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HYPOTHYROID on THYROXINE with high TSH.

Resolved Question:

Hi,

I am 29 year old, I was diagnosed with hypothyroid 3 yrs back. I am taking throxine tablets of 50 MG daily. Recently i got checked for my Thyroid profile test. my T3 & T4 came normal but my TSH level is high.
report as below:
THYROID PANEL, SERUM
T3- 87.63 in range of 60.00 - 181.00 ng/dl
METHOD : CHEMILUMINESCENCE
T4- 8.80 in range of 4.50 - 12.60 µg/dl
METHOD : CHEMILUMINESCENCE
TSH- 9.78 -High- in range of 0.35 - 5.50 µIU/mL

please suggest me for medicine. if I need to increase the doses or any other supplements.

also, please guide me as I am regularly increasing weight. also, let us know, if it is going to effect if I am getting pregnant.

Thanks
Khushboo

Category: Endocrinologist

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Category: Diabetologist
 23 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com
You need to increase the dose of thyroxine to 100mcg and retest TSH after 6wks. Target TSH should be 0.3-2.5 mIU/l. Especially if u are planning pregnancy.

Weight gain is not only because of hypothyroidism. You need to regularly exercise and consult a dietician.
Regards.


Patient replied :

Dear Dr,
Thanks for the suggestion.
I dont have any medical history. so as per suggestion I need to take THroxine 100mg every morning before breakfast. is there is any other supplements which I need to take??
Please let me know if you have any other suggestion as I had not got so high TSH levels in past. I am little worried.
THAnks
KHushboo


Hello.
Thank you for the follow up.
Don't worry. Its a fairly common problem and easy to treat.
So no supplement is required. Take the thyroxine as i mentioned.
Feel free to discuss further,
Regards.


Patient replied :

Thanks
Wil do the same. Will send u d report after 6 weeks


Hello.
Thank you for the follow up.
Once you do, i will evaluate after 6 weeks.
Regards.


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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