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Thyronorm dose adjustment
I am in a huge confusion. My doctor is not responding. I am Anti TPO positive. While I was on thyronorm 88mcg my tsh level increased to 3.87 from 2 and then started taking 100mcg as per doctor's advice. Now roughly after 2-2.5months today my tsh dropped to 0.26. I am also actively trying to conceive. Which dose should I continue with? Please guide me!
Answers (20)
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Frankly donot confuse at all
U should thyrnorm tablets on empty stomach never combined with pantoprazole most common mistake by most patients
Take both tablets 30 min before breakfast
Or missing doses or no exercise
If u r following these three then also not decrease better to visit me or contact on practo app
Thank you
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Your TSH has dropped to 0.26 after increasing Thyronorm to 100 mcg, suggesting possible over-replacement. Please consult an through proper online appointment promptly for dose adjustment rather than changing the dose yourself.
Get your TSH and Free T4 checked. Since you are actively trying to conceive, maintaining optimal thyroid levels is important; a preconception TSH target of around 0.5–2.5 mIU/L is generally recommended.
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Hello,
Your TSH has decreased from 3.87 to 0.26 mIU/L after increasing Thyronorm (levothyroxine) from 88 to 100 mcg daily.
This suggests that 100 mcg may be slightly more than your current thyroid hormone requirement, although your free T4 level is needed for proper interpretation.
Since you are anti-TPO positive and actively trying to conceive, maintaining appropriate thyroid function is particularly important.
Before pregnancy, a TSH target of approximately 0.5â2.5 mIU/L is commonly preferred in women receiving levothyroxine.
Your current TSH is mildly suppressed, but this is generally not an emergency. The dose should be reviewed rather than making an abrupt change yourself.
Next Steps
Consult an endocrinologist to review your levothyroxine dose. Check TSH and free T4 to assess whether the current dose is excessive. Your physician may consider a small dose reduction, but the exact dose cannot be determined safely from TSH alone. Repeat thyroid function testing approximately 6 weeks after any dose adjustment. Continue taking Thyronorm consistently on an empty stomach, ideally 30â60 minutes before breakfast. Keep calcium and iron supplements at least 4 hours apart from levothyroxine.
Health Tips
My recommendation: Your TSH of 0.26 suggests possible mild over-replacement. A small dose adjustment may be appropriate, but this should be determined after reviewing your free T4 and clinical history. Do not stop Thyronorm abruptly, especially while planning pregnancy. If pregnancy is confirmed, contact your endocrinologist immediately, as thyroid hormone requirements commonly increase during pregnancy. However, given your currently suppressed TSH, any dose increase should be individualised. Thyroid function should generally be monitored every 4 weeks during early pregnancy. With appropriate dose adjustment and monitoring, women with autoimmune hypothyroidism can have healthy pregnancies. Wishing you good health!
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A TSH of 0.26 is now below the normal range, which usually means your current dose has overcorrected, not that you need more. This matters more right now because you're actively trying to conceive, and both a high and a very low TSH can affect conception. This needs your doctor's direct input rather than a guess from either of us.
Next Steps
Since your doctor isn't responding, please book with another endocrinologist or your gynaecologist soon rather than waiting. When trying to conceive, doctors usually aim to keep TSH below 2.5, so your dose will likely need adjusting and rechecking in 6 to 8 weeks.
Health Tips
Please don't change your dose yourself based on today's result alone, since this needs a doctor adjusting it over a couple of blood tests, not a one-time call.
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