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High TSH of 34.28 but normal T3 & T4
Have extremely high TSH level but under control T3 & T4and have been advised to start Thyronorm 75 mcg. Is this the correct dosage for such a high level of TSH ?
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Hello,
In hypothyroidism, a high TSH with normal T3/T4 is called subclinical hypothyroidism.
The usual starting dose of Thyronorm (levothyroxine) in adults is 50â75 mcg daily, depending on weight, age, and overall health.
Since your doctor prescribed 75 mcg, it is within the correct range for an adult male with high TSH.
Remember, the dose is not final â it has to be reassessed after 6â8 weeks with repeat thyroid tests.
Advice:
Take Thyronorm in the morning, empty stomach, with water.
Avoid tea/coffee/milk for at least 30â45 minutes after the tablet.
Do not miss doses or change dose on your own.
Please share your exact TSH value and weight for a more tailored guidance.
ð For further queries, you can reach me at eight five two seven one six four six seven seven.
Best regards,
Dr. Romain Rajan
General Physician
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Yes. It is the correct treatment.
You should get your TSH level done after three months and consult a General Physician
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS , DM .
Jai hind. 🇮🇳
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Yes start Thyronorm 75mcg
Next Steps
go for regular test of thyroid
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It depends upon the tsh value...
Some start at 50 mcg some at 75 mcg...
It varies according to the rise of tsh...
So don't worry...the doctor prescribed u will be the correct dose..
Don't skip the tablet...
Eat as soon as u wake up ...
U can consume water only...before the tablet ...no tea or other foods before taking the tablet..
Next Steps
eat the tablet regularly.. follow up is must atleast 3 months once initially..for dose correction..
then try to do some exercise...like walking or situps ..
if work doesn't permit, then atleast don't sleep immediately after food intake...
drink a glass of hot water at night..
Health Tips
u will recover soon...no worry
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You are having hypothyroid with high level of TSH initial doses will start with optimal doses then monitoring is done regularly for effective ness and doses are adjusted
So don’t doubt your doctor who has your well being in his mind and is the best judge of your problem
Next Steps
Continue as advise by your doctor
Health Tips
Regular monitoring of TFT and follow-up
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Thyroxine 200 mcg one before breakfast.
As its a calcium depleting agent add calcium too.
Shalcal xt one at night.
Two months
Not to stop medicine u need follow up by MD physician or endocrinologist.
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Continue the above dose as per ur doctors prescription..Repeat thyroid profile after 3 month .after that dose to be modified as per latest TFT report
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Your value shows hypothyroidism. Monitor your weight . Thyroxine dose is calculated by 1.6mcg multiply by your body weight . That's the correct dose . Check TSH ,Free T4 ,Free T 4 every 3 months .
Next Steps
thyroxine should be taken in empty stomach 1 hr before food which includes tea ,coffee . compliance to drugs is very important.
do usg neck , anti TPO antibody test , fasting lipid profile .
Health Tips
consult endocrinologist
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It's a case of subclinical hypothyroidism.
Most important are symptoms.
Then we need to get free t3 t4 TSH. And anti TPO antibodies to know if that requires life long treatment.
I hope you are not on any medication.
If TSH is raised we can start thyroid supplement
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High TSH with normal T3 and T4 usually indicates subclinical hypothyroidism. The decision to start Thyronorm (levothyroxine) and the dose depends on factors like age, symptoms, heart health, and other medical conditions.
Next Steps
A starting dose of 75 mcg may be appropriate in some cases, but usually doctors start lower (like 25–50 mcg) and adjust based on follow-up TSH levels.
Health Tips
It’s important to follow up with your doctor regularly for dose adjustments and monitoring.
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Trust the opinion of your practitioner
Extremely high levels of some hormones doesn't require extreme large doses of drug.
Next Steps
If you feel uneasy or your symptoms are not relieved even after taking medication, do consult your doctor regarding the dose modification.
At any step, if you feel your symptoms are worsening and you feel weak consider emergency medical attention
Health Tips
Avoid any homeopathic/ayurvedic forms of medicine claiming to reverse your hormones levels.
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Your initial dose will be Thyronorm 75 mcg, however after regular thyroid checkups your doctor will monitor your TSH,T3 and T4 levels and will adjust dose according to those results.
Next Steps
Do not discontinue thyronorm under any condition. Inform any doctor you consult about your thyroid problem.
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Dosage is based on the weight of the patient and whether they are using medication previously or not . If they are using , whether they are using regularly or not . Based on this dosage is given
Next Steps
Take a direct appointment so that history can be taken and investigations are done as per requirement
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This is a case of SUBCLINICAL HYPOTHYROIDISM, generally medications are not started, if there is no symptoms . You should see another doctor. THYROXINE is only started on low FREE T3, T4,IF NO SYMPTOMS ARE THERE.
Next Steps
Repeat TSH, FREE T3, FREE T4 AFTER 1 MONTH
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Different levels of TSH warrant different doses and it also depends on your previous values and if it’s a newly diagnosed hypothyroidism. Since you haven’t mentioned the actual values it is difficult to ascertain whether this dose is sufficient. Suggest you to continue the medicine for 6 weeks and then recheck the value. You can consult any time you have doubts.
Health Tips
Always take the tablet as soon as you wake up with a glass of water.
Do not consume anything for 30 minutes after taking the medicine.
Do not lie down after taking the medicine for at least 1 hour.
In case you start having palpitations consult a physician immediately.
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