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About thyroid
Hi sir already Iam using thyrox 50 mcg since 3 years. Yesterday I did test again. Please see the report and suggest use same dose or any changes
Answers (13)
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I am Dr Shamoon. You are 50, on Thyrox 50 mcg for 3 years, and your fresh report shows a TSH of around 5.1 with normal T3/T4 - that is only mildly above the target range, so this is a slightly under-replaced state, not a failure of treatment and certainly nothing alarming. For someone on long-term thyroxine we aim for a TSH of roughly 0.5-4 mIU/L (many of us keep it 1-2.5 in an otherwise healthy 50 year old). A value of 5.1 usually means either the dose needs a small step up, or - very commonly - the tablet is not being absorbed properly. Before changing anything I would want to know how you take it: thyroxine must be on an empty stomach with plain water, 45-60 minutes before tea/coffee/breakfast, and at least 4 hours apart from calcium, iron, antacids, multivitamins and soya products. Even tea within half an hour can push TSH up like this. Also relevant at your weight (85 kg) and age is whether you have missed doses, changed brand recently, or started menopause-related supplements. If your symptoms - tiredness, weight gain, constipation, cold intolerance, hair fall - are present, that supports a small increase; if you feel completely well, simply correcting how you take it and rechecking is very reasonable.
Next Steps
1. Do not change the dose on your own today. First fix the technique: take Thyrox on an empty stomach, with plain water only, and wait 45-60 minutes before tea, coffee or food. Keep calcium, iron, antacids and multivitamins at least 4 hours away. 2. Take it daily, same time, same brand - do not switch brands, as bioavailability differs. 3. If you are already doing all this correctly and TSH is 5.1 with symptoms, the usual step is a small increase - for example 62.5 mcg daily, or 50 mcg on most days with 75 mcg on two days a week. This must be prescribed after your treating doctor sees the actual report; do not self-escalate. 4. Repeat TSH (with free T4) after 6-8 weeks of any change - testing earlier gives a misleading value. Always do the test fasting, in the morning, and before taking that day's tablet. 5. Since you are 50 and weigh 85 kg, also get lipid profile, fasting sugar/HbA1c, haemoglobin and vitamin D and B12 checked - these often explain fatigue that people wrongly attribute to thyroid. 6. Keep a simple record of your TSH values with dates so the trend is visible over time. 7. You can send me the report images through a Practo online consult and I will tell you exactly whether to hold or step up the dose; if an in-person review with examination of the neck and full workup suits you better, I see patients at Synergy Multispeciality Hospital, Miraj.
Health Tips
Caution: never double the dose to "correct" a high TSH quickly - over-treatment at 50 can cause palpitations, atrial fibrillation, anxiety and bone loss. Never stop thyroxine because the report looks near normal. See a doctor sooner if you develop chest palpitations, tremor, marked weight change, severe fatigue or a new swelling in the neck.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dose remain same yet consult endocrinologist
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Please consult your treating Dr, as details of your medical history would help to decide current dose of thyrox.
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Same Dose
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Recent tsh value is 5.11 ,right , its elevated slightly. So dose adjustment needed .if you face symptoms like constipation, it.gain,metabolic issue ,fatigue then dose adjustment needed.
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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