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Thyroid medication
How much Thyronorm should i take for TSH 7.159. GP had given me 62.5mcg. I have been having 50mcg since 3 -4 years. Weight increased to 76kg from 64, 3 years ago.
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A TSH of 7.15 means your thyroid is still under-treated. Since you’ve been on 50 mcg for several years and your GP has advised 62.5 mcg, that step-up is reasonable. Dose adjustments in hypothyroidism are usually done gradually (12.5–25 mcg at a time), especially at your age.
Next Steps
Increase to 62.5 mcg daily as prescribed, then repeat TSH after 6–8 weeks to see if it comes into target range. Also check Free T4 (± TPO antibodies) if not already done. Take Thyronorm early morning on an empty stomach and avoid food/tea/coffee for 30–45 minutes.
Health Tips
Weight gain can happen when TSH stays high, but diet, activity, and age also matter. Don’t change doses frequently on your own — always recheck labs before further increases. If TSH remains high after 62.5 mcg, your doctor may move to 75 mcg based on results.
If you’d like, I can help interpret the follow-up report once it’s done.
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I need more history and details from your side
kindly consult
Dr Ann Elias
MD general medicine
DM Endocrinology
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Dose correction is good.
For weight
Avoid milk n milk products n sugar.U WILL GET DRASTIC CHANGE.
ADD WALK REGULARLY.
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A TSH of 7.159 indicates under-treated hypothyroidism. Since you have been on Thyronorm 50 mcg for 3–4 years and TSH is now elevated, a dose adjustment is appropriate.
Increasing the dose to 62.5 mcg is a reasonable and standard next step, especially considering your weight gain (64 → 76 kg) and persistent elevation of TSH.
However, thyroid dosing should be gradual. Jumping directly to higher doses without monitoring is not advised, but 50 → 62.5 mcg is a safe and conservative increase.
Next Steps
• You may take Thyronorm 62.5 mcg once daily (as advised by your GP)
• Take it on an empty stomach with water, same time every day
• Repeat TSH after 6–8 weeks (not earlier)
• Target TSH is usually between 1–3 mIU/L for symptom control
• If TSH remains high, further adjustment can be done stepwise
Do not alternate doses daily unless specifically instructed.
Health Tips
• Avoid tea/coffee for at least 45–60 minutes after Thyronorm
• Avoid calcium, iron, antacids, or multivitamins for 4 hours
• Weight gain in hypothyroidism improves gradually after TSH normalizes
• Do not focus on frequent testing—consistency matters more
I understand how frustrating weight gain and changing reports can be when you’ve been compliant with medication for years. You’re doing the right thing by questioning and adjusting thoughtfully. With a small dose correction and proper follow-up, this is very manageable.
If you’d like, an online consultation can help fine-tune your dose and address weight concerns in a structured, reassuring way.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Follow your gps advice
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Actually the next dose up from 50mcg is usually 75mcg.
All the best.
J G S R clinic
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Yes you may take the higher dose as you have gained weight so dose calculated according to weight is accurate
Next Steps
Repeat sTSH after 1 month to see whether thyroid levels stay in range
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Its dose depends on your weight...if your weight is increase...your dose is also increase..
Still you taking it in low dose as compared to your weight...
Consult for better and proper management
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
75mcg dose for thyronorm
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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 Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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