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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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Dr. J Muthukrishnan
Category: Diabetologist
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 21 Doctors Online

Expert:  Dr. J Muthukrishnan
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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


Expert:  Dr. J Muthukrishnan
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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


Expert:  Dr. J Muthukrishnan
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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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