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Increased TSH levels
Check your anti TPO antibodies.
If they are positive then it suggests auto immunity and may require treatment with thyroxine.
Next Steps
Check Anti TPO antibodies and TSH again after a month and consult with Diabetologist or endocrinologist
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Whether or not you need medications depends on the levels and your symptoms. If levels are only little higher and you are feeling ok, no medications will be necessary. Diet and exercise does not help with changing thyroid /TSH levels
Next Steps
Please share your lab test values to determine need for medications
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