I had tsh level of 11.85 and was given 25mcg of thyronorm.after 10 days I was tested for anti tpo antibodies, tsh and Dexamethasone supression test for serum cortisol with 1mg dexona.now the tsh level is 1.14.does Dexamethasone lower tsh value,when should I test my tsh again to continue thyronorm as my doctor asked me to stop it seeing these value.
Doctor Answers (1) on Dexamethasone supression
If you have tpo antibodies with 11.85 tag with clinical signs and symptoms, you are hypothyroid. In such a case thyronorm should not be stopped. Dexamethasone suppresses tsh mildly and the drop is probably due to thyronorm. Dexamethasone suppression was a test for cortisol excess which is a different disease. The tsh reading after 10 days is also of no value. A proper diagnostic approach will lead to effective therapy.
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