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Need to adjust my medicine dose
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Thank you for sharing your report. A TSH level of 0.45 µIU/mL is on the lower end of the normal range (typically 0.4â4.5). If you're feeling fine, without symptoms like palpitations, anxiety, or weight loss, there may not be an immediate need to change the dose. However, since you're on 100 mcg and this TSH suggests mild suppression, you may benefit from a slight dose adjustment to 88 mcg, under medical supervision.
Please consult your endocrinologist or physician to evaluate clinical symptoms along with this value before making any changes.
For consultation, connect with me on Practo for video consultations. For WhatsApp queries only: Eight Seven Six Two Seven Four Nine Nine Seven Four
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Are you feeling o.k. or you have any problem, like weakness, dry skin etc.
Next Steps
You can take tab thyroxine dose to 75mcg daily.
Health Tips
Repeat thyroid function tests after 4 to 6 weeks and further dose can be decided by the results.
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Need few more details
Kindly consult
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You may need a dose modification while considering your weight,under the supervision of your physician,
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This is my speciality. Just skip the 100ug dose once a week. That should help. Connect if you need elaboration
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Share your report.
Different labs have different range levels.
Depends on multiple factors/ symptoms and range of tsh to reduce the dose. Kindly connect
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Dr. Harshavardhan Reddy
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Hyderabad
Reduce to 75mcg and repeat the test after 1month
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Better to consult a endocrinologist he Mey guide to taper n give maintenance dose as 25/ 12.5mcg for two months. Than repet test. Whether stable or increase.
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Hi,
Based on what you have mentioned, you would need a dose reduction. I generally don't prefer reducing or increasing doses for someone I don't treat because I don't have a complete understanding of how you respond to dose changes.
You should ideally consult your routine doctor and adjust your doses
Thank you
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Kindly connect
Will help you.
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Connect
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
Kindly consult.
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Dr. Sunita Sinha
Gynecologist/Obstetrician
7 yrs exp
Patna
Consult your doctor and every 6 months recheck thyroid profile
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Stop medication for one week
Need to reduce dose
Consult online will guide you
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need re-evaluation. You should not change dose based only on Report.
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Dr. Vikram Pratap
General Physician
12 yrs exp
New Delhi
You should visit a physician for proper physical examination and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need more history for further evaluation. Kindly consult
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Dr. Trupti Shelke
General Physician
3 yrs exp
Thane
You can go for dose reduction
Next Steps
Consult your primary physician he can guide you well as he knows your detail history and response to treatment
Health Tips
You are doing well so keep your lifestyle as advised
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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. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Consult
Take 50
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Reduce the dose
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
We need to reduce the dose.
Pls don't worry.
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect…..
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Dr. Sarita Meena
General Physician
3 yrs exp
Jaipur
100 mcg since how much time and tell me the T3 and T4 level also
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Dear Patient,
Your TSH level of 0.45 indicates that your current dose of 100 mcg thyroxine may be slightly higher than required, as the ideal TSH range for treated hypothyroidism is typically between 0.5 and 2.5. However, dose adjustments should always be made cautiously and under medical supervision.
I recommend reducing your dose to **75 mcg thyroxine daily** and repeating your thyroid profile after 6–8 weeks to reassess TSH levels. Avoid making sudden changes without monitoring, as this can lead to symptoms of over- or under-treatment.
**Next Steps:
1. Consult your doctor to discuss this adjustment.
2. Recheck TSH after 6–8 weeks on the new dose.
3. Monitor for symptoms like palpitations, fatigue, or weight changes.
**Helpful Tips:
- Take thyroxine on an empty stomach, ideally 30–60 minutes before breakfast.
- Avoid calcium/iron supplements within 4 hours of thyroxine.
For personalized guidance, I recommend scheduling a consultation with me. You can reach me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** for further assistance.
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