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Thyroid dose confusion
Hi, I'm a 35-year-old female, 4'11", 57 kg, diagnosed with hypothyroidism 8 years ago.
TSH history:
Last year: 0.82 μIU/mL
This year: 4.558 μIU/mL — significant rise on same dose
Current medication:
75 mcg + half of 25 mcg = ~87.5 mcg daily
Unchanged for 3–4 years
Two doctors, two opinions:
Doctor A: Increase to 100 (1.6mcg /kg basis)
Doctor B: 88 mcg is fine
My calculation:
1.6 mcg × 57 kg = 91.2 mcg ideal dose
Neither 88 nor 100 mcg is exact.
My questions:
TSH jumped from 0.82 4.558 in one year on same dose. Please suggest 88 or 100 mcg.
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I suppose Hypothyroidism is better treated by a General Physician by physical consultation rather than Tele-consultation.
This is not a life saving emergency. Nor is it going to be ever treated completely.
So there is no point in finding faults with your Doctors. Please consult a third Doctor "C" if you are not happy with Doctor A and Doctor B.
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Hello
your TSH level is with in normal range.
no need to worry, may factor can influence TSH level
like
1.Consistency ( taking medicine at same time every day, ideally on empty stomach)
2. Brand change
3.Absorption issue
when ever there is a doubt We go for free T4 level & ultra TSH level .
Next Steps
Continue with 88mcg dose as advised
Health Tips
Diet
Exercise, yoga ( Thyroid specific, very effective)
Repeat Thyroid profile after 4 to 6 weeks.
If required consult with endocrinologist.
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