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Routine test? subclinical hypothyroidism
72 years female. For subclinical hypothyroidism first diagnosed with TSH 10 one year back, and fluctuating TSH around slightly higher than normal range (3,5,9,10) checked every 2-3 months based on adjusting the dose of Thyronorm with normal t3 t4 and no symptoms, ?At What Intervals? should TSH be checked on routine basis if dose of medicine is being adjusted every time??
Current dose 62.5 mcg for TSH of 5.6.
Also antiTPO has never been done? Is it required? After how many months tsh needs to be checked for subclinical hypothyroidism?
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Endocrinologist
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TSH is rechecked 8 weeks after any levothyroxine dose change, then every 1 year once stable anti-TPO is not necessary. Please consult me so I can review the TSH trend and dose and guide the appropriate monitoring plan.
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3 months interval is a good te to recheck thyroid levels.
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Hello,
Take Balanced diet.
For diet details and prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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For a stable patient on levothyroxine, TSH is usually rechecked 6â8 weeks after any dose change; once stable, every 6â12 months is generally adequate.
A TSH of 5.6 may need a small adjustment depending on symptoms, free T4, adherence and cardiac or bone risk, but do not change the dose without review.
Anti-TPO can help clarify autoimmune thyroiditis but usually does not need repeated testing.
Please consult or book on Practo with recent TSH/free T4 results and medication details.
Next Steps
Take Thyronorm with water on an empty stomach and separate calcium, iron and antacids by at least 4 hours.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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If tsh level is not being maintained then after dose adjustment you should get it checked in 6-8 weeks like now tsh level is high so your dose possibly needs to be adjusted once TSH level is normal you can check it at an interval of around 3-6 months and anti tpo antibody along with it
Health Tips
based on your tsh level you should get your dosage of medication checked
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Avoid sugar and starch food
Green leafy vegetables more
Fiber meal more
Protein intake more
Fluid intake more
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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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