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Hi..please help me with the report..currently taking thyronorm 50 but still tsh is 5.7 with normal t4 and t3.
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I think your TSH is within Normal level few questions
1 . What time do you take Your thyroid med
2. Are you taking any other medicine apart from Thyronorm
Kindly let us know so I will be in better position to help you out
Thank you
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You may need a increase in thyronorm dose under the supervision of your physician
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You have elevated TSH (5.7) with normal T3 and T4 → this is subclinical hypothyroidism. Since you are already on thyronorm 50 mcg, this suggests under-replacement or need for dose adjustment.
Next Steps
-Increase thyroxine dose from 50 mcg to 62.5 mcg once daily (empty stomach morning)
-Recheck TSH after 6–8 weeks
-Take tablet strictly on empty stomach, 30–60 min before food
-Avoid taking with calcium/iron within 4 hours
Health Tips
-Do not skip doses
-Regular follow-up needed for dose titration
-Target TSH usually between 0.5–4
-Weight, stress, and compliance affect levels
contact me anytime on practo for further consultation
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U can text me on WhatsApp seven five double four eight zero two five two seven
U have to increase your dose 12.5 means total (50+12.5) then again do tsh after 6 month
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Take it upto 62.5
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Please share details. Since h9w long you are taking thyronorm tablet.
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Consukt.
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No problem. Continue medicine it needs lot of patience
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Do not adjust your dosage yourself. It takes at least 6 to 8 weeks for TSH levels to stabilize
Next Steps
Consult a Endocrinologist. Ensure you are taking the tablet daily on an empty stomach with water only.
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U should continue with thyronorm50 as it will
Take around 3 months ,hormonal to return to normal level(tsh).
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It is common for TSH levels to take some time to stabilize after starting or adjusting thyroid medication. Since your TSH is currently 5.7 mIU/L (which is slightly above the typical target range of 0.4–4.0 mIU/L) but your T3 and T4 are normal, you are currently in a state of subclinical hypothyroidism.
Key Guidance for You:
Medication Consistency: Thyronorm (Levothyroxine) is highly sensitive to absorption. Ensure you are taking it first thing in the morning on an empty stomach, at least 30–60 minutes before tea, coffee, or breakfast. Avoid taking calcium or iron supplements within 4 hours of your thyroid dose.
The Goal of Treatment: For most patients on treatment, the goal is to bring TSH into the lower half of the normal range (usually 0.5 to 2.5 mIU/L). A level of 5.7 suggests that your current dose of 50 mcg might need a very slight adjustment, but this depends on your symptoms (like fatigue or weight gain) and clinical history.
Timeline: TSH is slow to respond. It usually takes 6 to 8 weeks of consistent medication for the levels to reflect a new steady state in your blood.
Next Steps:
Do not change your dose on your own. I recommend continuing the 50 mcg dose for now and re-testing your TSH in another 4 weeks.
If your TSH remains above 4.0–5.0 in the next report, your doctor may consider increasing your dose slightly (e.g., to 62.5 mcg).
Please keep a log of any persistent symptoms like unusual tiredness, hair fall, or feeling cold, as these help determine if the dose needs to be adjusted even if the numbers are nearly normal.
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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be increased dose of thyroid medications
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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. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Its take time.no worry , from last 3 to 4 months your tsh is high and now you are diagnosed with hypothyroidism and taking thyronorm med8cine for it.so its take time to settle down.continue the medicine and dont take stress because its worsens the problem.
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