Hii
noted your concern about rise in
TSH,
I need to get detailed history of her periods and her life style, medication h/o
family H/o
Is there any neck swelling ???
Diet and exercise may help in general well being.. may not help much in reducing TSH levels
yes if she looses weight it may help in slight reduction in TSH as she is Over weight
Next Steps
Check Anti TPO Ab.. USG Neck if any neck swelling and consult