THYROID PROFILE

2025-06-29 09:21:32
My age is 33. I had c section 11 months ago. Before pregnancy I use to have 100mg.during pregnancy I used 125. After delivery It has reduced to 112.now yesterday I did my thyroid profile. Everything is normal. Tsh is 11.8. Near gynecologist asked to increase dosage 175. Is it correct. Can any one suggest dosage
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As per your weight you can increase the dose to 150 mcg and repeat the thyroid function tests after 2 months to compare and adjust the dose if needed.

Answered2025-06-30 00:54:05

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Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

Answered2025-06-29 15:28:00

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Hii Thyroid has types n u have hypothyroidism 175mcg is high as per ur profile Thyroid is reversible n we can also stop medicine by proper dietary changes n life style changes But it doesn't go completely We have to check every 6 months or annually If u r off meds In order to know proper guidance n precautions Connect with me over here Happy to help u out

Answered2025-06-29 15:10:27

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Share your history in detail,  then I can help you  further. What are you taking, share the name. You can take 150. Repeat thyroid function tests after a month.

Answered2025-06-29 13:01:10

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Pls share all your reports , a jump to 175 from 112 is ideally not indicated . In any scenario we adjust the dosage by 12.5 to 25 mcg . And recheck tsh levels after 6-8 weeks . Kindly connect .

Answered2025-06-29 12:19:59

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Need few more details Kindly connect.

Answered2025-06-29 12:13:32

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### 🧠 **Clinical Summary:** * **Age/Gender**: 33-year-old female * **Obstetric history**: C-section delivery 11 months ago * **Thyroid medication history**:   * Before pregnancy: **100 mcg/day levothyroxine**   * During pregnancy: **125 mcg/day**   * After delivery: reduced to **112 mcg/day** * **Current TSH**: **11.8 mIU/L** (elevated) * **Symptoms**: Not mentioned * **Gynecologist suggested dose**: **175 mcg/day** --- ### 🔍 **Medical Interpretation (based on Harrison’s Manual of Medicine):** 1. **TSH 11.8 is elevated**:    * Indicates **hypothyroidism** or **under-treatment** of existing hypothyroidism.    * Target TSH for non-pregnant women is **<4.0–5.0 mIU/L** (ideally **<2.5 mIU/L** for optimal control). 2. **Postpartum thyroid status**:    * **Thyroid hormone requirement can change after delivery**.    * If the patient had **Hashimoto’s** or autoimmune thyroiditis, requirement may **persist or increase** postpartum. 3. **Dose increment to 175 mcg/day**:    * From 112 mcg to 175 mcg is a **large jump (\~56% increase)**.    * Usual increments are **12.5–25 mcg at 6–8 week intervals**, with repeat TSH testing. --- ### ✅ **What should be done (Guided by Harrison and Oxford):** * A sudden jump to **175 mcg/day** may **overshoot** and cause **iatrogenic hyperthyroidism**. * Recommended plan:   1. Increase dose **to 125 or 137 mcg/day initially**.   2. Repeat **TSH after 6–8 weeks**.   3. Adjust further if TSH still high. * **Start low, go slow** is the preferred method to avoid side effects like palpitations, anxiety, and osteoporosis risk. --- ### 📌 Final Advice: * Yes, **treatment adjustment is required** due to high TSH. * But **increasing directly to 175 mcg may not be safe**. * Consult an endocrinologist to titrate dose safely. * Repeat **TSH every 6 weeks** after dose change until stabilized. --- **References**: * Harrison's Manual of Medicine, 20th Ed: Hypothyroidism section 🔗 [Dr. Pradeep Kumar – Practo Profile](https://www.practo.com/ajmer/doctor/pradeep-kumar-28-anesthesiologist)

Answered2025-06-29 12:11:00

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Answered2025-06-29 11:40:25

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Can u tell me ur wt???

Answered2025-06-29 11:23:55

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Answered2025-06-29 11:21:04

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Need more details to suggest the correct treatment

Answered2025-07-01 11:56:43

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Need few more details Kindly consult

Answered2025-06-30 03:44:00

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Yes you can increase it.

Answered2025-06-29 16:51:29

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

Answered2025-06-29 12:32:18

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Answered2025-06-29 12:22:24

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Hello please consult general medicine doctor

Answered2025-06-29 11:30:30

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