Download FREE Practo app
Get ₹200 HealthCash
Treatment related
Hello Doctor,
I recently got my Thyroid Profile tested and received the following results:
TSH: 13.55 µIU/mL (High; Reference: 0.35 – 4.94)
Total T4: 4.31 µg/dL (Low; Reference: 4.87 – 11.72)
Total T3: 0.80 ng/mL (Normal; Reference: 0.35 – 1.93)
Patient Details:
Age: 28 Years
Gender: Female
Weight: 67 kg
Height: 5'4"
Could you please evaluate these values and advise:
What starting dosage of thyroid medication (Levothyroxine) is recommended for my profile?
Do I need to get Free T3, Free T4, or Anti-TPO antibody tests done before starting treatment?
I have attached my lab report for your review. Thank you!"
Answers (13)
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
Answered
Let others know if this answer was helpful
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Let others know if this answer was helpful
TSH 13.55 with a low Free T4 is overt hypothyroidism, so thyroxine is clearly indicated, not optional. Dose is weight based and started under supervision, usually a low-to-moderate morning dose on an empty stomach, then TSH rechecked at 6-8 weeks and titrated. Free T3 adds nothing to your decision; anti-TPO is worth doing once, only to confirm Hashimoto's as the cause. Do not self-start or copy someone else's dose - undertreatment keeps you tired, overtreatment gives palpitations and bone loss. Send me the report on a Practo consult or come to my OPD at Synergy Miraj and I will fix the exact starting dose for you.
Next Steps
Answered
Let others know if this answer was helpful
Start thyroxine 50mcg, one before breakfast.
Repeat thyroid profile after 6 werks, dose can be increased accordingly if needed.
Answered
Let others know if this answer was helpful
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.