TSH of 9 suggests subclinical hypothyroidism,
Which may or may not be treated depending on symptoms and autoimmunity.
Get her anti-TPO antibodies test done to rule out auto immunity.
Thyroxin suppliment therapy is required.
Dose of thyroxin depends on her weight.
How many times she forget to take tab in a week ? Thyroxin has half life of 7 days. So if she forget any pill on a day she can take 2 pills next day.
Normally it takes around 6-8 weeks to reflect change in TSH after dose ulteration.
Let her continue taking 50mcg dose for 8 weeks and then repeat TSH.
Dose increament is normally done in 12.5 to 25mcg but it is advisable to consult your diabetologist or endocrinologist before any increase in dosage.
Next Steps
anti-TPO antibodies
free T4
Answered2017-04-23 12:25:07
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