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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High TSH Levels

hello doctor i m 25 years old before 6 years a gynacologist suggest me to take thyroid tablets of 75 mcg at that time my T3,T4,Ft3,Ft4 value is under control but tsh is7.02 than one other doctor said that i have no problem of thyroid but now when i e stopped or reduced the dose of tablets my tsh is going high up to 10-15 then what can i do plz tell me
Tue, 5 Jul 2016
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General & Family Physician,  's  Response
Hi I can understand your concern ....

Your provisional diagnosis : subclinical hypothyroidism

You are having high TSH and normsl hormone level t3, t4 so saying it might be subclinical hypothyroidism...

The causes should be ruled out like .....
-goitrogens
-iodine deficiency
-hashimoto thyroiditis etc....

If needed biopsy taken for histopath examination ....

Your TSH must maintain between 2 to 3 ..
Here it is high ...

So start regular levothyroxine tablet. ......
Initial dose can be 75 to 100 ug and than adjusted according to TSH report done every four month ....

For more guidance endocrinologist can be consulted. ..

Hope I have solved your concern ....

Take care ....
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Suggest Treatment For High TSH Levels

Hi I can understand your concern .... Your provisional diagnosis : subclinical hypothyroidism You are having high TSH and normsl hormone level t3, t4 so saying it might be subclinical hypothyroidism... The causes should be ruled out like ..... -goitrogens -iodine deficiency -hashimoto thyroiditis etc.... If needed biopsy taken for histopath examination .... Your TSH must maintain between 2 to 3 .. Here it is high ... So start regular levothyroxine tablet. ...... Initial dose can be 75 to 100 ug and than adjusted according to TSH report done every four month .... For more guidance endocrinologist can be consulted. .. Hope I have solved your concern .... Take care ....