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Thyroid issues
In a routine test I found my TSH is 6.528 in the month of June.
what tests should I do now before consulting a doctor for medicine
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A TSH of 6.5 is only mildly raised and this is called subclinical hypothyroidism. A single such value does not by itself mean you need thyroid tablets, because TSH goes up temporarily with illness, poor sleep, stress or even a late night blood draw. The correct step is to repeat the test rather than start medicine. Please get a repeat TSH along with free T4, and add anti TPO antibodies which will tell whether this is autoimmune (Hashimoto's) and likely to progress. It is useful to do the sample in the morning while fasting, and if you take biotin containing supplements stop them 3 days earlier as they falsely alter results. Along with this get a CBC, vitamin D, vitamin B12, HbA1c and lipid profile, and if you are planning pregnancy or having irregular periods do mention it, because in pregnancy or when trying to conceive we treat even a TSH above 2.5. Treatment is generally advised if TSH is above 10, if antibodies are positive with symptoms, or if there is pregnancy planning; otherwise we simply monitor every 3 to 6 months. Meanwhile ensure iodised salt, adequate sleep, and treat any vitamin D or B12 deficiency. If you have neck swelling, hoarseness, difficulty swallowing, marked weight change or severe tiredness, please have it examined sooner. You may consult me here with your repeat reports (fee Rs 500) and I will tell you clearly whether tablets are needed.
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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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This is the test go for lipid profile.
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Needs correlation symptoms and history before deciding treatment please consult me directly so I can assess you properly.Repeat TSH with free T4 anti TPO antibodies and review the results before starting any medication.
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Repeat test after 3 months .if value is higher than this report than treatment needed otherwise no worry.
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Need not to do anything of you have no symptoms.
This is called subclincal hypothyroidism, repeat tsh after 8 weeks
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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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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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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.