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Hyperthyroidism
On 15 august i had tsh of 0.004 with t4 of 21 doctor started carbimazole 10 twice a day after a month on 15 September my tsh went up to 11.736 and t4 went down to 4.70 doctor reduced carbimazole 10 once a day. i just want to know is 10 mg is enough for me what if I go to hyperthyroidism again on this reduced dose am I on right path, will test again around 10 october but what if it is too late test I go to hyperthyroidism again
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TSH is raised due to carbimazole dose.you doctor has rightly reduced the dose in order to bring the TSH level lower.
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Better consult online
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Hello,
Your thyroid reports show a shift from hyperthyroidism (low TSH, high T4) to hypothyroidism (high TSH, lower T4) after carbimazole, which is why your doctor reduced the dose. Carbimazole dosing often needs adjustment based on repeat thyroid function tests every 4–6 weeks. A single dose may not remain stable long term, so close monitoring is important.
You are on the right path, but regular follow-up and timely blood tests are essential to avoid swings between hyper- and hypothyroidism. Please connect with me on Practo for detailed review and guidance.
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Have faith in your doctor. In present situation he is the best judge.
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Very complicated, consult endocrinologist.
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10 mg per day once daily is adequate dose and please continue as advised and repeat tsh with t3 and t4 for proper follow up and change in medication dose
Next Steps
Repeat Tsh and T3 T4 after 1 month
Health Tips
Adequate hydration and avoid high salt diet
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Dr. Shivani B
General Practitioner
Bangalore
Doctor have been properly titrating carbimazole acc to ur values...please do follow it
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Dr. Farhan Khan
General Practitioner
7 yrs exp
Mysore
Your lab trends and dose adjustment suggest your thyroid levels are responding well to carbimazole. Reducing to 10 mg daily is a common step to prevent shifting into hypothyroidism.
Thyroid treatment is dynamic, doses often need adjustment based on regular testing and symptoms, so sticking to your primary physician’s monitoring schedule and guidance is essential.
It’s understandable to feel concerned, but these changes are a normal part of managing hyperthyroidism, and with close follow-up, your care is on the right track.
If hyperthyroid symptoms (e.g., palpitations, tremors, weight loss) recur before your next test, contact your doctor sooner.
Health Tips
Disclaimer: This is general information only and not a substitute for personal medical advice. Please follow up closely with your treating endocrinologist for individualized care and dose adjustments.
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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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