The patient is advised 1.Blood for anti-TPO antibody test,(Thyroid peroxidase test) 2.Thyroid scan 3.Blood for Free t3,Free t4,TSH 4.B.P,heart rate,Spo2/Temperature,body weight 5.To exclude goiter & any other allied metabolic disorder

If she was taking 125mcg maybe the doctor had suggested decreasing by 25 mcg and not to 25 mcg. You need to discuss with your doctor and dose needs to be increased again. She may require certain other tests too so do discuss with your treating physician especially if you are planning a pregnancy

This much Abrupt dose reduction should not be done . Repeat TSH after 4-6 weeks of change in Dosage . Other factors also needs to be considered like weight, dietary pattern, Other Hormones status, etc. as thyroid function can be improved in many cases.

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All the parameters are abnormal

Get a USG thyroid also done and take 125 thyronorm

Does your wife had a swelling in the neck ( Goitre) when hypothyroidism was diagnosed ? If yes …. And if it got reduced after treatment with thyrox in high dose ….. And now they have suddenly decreased it so much low that , it’s too less of a supplement than what our body needs , hence TSH had raised

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Kindly connect Will help you.

Can help you with your concern. Your concern need to be evaluated in detail with history and possible examinations. Can contact for consultation via chat

Excessive TSH level. Dose reduction so abrupt is not justified. Dose reduction must be in interval of times. With regular follow up.

Hello, How long has it been since your wife shifted to the current dosage and the name of the drug? If it’s drug was changed in the past week,give it some more time If not, you can take 50mg after consulting the primary physician.

Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

Hi. The TSH levels are extremely high and its always important to taper the dose or even find the right maintenance dose for the patient. Kindly contact Carna health centre Nagarbhavi Bangalore for a consultation. 

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

**Opinion:** Your wife’s recent thyroid function tests show significant abnormalities. The Thyroid Stimulating Hormone (TSH) is extremely high (77.9 µµ/mL), indicating hypothyroidism, while Total Thyroxine (T4) is low (4.13 µg/dL), further supporting this diagnosis. The abrupt reduction in medication from 125mg to 25mg likely caused these imbalances. It’s crucial to adjust her medication carefully to restore thyroid function. **Next Steps:** 1. **Consult Me Immediately:** Schedule an appointment to review her full medical history and current symptoms. 2. **Medication Adjustment:** Based on her latest results, her dosage needs to be carefully recalibrated. I recommend gradually increasing her current dose under medical supervision. 3. **Regular Monitoring:** Repeat thyroid function tests (TSH, T4) in 4-6 weeks after adjusting the medication to ensure levels are stabilizing. 4. **Symptom Tracking:** Note any symptoms like fatigue, weight changes, or mood swings, and report them during the consultation. Let’s work together to stabilize her thyroid levels—book an appointment for a tailored treatment plan. Early intervention is key to avoiding complications.

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Kindly visit a good endocrinologist

Please consult as medicine dose is to be regulated according to weight and symptoms

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Take thyronorm100mcg once daily

Please consult

Connect please

Please consult

Please do a USG thyroid

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Need few more details Kindly consult

Higher dose

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Start 125 immediately

Abruptly reducing the medicine dose is the reason for such results.

Do Consult m Needs to be evaluated. Tsh is still high. So dose has been increased.