
To the best of my knowledge there is no published medical literature that suggests any impact of marijuana on the thyroid.
What you most likely have is a condition called Primary Acquired Subclinical/mild Hypothyroidism. In simple language, this means that your thyroid gland is not producing enough hormone and so your pituitary has to increase its secretion of TSH in order to stimulate the thyroid to produce more thyroid hormone.
When I see someone like you in my practice, in addition to a thorough physical examination especially to look for a neck swelling (goiter = thyroid enlargement) I tend to order:
CBC
Thyroid auto antibodies (anti TPO and anti Thyroglobulin)
Liver and kidney function tests/Electrolytes, Glucose, Calcium

The antibodies, if positive, tend to suggest that you will likely need medication to treat your condition particularly if your TSH remains persistently high.

However there is a condition called Thyroiditis in which the TSH may appear on the higher side during the normal course of recovery. This does not require any treatment. So checking in a couple months is reasonable idea.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Elevated TSH Levels?

Brief Answer: Thyroid Detailed Answer: To the best of my knowledge there is no published medical literature that suggests any impact of marijuana on the thyroid. What you most likely have is a condition called Primary Acquired Subclinical/mild Hypothyroidism. In simple language, this means that your thyroid gland is not producing enough hormone and so your pituitary has to increase its secretion of TSH in order to stimulate the thyroid to produce more thyroid hormone. When I see someone like you in my practice, in addition to a thorough physical examination especially to look for a neck swelling (goiter = thyroid enlargement) I tend to order: CBC Thyroid auto antibodies (anti TPO and anti Thyroglobulin) Liver and kidney function tests/Electrolytes, Glucose, Calcium The antibodies, if positive, tend to suggest that you will likely need medication to treat your condition particularly if your TSH remains persistently high. However there is a condition called Thyroiditis in which the TSH may appear on the higher side during the normal course of recovery. This does not require any treatment. So checking in a couple months is reasonable idea.