Thyroxine dosage correction post TSH

2025-11-27 09:00:38
I am a breastfeeding mother with 5 months old daughter . I am on calcium and iron supplements. Thyroxine 25 mcg from past 3 years. Recently facing postpartum hairfall issues. Got prescribed Keraglo Eva tablets and follihair serum. Had my TSH done. Got 9.1 value. T4 at 5.5 and T3 at 1.3. Can anyone please suggest thyroxine dosage correction?
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Pls consult with specialist

Answered2025-12-01 06:12:10

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Hello, Your reports clearly show that your current dose of thyroxine is insufficient: TSH – 9.1 (high) T4 – 5.5 (low-normal) T3 – 1.3 (low) For a breastfeeding mother, untreated or under-treated hypothyroidism often causes: Postpartum hair fall Fatigue Mood changes Slowed metabolism Worsening thyroid levels due to hormonal shifts after pregnancy But the important point here is this: Adjusting thyroxine dosage without understanding your weight, timing of medication, calcium/iron interaction, and postpartum physiology can make the problem worse. You are taking calcium + iron  these can block thyroxine absorption if not spaced properly. This alone can push TSH up even on a correct dose. Before deciding a new dose, I need to evaluate: Your body weight Exact timing of thyroxine When calcium/iron is taken Feeding schedule Postpartum hormonal pattern Whether this is postpartum thyroiditis or permanent hypothyroidism Each situation needs a very different correction plan, and dosing blindly is unsafe. Next Step A short, structured consultation is needed where I can understand your routine and adjust your dose correctly so that your TSH comes back in range and your hair fall also improves. For personalised thyroid correction You can message me privately on w.h.a.t.s.a.p.p – nine three two six zero two zero five three six for a detailed evaluation and safe dose adjustment. This ensures your levels improve without affecting breastfeeding or your health.

Answered2025-11-27 13:17:18

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Need to increase thyroxine dose
Next Steps
consult with a specialist

Answered2025-12-02 04:07:33

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It is very difficult to titrate the dose in post partum. Pl consult.

Answered2025-11-28 05:00:29

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Check ft3,ft4

Answered2025-11-27 17:28:42

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

Answered2025-11-27 12:55:56

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dear Ma'am there are many reasons thyroid can go haywire post partum
Next Steps
please consult with an endocrinologist on urgent basis

Answered2025-11-27 11:06:14

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