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T3 T4 normal TSH is 12
Is it a serious issue of TSH alone is abnormal?
I have no symptoms. Do i need to take medication? Pls suggest. Thank you.
Answers (20)
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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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Its called Subclinical Hypothyroidism
Next Steps
TSH > 10 requires treatment irrespective of symptoms
Health Tips
Kindly consult for exact dosage and further evaluation...
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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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Yes you would have to. Would need detailed history and lab reports
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I'd be happy to assist you on further treatment plan. For personalised medical guidance and a detailed assessment of your concerns, kindly book an online consultation with me through the Practo app!
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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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depends on the exact value and your free T4 level please book a consultation with me to review your reports and determine whether treatment or monitoring is appropriate rather than starting medication on your own.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Hypothyroidism
Need THYROXINE 100 MCGONE BEFORE BREAKFAST.
ADD CALCIUM AS THYROXINE IS CALCIUM DEPLETING AGENT SO BONES BECOME WEAK.
SHALCAL XT ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
NOT TO STOP AS U NEED FOLLOW UP UNDER MD PHYSICIAN OR ENDOCRINOLOGIST.
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Dr. Aakash Mishra
General Physician
6 yrs exp
Jaipur
Do share the reports if available.
If there are no symptoms ,then there is no need to take medications right now but I recommend a follow up test of TSH after few weeks.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
It’s mostly subclincal hypothyroidism
But you need to start medication
Do consult
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Dr. Sozab Malik
General Physician
2 yrs exp
Aligarh
If Your only TSH value is high. Did you feel any symptoms like Fatigue, Cold Intolerance, Digestive Changes, Bodyache etc. etc.
Next Steps
Then Get a Lab Test again after 20-30 Days
Health Tips
consult
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Ms. Alisha Bansal
Consultant Physician
3 yrs exp
Gwalior
An isolated abnormal TSH does not always require medication. Please share your TSH, FT3, and FT4 values. Treatment depends on the degree of abnormality and thyroid hormone levels. Repeat testing may be advised before starting medication.
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Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
Your TSH level of 12 mIU/L is elevated, while T3 and T4 are reportedly normal.
If your free T4 is normal, this suggests subclinical hypothyroidism, a condition in which the thyroid gland requires increased stimulation to maintain normal hormone levels.
Although you have no symptoms, a TSH above 10 deserves medical attention.
This is generally not an emergency, but treatment may be beneficial to prevent progression to overt hypothyroidism.
Next Steps
Consult a general physician or endocrinologist for evaluation. Repeat TSH and free T4 in approximately 6â8 weeks to confirm persistent elevation. Consider anti-TPO antibodies to assess for autoimmune thyroiditis (Hashimoto's disease). Levothyroxine treatment is generally recommended when TSH remains above 10 mIU/L, even without symptoms, after considering individual clinical factors. If medication is started, repeat TSH after approximately 6â8 weeks to assess treatment response.
Health Tips
Avoid starting thyroid medication or iodine supplements without medical supervision. Maintain a balanced diet and use iodised salt in normal dietary amounts. My recommendation: A TSH of 12 should not be ignored. Although it is usually not dangerous in the short term, repeat testing and a physician consultation are important to determine whether levothyroxine is required. With appropriate monitoring and treatment, thyroid function can usually be managed effectively. Wishing you good health!
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet. Take iodized salt in diet.
For diet details and ePrescription consult by practo app.
Thanks.
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Dr. Das Kashyap Dinesh
General Physician
2 yrs exp
Surat
A TSH level of 12 mIU/L with normal T3 and T4 may indicate subclinical hypothyroidism, provided free T4 is within the reference range. Even in the absence of symptoms, this finding warrants further evaluation.
I would recommend repeating TSH and free T4 in approximately 8–12 weeks and checking anti-TPO antibodies to assess for autoimmune thyroid disease. Review any previous thyroid reports, medications, and relevant medical history.
If TSH remains ≥10 mIU/L on repeat testing, levothyroxine treatment should be considered after clinical assessment. Please consult a physician for individualized advice and do not start thyroid medication without medical guidance.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A TSH of 12 with normal T3 and T4 usually means subclinical hypothyroidism. Your thyroid is working harder than it should, but hasn't yet pushed your actual hormone levels out of range. It's common and manageable. Even without symptoms, a TSH this high usually needs treatment rather than just watching.
Next Steps
See a physician or endocrinologist to confirm with a repeat test and an anti-TPO antibody check, since that helps decide how it's managed going forward. Treatment usually means a daily thyroid hormone tablet, and most people feel completely normal once levels are corrected.
Health Tips
Don't start or adjust any thyroid medicine on your own. Get this reviewed in person soon, since untreated subclinical hypothyroidism can slowly affect energy, weight and cholesterol over time.
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