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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Thyroid Results Show TSH Level Elevated. What Is The Reason?

Hi, My Thyroid TSH results shows like that :
Test Parameter : Serum TSH Result : 12.07 Unit: micro IU/ml Biological Reference Interval: (0.27 - 4.2) Method : ECLIA.
Equipment used: Cobas 6000 / Cobas e 411 analyzer.
And the 6 months back when I tested from other lab, it shows TSH : 5.75 µIU/ml.
So I would like to know how come its gone up so high from 5.75 to 12.07 or there is something I missed out. Please need your advice on this.
Thu, 12 Sep 2013
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Pathologist and Microbiologist 's  Response
Hi!
welcome to HCM!
When the thyroid, for whatever reason -- illness, stress , does not produce enough thyroid hormone, the pituitary detects this reduction in thyroid hormone, and then makes MORE TSH, to help trigger the thyroid to produce more thyroid hormone. This is the pituitary's effort to return the system to "normal" and normalize thyroid function.

TSH that is higher than normal suggests a thyroid that is underactive and not doing its job of producing thyroid hormone. So, in general, HIGHER TSH = UNDERACTIVE THYROID / HYPOTHYROIDISM. the normal reference range is approximately 0.5 to 5.0.your TSH test was on little higher side last time and now its high.Your doctors will want to INCREASE your dosage of thyroid hormone if you are already taking it,or will start medicine if you are not, because levels above normal are considered potentially "hypothyroid" (underactive.)
I sincerely hope this will help!
take care!


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General & Family Physician Dr. Girish Ojha's  Response
hi
thanks for your query
you have serum TSH 12.07 unit.
your high TSH level is suggestive of decrease thyroid hormone level in your body.
causes of decrease thyroid hormone level-
-Hashimoto's thyroiditis
-Lymphocytic thyroiditis (which may occur after hyperthyroidism)
-Thyroid destruction (from radioactive iodine or surgery)
-Pituitary or hypothalamic disease
-Medications
-Severe iodine deficiency

consult to your doctor for for proper treatment and to know the nature of thyroid
problem you have(mainly to rule out the malignant nature of thyroid disease which is more common in hypothyridism)

wish you good health

with best regards

DR G C OJHA.
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Thyroid Results Show TSH Level Elevated. What Is The Reason?

Hi! welcome to HCM! When the thyroid, for whatever reason -- illness, stress , does not produce enough thyroid hormone, the pituitary detects this reduction in thyroid hormone, and then makes MORE TSH, to help trigger the thyroid to produce more thyroid hormone. This is the pituitary s effort to return the system to normal and normalize thyroid function. TSH that is higher than normal suggests a thyroid that is underactive and not doing its job of producing thyroid hormone. So, in general, HIGHER TSH = UNDERACTIVE THYROID / HYPOTHYROIDISM. the normal reference range is approximately 0.5 to 5.0.your TSH test was on little higher side last time and now its high.Your doctors will want to INCREASE your dosage of thyroid hormone if you are already taking it,or will start medicine if you are not, because levels above normal are considered potentially hypothyroid (underactive.) I sincerely hope this will help! take care!