High TSH (7.20) with normal T3/T4

2026-07-31 16:37:02
28M. Recent blood test results: • TSH: 7.20 (range 0.40–4.50) — high • Free T4: 1.4 (range 0.8–1.8) — normal • Free T3: 3.8 (range 2.3–4.2) — normal So my TSH is high but my actual thyroid hormones (T3, T4) are still in range. Symptoms: constant fatigue, low energy, low motivation, and I’ve been unable to lose weight despite trying. My questions: 1. Is this “subclinical hypothyroidism”? How serious is it? 2. Does this needs any medication, and how long the medication will be for?
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Yes  you have Hypothyroidism
Next Steps
Consult endocrinologist and Start Thyroxine supplementation

Answered2026-08-02 08:44:27

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Yes. This is hypothyroidism. Your TSH is mildly elevated and FT3 and FT4 are normal you are symptomatic. So you can start Thyroid replacement. May be 12.5mcg every day. I would also suggest you to test your Vit D. If low correct that as well.

Answered2026-08-02 08:41:19

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Its feature of hypothroidism U need to start with thyroxine 25

Answered2026-08-02 08:32:34

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