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What Do My Lab Test Reports Indicate?
Question: Since my wife was pregnant in 2012, endocrinologist always insisted that we should strive to keep TSH above 1. In past one year we have observed TSH consistently below 1 and only once in July (when we traveled to XXXXXXX and might be due to missed dosage, TSH was reported above 1).
currently I am traveling and we consulted physician/nurse practitioner here in US but as per them till its in range we should not worry (even below 1 is fine). I wanted to reach out to endocrinologist and get opinion as what TSH level my wife should maintain and in case we need to adjust dosage to bring it greater then 1 please let us know modified dosage. Current dosage is 112 mcg of thyronorm per day
Test Report (2016_Thyriod_Test_Oct15-Jan16.pdf) XXXXXXX 1, 2016 - TSH 0.748
Oct 31, 2015 - TSH - 0.533
Test Report (2015_061215_Anjum_Thyriod_Vitamin.pdf)
July 3, 2015 - TSH - 1.520
Test Report (2015_040415_Anjum_Physical_Exam_April 15.pdf)
April 7, 2015 - TSH - 0.78
currently I am traveling and we consulted physician/nurse practitioner here in US but as per them till its in range we should not worry (even below 1 is fine). I wanted to reach out to endocrinologist and get opinion as what TSH level my wife should maintain and in case we need to adjust dosage to bring it greater then 1 please let us know modified dosage. Current dosage is 112 mcg of thyronorm per day
Test Report (2016_Thyriod_Test_Oct15-Jan16.pdf) XXXXXXX 1, 2016 - TSH 0.748
Oct 31, 2015 - TSH - 0.533
Test Report (2015_061215_Anjum_Thyriod_Vitamin.pdf)
July 3, 2015 - TSH - 1.520
Test Report (2015_040415_Anjum_Physical_Exam_April 15.pdf)
April 7, 2015 - TSH - 0.78
Brief Answer:
No need to modify the dose
Detailed Answer:
Hi,
Welcome to HCM. I have gone through your reports.
Her TSH and free T4 is currently normal. The target TSH we usually keep is from 9.5 to 2.5 ( individual doctor opinions may vary). Her TSH of 0.78 is within this range. So my suggestion is to continue with the same dose of thyroxine ( Thyronorm).
If she is not comfortable with low TSH ( have palpitations, weight loss or heat intolerance) and prefer to keep TSH above 1, you can decrease the dose to 100 mcg and repeat the test after 6 weeks.
Hope I have answered your questions. If you have any further questions, I will be pleased to help you.
Regards
Dr Ajish TP
No need to modify the dose
Detailed Answer:
Hi,
Welcome to HCM. I have gone through your reports.
Her TSH and free T4 is currently normal. The target TSH we usually keep is from 9.5 to 2.5 ( individual doctor opinions may vary). Her TSH of 0.78 is within this range. So my suggestion is to continue with the same dose of thyroxine ( Thyronorm).
If she is not comfortable with low TSH ( have palpitations, weight loss or heat intolerance) and prefer to keep TSH above 1, you can decrease the dose to 100 mcg and repeat the test after 6 weeks.
Hope I have answered your questions. If you have any further questions, I will be pleased to help you.
Regards
Dr Ajish TP
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Above answer was peer-reviewed by :
Dr. Sonia Raina
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