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HIGH TSH MEDICATION
My TSH is 11.13 and taking thyronorm 62.5mg is appropriate with the TSH or not. T3T4 are normal. So kindly advice whether the thyronorm dose is appropriate or needs to adjust .
Answers (28)
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Yah dose is appropriate
Take tablet for 3 monts and repeat TSH again
Health Tips
For proper evaluation or further investigation and management.. consult me with detailed history
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Continue on same dose after 3 months repeat thyroid profile to adjust the dose
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The dose currently ur taking is not sufficient
Kindly consult for dose modification and further management
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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T3 and t4 are within normal limits and tsh is more than 10 indiates subclinical hypothyroidism and and taking thyronorm 62.5 mcg and.and thronorm dose might not be adequate as per body weight .th
Next Steps
thyroxine dose needed to be increased
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It’s subclinical hypothyroidism and based on ur reports thyronorm of 62.5 mg is generally adequate dose.No need to worry
Next Steps
1)Take on empty stomach
2) Repeat tsh after 6 weeks and need to compare it for dose adjustments.If it is reducing it will be fine or need to increase the dose
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A raised TSH with normal T3 T4 points to subclinical hypothyroidism.62.5 mcg thyronorm is an ideal initial treatment.Get your TSH level after 2 months to compare,and adjust the dose accordingly under the supervision of your physician
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Please increase your Thyronorm to 75mcg and after 6 weeks have TSH rechecked.
Basically your TSH should be less than 5.
All the best.
www.jgsr-health-education.in
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Your reports show:
• TSH = 11.13 mIU/L
• T3 and T4 = Normal
This indicates:
Subclinical hypothyroidism
Since TSH is above 10, treatment is generally recommended even if T3/T4 are normal.
Now regarding Thyronorm 62.5 mcg (Levothyroxine):
For most adults:
• Starting dose ranges between 25–75 mcg
• 62.5 mcg is a reasonable starting dose in many cases
Whether it is appropriate depends on:
• Your age
• Weight
• Symptoms
• Cardiac history
• Whether this is new diagnosis or long-standing
If you are:
• Young (below 50)
• No heart disease
Then 62.5 mcg is generally appropriate.
If elderly or heart patient → usually start lower.
So based only on TSH 11.13:
Next Steps
✔ Continue Thyronorm 62.5 mcg daily
✔ Take on empty stomach (morning)
✔ Wait 45–60 minutes before food
✔ Avoid calcium/iron within 4 hours
Very Important:
Repeat TSH after 6–8 weeks.
Dose adjustment depends on repeat TSH:
• If TSH 0.5–3 → dose correct
• If still >5 → dose may need increase
• If
Health Tips
• Take tablet at same time daily
• Do not skip doses
• Weight changes can affect dose
• Stress and illness can temporarily alter TSH
• If planning pregnancy, tighter control needed (TSH
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we will have to increase dose
would like to know more details including your weight.kindly consult
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You have high TSH. Please share since how long you have been taking tab Thyronorm. As such dose of thyronorm needs to be increased.
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Your TSH is high and you are already on meds
So you need dose adjustment …. Need to increase dose as per now
Get your anti- tpo antibody test done
Then consult with a report
Also need to know the weight and other dietary habits
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HYPOTHYROIDISM
THYROXINE( THYRONORM)125 MCG ONE BEFORE BREAKFAST FOR TWO MONTHS, NOT TO STOP AS U NEED FOLLOW UP WITH MD PHYSICIAN LATERTO MANAGE THE DOSE.
THYROXINE IS CALCIUM DEPLETING AGENT SO BONES BECOME WEAK SO U NEED TO ADD CALCIUM.
SHALCAL XT ONE AT NIGHT.
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The dose is inadequate. Kindly consult with me on 94 two six eight six 78 nine six.
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Consult and dose has to be adjusted till maintains normal level.
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If you already on thyronorm ,and tsh still high you need to increased the dose adjustment. Please consult me on practo for further management.
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Your TSH is high, which suggests your thyroid dose may need adjustment even if T3 and T4 are normal. Do not change the dose on your own.
Next Steps
Please consult me so I can review your reports properly and adjust the medication safely.
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If you are already on medication for hypothyroidism and TSH is 11.13 it requires to change in dose of thyronorm , before that we have to just check that is there any other medicines are you taking which may interfere with this thyronorm tablet or not
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your TSH is 11.13 while your T3 and T4 are within normal range. This indicates subclinical hypothyroidism (elevated TSH with normal thyroid hormones). You are currently taking Thyronorm 62.5 mg.
What you should do
- Continue the current dose if you do not have significant symptoms such as fatigue, weight gain, or cold intolerance
- Your doctor may consider adjusting the dose gradually depending on symptoms, age, and other health conditions
- Recheck TSH after 6–8 weeks of dose adjustment to assess response
- Maintain regular follow-up for monitoring heart health and any side effects
When to consult me
- Persistent hypothyroid symptoms despite treatment
- Signs of over-replacement: palpitations, tremors, weight loss, heat intolerance
- Any new cardiovascular symptoms or other health concerns
For further guidance and personalized treatment you may consult me on Practo anytime.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further management. Kindly consult
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Dr. Peeyush Chouhan
General Physician
6 yrs exp
Indore
Are you previously on thyronorm 62.5mcg
Or prescribed due to tsh of 11?
More information needed
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's Hypothyroidism
Continue for 3 month
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No, use 100
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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