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What Does My Thyroid Test Report Indicate?
Question: Hi. My name is XXXX. I lost the baby during labor 4 months ago. I have been checked by Gynecologist and have green light to start trying again. But about 1.5 month ago I have been diagnosed with Hashimoto. My TSH level was 0.022 ulU/ml first, then after I started take thyrozol changed to 0.044 ulU/ml and after next 4 weeks taking 5 mg of thyrozol changed to over 100 mUL (two first blood tests I have done in Poland, the last one in UK). Is it possible that after taking so small doze of 5 mg thyrozol after 4 weeks my TSH increased to 100 mUL. Is ulU/ml and mUL this same range? I have been told by my GP to take levothyroxine 50mg.. I also tying for a baby. What I supposed to do? How long it can take to bakc my hormons to the right level?
Brief Answer:
Thyroid
Detailed Answer:
Sorry to note your medical history. I follow what you are saying.
1 uIU and mIU are often used to describe micro International units and are one and the same but your lab report needs to be clearer about it because sometime mIU can also mean milli IU.
However, modern laboratories worldwide are now reporting TSH in micro IU only.
2 Yes it is possible for TSH to rise to 100 even with that dose of thyrozol
3 When I see someone like you in my practice I order the following tests in addition to a thorough physical examination:
TSH
Total T3
Total T4
T3 resin uptake
Free T4
CBC
Liver function tests
Kidney function tests
Glucose
Calcium
Electrolytes
The thyroid profile needs to be analyzed in detail to understand what type of thyroid condition you have.
I strongly suggest you see an endocrinologist in person, as thyroid matters can be complex and challenging.
I also suggest avoiding pregnancy till the thyroid is sorted out, regulated and stabilized.
It makes sense to take levothyroxine for now and stop thyrozol. But this requires a comprehensive evaluation for any endocrinologist to make a systematic plan with formal guidance
Thyroid
Detailed Answer:
Sorry to note your medical history. I follow what you are saying.
1 uIU and mIU are often used to describe micro International units and are one and the same but your lab report needs to be clearer about it because sometime mIU can also mean milli IU.
However, modern laboratories worldwide are now reporting TSH in micro IU only.
2 Yes it is possible for TSH to rise to 100 even with that dose of thyrozol
3 When I see someone like you in my practice I order the following tests in addition to a thorough physical examination:
TSH
Total T3
Total T4
T3 resin uptake
Free T4
CBC
Liver function tests
Kidney function tests
Glucose
Calcium
Electrolytes
The thyroid profile needs to be analyzed in detail to understand what type of thyroid condition you have.
I strongly suggest you see an endocrinologist in person, as thyroid matters can be complex and challenging.
I also suggest avoiding pregnancy till the thyroid is sorted out, regulated and stabilized.
It makes sense to take levothyroxine for now and stop thyrozol. But this requires a comprehensive evaluation for any endocrinologist to make a systematic plan with formal guidance
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
Thank you for your quick answer. It was very helpful. I have done my thyroid ultrasound 1.5 month ago and it showed my thyroid is half smaller than it should be and have all signs typical for Hashimoto. My first TSH - 0.02 (norm: 0.27-4.2), FT4 - 2.04 ng/dl (0.9-1.9), FT3 - 9.11 pmo;/l (3.9-6.7) and Anti TPO 56.55 IU/ml (0-34) done 1.5 month ago. Then after 7 days of taking thyrozol TSH - 0.044, FT4 - 0.92, FT3 - 4.68. But after four another weeks after taking thyrozol my TSH>100 micro IU (I just found out from my surgery that is micro not milli) and my FT4 2.6 mmol. I have appointment with my GP on Thursday so I ask for appointment with endocrinologist. I still feel ok, have just a headache, no other symptoms. Do you thing my present condition is just because of taking that thyrozol? Will I back to normal taking the levothyroxine? Thank you so much for your help.
Thank you for your quick answer. It was very helpful. I have done my thyroid ultrasound 1.5 month ago and it showed my thyroid is half smaller than it should be and have all signs typical for Hashimoto. My first TSH - 0.02 (norm: 0.27-4.2), FT4 - 2.04 ng/dl (0.9-1.9), FT3 - 9.11 pmo;/l (3.9-6.7) and Anti TPO 56.55 IU/ml (0-34) done 1.5 month ago. Then after 7 days of taking thyrozol TSH - 0.044, FT4 - 0.92, FT3 - 4.68. But after four another weeks after taking thyrozol my TSH>100 micro IU (I just found out from my surgery that is micro not milli) and my FT4 2.6 mmol. I have appointment with my GP on Thursday so I ask for appointment with endocrinologist. I still feel ok, have just a headache, no other symptoms. Do you thing my present condition is just because of taking that thyrozol? Will I back to normal taking the levothyroxine? Thank you so much for your help.
Brief Answer:
Follow up
Detailed Answer:
Yes and yes
Your present condition is likely due to thyrozol. Another equally likely possibility is that you had an episode of 'transient thyroiditis'. This is a complex condition in which the thyroid gets temporarily 'bruised' and recovers. Most of the time it comes back to normal in a couple months without any treatment but sometimes it becomes under-active. This underactivity can be temporary or permanent.
These are complex issues to dissect out.
Regardless, all these conditions can be treated and managed well
Follow up
Detailed Answer:
Yes and yes
Your present condition is likely due to thyrozol. Another equally likely possibility is that you had an episode of 'transient thyroiditis'. This is a complex condition in which the thyroid gets temporarily 'bruised' and recovers. Most of the time it comes back to normal in a couple months without any treatment but sometimes it becomes under-active. This underactivity can be temporary or permanent.
These are complex issues to dissect out.
Regardless, all these conditions can be treated and managed well
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
Thank you for your answer. I have one more question regarding my issue. I read a lots about good impact of iodine for thyroid problems. Can the iodine in tablets, like Iodoral be taken together with Levothyroxine in my case? Once more thank you for your help.
Thank you for your answer. I have one more question regarding my issue. I read a lots about good impact of iodine for thyroid problems. Can the iodine in tablets, like Iodoral be taken together with Levothyroxine in my case? Once more thank you for your help.
Brief Answer:
Second follow up
Detailed Answer:
Once a person is taking adequate amounts of levothyroxine, there is no role for iodine to help the thyroid in any way
Second follow up
Detailed Answer:
Once a person is taking adequate amounts of levothyroxine, there is no role for iodine to help the thyroid in any way
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
I had another blood test after 11 days of taking the Levothyroxine and my tsh>100 changed to tsh=36 (it should be 0.27-4.2) , my FT4 is now 11.9 (it should be 12-18). I will have another blood test in the next two weeks. I have been sent to endocrinologist, but my appointment is in the next 3 weeks. I asked my doctor what with my doze, if I need change it or stay by this same which is 50mg now. My GP wasn't sure about this, so I am confused now. I am afraid if I stay with that doze I can go to overactive thyroid again. My TSH level changing so quick, I don't know why? For many people it is taking months to back to proper level, and for me is just 2 weeks when I can go from very low to very high level of TSH. Apart from that my period is 6 days late now, I always have the regular cycles. Can levothyroxine be the reason? I have done pregnancy test, is negative, besides we stopped trying for baby since I find out of my very high TSH level. Could you give me any advise what I suppose to do now please? Thank you.
I had another blood test after 11 days of taking the Levothyroxine and my tsh>100 changed to tsh=36 (it should be 0.27-4.2) , my FT4 is now 11.9 (it should be 12-18). I will have another blood test in the next two weeks. I have been sent to endocrinologist, but my appointment is in the next 3 weeks. I asked my doctor what with my doze, if I need change it or stay by this same which is 50mg now. My GP wasn't sure about this, so I am confused now. I am afraid if I stay with that doze I can go to overactive thyroid again. My TSH level changing so quick, I don't know why? For many people it is taking months to back to proper level, and for me is just 2 weeks when I can go from very low to very high level of TSH. Apart from that my period is 6 days late now, I always have the regular cycles. Can levothyroxine be the reason? I have done pregnancy test, is negative, besides we stopped trying for baby since I find out of my very high TSH level. Could you give me any advise what I suppose to do now please? Thank you.
Brief Answer:
Third follow up
Detailed Answer:
It is not the objective of this forum to recommend precise dosages of medications.
But certainly when I see someone with a TSH like yours, I do recommend a higher dose of levothyroxine such as 75 mcg. You should however see your doctor if this is appropriate for you
Third follow up
Detailed Answer:
It is not the objective of this forum to recommend precise dosages of medications.
But certainly when I see someone with a TSH like yours, I do recommend a higher dose of levothyroxine such as 75 mcg. You should however see your doctor if this is appropriate for you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your answer. I will stay on my current dose and then check my blood test results next week. Do you think the levothyroxine can make the period cycles irregular? Is it the blood test which can check it? Thank you.
Brief Answer:
Fourth follow up
Detailed Answer:
Levothyroxine when taken in the right doses does not make the periods irregular.
If your periods are still irregular even after your thyroid is well regulated, then you should see a Gynecologist for this
Fourth follow up
Detailed Answer:
Levothyroxine when taken in the right doses does not make the periods irregular.
If your periods are still irregular even after your thyroid is well regulated, then you should see a Gynecologist for this
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
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