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Thyroid dose confusion
Hi, I'm a 35-year-old female, 4'11", 57 kg, diagnosed with hypothyroidism 8 years ago.
TSH history:
Last year: 0.82 μIU/mL
This year: 4.558 μIU/mL — significant rise on same dose
Current medication:
75 mcg + half of 25 mcg = ~87.5 mcg daily
Unchanged for 3–4 years
Two doctors, two opinions:
Doctor A: Increase to 100 (1.6mcg /kg basis)
Doctor B: 88 mcg is fine
My calculation:
1.6 mcg × 57 kg = 91.2 mcg ideal dose
Neither 88 nor 100 mcg is exact.
My questions:
TSH jumped from 0.82 4.558 in one year on same dose. Please suggest 88 or 100 mcg.
Answers (12)
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I suppose Hypothyroidism is better treated by a General Physician by physical consultation rather than Tele-consultation.
This is not a life saving emergency. Nor is it going to be ever treated completely.
So there is no point in finding faults with your Doctors. Please consult a third Doctor "C" if you are not happy with Doctor A and Doctor B.
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Pls connect for online consultation and advice
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Dr. Parthvi Patel
Gynecologist/Obstetrician
10 yrs exp
Surat
Specialist for this is - endocrinologist
Next Steps
Visit endocrinologist with reports
Health Tips
Avoid eating cabbage
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Dr. Maneesha Singh
Infertility Specialist
25 yrs exp
Ghaziabad
Consult an endocrinologist for better opinion.Are you experiencing any new signs and symptoms..
Watch this to know more about symptoms
https://youtube.com/shorts/dodnqiujqng?feature=share
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Dr. Manoj Kumar
Obstetrician
20 yrs exp
Amritsar
Hello
your TSH level is with in normal range.
no need to worry, may factor can influence TSH level
like
1.Consistency ( taking medicine at same time every day, ideally on empty stomach)
2. Brand change
3.Absorption issue
when ever there is a doubt We go for free T4 level & ultra TSH level .
Next Steps
Continue with 88mcg dose as advised
Health Tips
Diet
Exercise, yoga ( Thyroid specific, very effective)
Repeat Thyroid profile after 4 to 6 weeks.
If required consult with endocrinologist.
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Dr. Pratibha P S
Gynecologist
10 yrs exp
Bangalore
consult
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
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Dr. Sharmila Krishnamoorthy
Obstetrician
5 yrs exp
Erode
Both are not incorrect
But it is better to continue 88mcg
Diet
Exercise
Review after 3 months
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
TSH within the required range is considered as normal.
Consult endocrinologist for thyroid treatment.
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