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Thyroid Dose recommendation
Hi, I'm a 35-year-old female, 4'11", 58 kg, diagnosed with hypothyroidism 8 years ago.
TSH history:
Feb' 2026 : 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
Recently i visited Two doctors for dosage opinion, two opinions:
Doctor A: Increase to 100 mcg (1.7 mcg/kg basis)
Doctor B: 88 mcg is fine
Doctor A calculation:
1.7 mcg × 58 kg = 98.6 mcg ideal dose
Neither 88 nor 100 mcg is exact.
TSH jumped from 0.82 to 4.558 in one year on same dose.
Planning to reduce weight also.
Answers (9)
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Consult superspecialist like endocrinologist
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As there is an abrupt increase in TSH Value, we should increase the dose from 87.5mcg to 100 mcg once daily. But before that reconfirm the report by repeating it from a different lab as sometimes lab value may be wrong from some lab.
Health Tips
Always take thyroxine tablet in early morning in empty stomach. Keep a break of at least 45 minutes from taking tablets to having food
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Consult an Endocrinologist.
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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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Did u miss doses? The increased levels mean ur body need more of thyroxin. Reducing weight will help reducing the dose and other complications. For more questions, kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Endocrinologist
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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. 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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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.