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Hypithyroidism
My tsh was 12.5 before 1 month..after taking 75 mcg tablet for 1 month..my tsh value is 3.45..what is correct dose to maintain normal value
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Dose of thyroid medication should be individualized based on repeat TSH and symptoms.
Rx:
Continue current dose temporarily
Repeat TSH after 6 weeks
Dose adjustment only after medical review
Please consult a General Physician before changing the dose. You may consult me via Practo.
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Continue the same dose and get TSH tested at an interval of 3 months next.
In case of symptoms like palpitations/ sleeplessness consult for dose changes
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You can use 75 mcg for two months than go for thyroid profile test
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Your TSH drop to 3.45 shows the 75 mcg dose is working effectively, though many doctors aim for an optimal target between 1.0 and 2.0.
Next Steps
You should likely stay on 75 mcg for another month to let your levels fully stabilize before your doctor decides if a tiny adjustment is needed.
Health Tips
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Tsh came to normal with this dose only
Take dose regularly and get tested after 2month
After that get consult
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there is no fixed dose to maintain tsh..right now as your tsh is normal u can continue same dose and then repeat thyroid function test after 3months if no other symptoms.For more detailed evaluation please connect for consultation
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You are on good track for this,its take time to normalize your thyroid. Please consult for further evaluation.
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Your TSH has improved significantly from 12.5 to 3.45 after taking 75 mcg of thyroid medication, which shows a good response to treatment. However, thyroid levels usually take 6–8 weeks to stabilize fully after starting or changing a dose. One month is slightly early to decide the long-term maintenance dose. The correct dose varies from person to person and should be based on repeat TSH (and sometimes Free T4) along with symptoms.
Next Steps
Continue the same dose (75 mcg) for now unless advised otherwise
• Repeat TSH (± Free T4) after completing 6–8 weeks on the same dose
• Consult your doctor with the repeat reports to decide if dose adjustment is needed
• Take the tablet daily on an empty stomach, 30–60 minutes before breakfast
Health Tips
Do not change the dose on your own, even if the value looks normal
• Over-treatment can cause palpitations, anxiety, weight loss, and bone issues
• Maintain consistency in timing of the tablet for accurate test results
• Thyroid treatment is usually long-term, and dose needs periodic monitoring
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Kindly share the other details. Since how much time your diagnosed with the disease and how long you've been taking the treatment and what are the symptoms. Also it is desired if there's any pregnancy or not.
Get USG thyroid and anti TPo antibodies levels if not done yet.
Next Steps
till then continue the same dose and repeat fT3, fT4, and TSH levels after 2- 3 months.
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