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High TSH level 8
My wife (age 23yrs) was diagnosed with high TSH ( 9) 2 months ago. Since then she had thyroxine 25mg for a month (TSH came as 7) . Then doctor suggested thyronorm 50 mg . After having 50 mg for a month the TSH is still 8.4.
What's wrong ? What should be the course of treatment.
Answers (1)
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Dr. Nikhil Prabhu
Diabetologist
14 yrs exp
Mumbai
TSH of 9 suggests subclinical hypothyroidism,
Which may or may not be treated depending on symptoms and autoimmunity.
Get her anti-TPO antibodies test done to rule out auto immunity.
Thyroxin suppliment therapy is required.
Dose of thyroxin depends on her weight.
How many times she forget to take tab in a week ? Thyroxin has half life of 7 days. So if she forget any pill on a day she can take 2 pills next day.
Normally it takes around 6-8 weeks to reflect change in TSH after dose ulteration.
Let her continue taking 50mcg dose for 8 weeks and then repeat TSH.
Dose increament is normally done in 12.5 to 25mcg but it is advisable to consult your diabetologist or endocrinologist before any increase in dosage.
Next Steps
anti-TPO antibodies
free T4
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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.