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What Does My Thyroid Function Test Report Indicate?
My wife is 43 years old.....she is having tsh level 10.39..on the sample taken empty stomach 7 am in the morning on a continous dose of 62.5mcg of thyronorm per day.. Although the day sample was taken pathologist advised to take the medicine after giving sample.. Now from last two days she is taking 100mcg..... Now what is ur suggesstion regarding duration nd dose of thyronorm?
Tue, 16 Jan 2018
Hello,
As per your question, your wife has hypothyroidism, which in simple language means your thyroid gland is not producing enough thyroid hormone. She is already on thyroid replacement with dose of 62.5 still her TSH value is 10.39 which is high. While on thyroid replacement, goal is to keep TSH on lower side of normal.
Now there are few causes that can cause TSH to be elevated even on therapy. Most common and simple is that your thyroid replacement is not adequate. It is also important to know when the test was done after starting or changing thyroid dose as it will take 4-6 weeks approximately to
affect TSH value. Also it is important to take medicine as advised on empty stomach and to give gap of minimum 1 hr between other medication like your antacids. As it can affect absorption of drugs.
What I usually do in practice is ask about prior TSH report, how many weeks after which TSH was repeated and also advice regarding proper method of taking thyroid replacement. In your wife's case I would continue TSH at 100 ug as you have already started and just repeat it after 2-3 months.
If you have any queries, I would be happy to answer.
Thank you.
As per your question, your wife has hypothyroidism, which in simple language means your thyroid gland is not producing enough thyroid hormone. She is already on thyroid replacement with dose of 62.5 still her TSH value is 10.39 which is high. While on thyroid replacement, goal is to keep TSH on lower side of normal.
Now there are few causes that can cause TSH to be elevated even on therapy. Most common and simple is that your thyroid replacement is not adequate. It is also important to know when the test was done after starting or changing thyroid dose as it will take 4-6 weeks approximately to
affect TSH value. Also it is important to take medicine as advised on empty stomach and to give gap of minimum 1 hr between other medication like your antacids. As it can affect absorption of drugs.
What I usually do in practice is ask about prior TSH report, how many weeks after which TSH was repeated and also advice regarding proper method of taking thyroid replacement. In your wife's case I would continue TSH at 100 ug as you have already started and just repeat it after 2-3 months.
If you have any queries, I would be happy to answer.
Thank you.
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