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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Hashimoto's, On Medicines, Developed Goiter, TSH Of .2, More Energy, Swelling In Limbs In The Evening. Should I Be Concerned?

I have Hashimoto s and have been on 50mcg levo for about a year and a half. I was very tired 3-4 weeks ago and developed a goiter . I then began to have more energy and less feeling of leg heaviness about a week and a half later. Bloodwork was Tsh of about .2, about the time I started having more energy. Doc didn t check t3 or T4. Now, I still have decent energy but am getting a lot of swelling in my hands, legs and feet in the evening. Should I be concerned? Thanks!
Mon, 11 Aug 2014
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Internal Medicine Specialist,  's  Response
I had gone through your query and understood your concerns.
Tsh should be around 3 .

check it again and decrease dose .normal dose is around 1.6 mcg per kg body weight assuming you are not elderly person .2 means its over corrected.

Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you do not have any clarifications, you can please close the discussion and rate the answer. Thank you.
Wishing you good health

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Having Hashimoto's, On Medicines, Developed Goiter, TSH Of .2, More Energy, Swelling In Limbs In The Evening. Should I Be Concerned?

I had gone through your query and understood your concerns. Tsh should be around 3 . check it again and decrease dose .normal dose is around 1.6 mcg per kg body weight assuming you are not elderly person .2 means its over corrected. Hope this guides you. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion and rate the answer. Thank you. Wishing you good health