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THYROID PROFILE
My age is 33. I had c section 11 months ago. Before pregnancy I use to have 100mg.during pregnancy I used 125.
After delivery It has reduced to 112.now yesterday I did my thyroid profile. Everything is normal. Tsh is 11.8.
Near gynecologist asked to increase dosage 175. Is it correct. Can any one suggest dosage
Answers (16)
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As per your weight you can increase the dose to 150 mcg and repeat the thyroid function tests after 2 months to compare and adjust the dose if needed.
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Hii
Thyroid has types n u have hypothyroidism
175mcg is high as per ur profile
Thyroid is reversible n we can also stop medicine by proper dietary changes n life style changes
But it doesn't go completely
We have to check every 6 months or annually
If u r off meds
In order to know proper guidance n precautions
Connect with me over here
Happy to help u out
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Share your history in detail, then I can help you further. What are you taking, share the name. You can take 150.
Repeat thyroid function tests after a month.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Pls share all your reports , a jump to 175 from 112 is ideally not indicated . In any scenario we adjust the dosage by 12.5 to 25 mcg . And recheck tsh levels after 6-8 weeks . Kindly connect .
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Need few more details
Kindly connect.
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### 🧠 **Clinical Summary:**
* **Age/Gender**: 33-year-old female
* **Obstetric history**: C-section delivery 11 months ago
* **Thyroid medication history**:
* Before pregnancy: **100 mcg/day levothyroxine**
* During pregnancy: **125 mcg/day**
* After delivery: reduced to **112 mcg/day**
* **Current TSH**: **11.8 mIU/L** (elevated)
* **Symptoms**: Not mentioned
* **Gynecologist suggested dose**: **175 mcg/day**
---
### 🔍 **Medical Interpretation (based on Harrison’s Manual of Medicine):**
1. **TSH 11.8 is elevated**:
* Indicates **hypothyroidism** or **under-treatment** of existing hypothyroidism.
* Target TSH for non-pregnant women is **<4.0–5.0 mIU/L** (ideally **<2.5 mIU/L** for optimal control).
2. **Postpartum thyroid status**:
* **Thyroid hormone requirement can change after delivery**.
* If the patient had **Hashimoto’s** or autoimmune thyroiditis, requirement may **persist or increase** postpartum.
3. **Dose increment to 175 mcg/day**:
* From 112 mcg to 175 mcg is a **large jump (\~56% increase)**.
* Usual increments are **12.5–25 mcg at 6–8 week intervals**, with repeat TSH testing.
---
### ✅ **What should be done (Guided by Harrison and Oxford):**
* A sudden jump to **175 mcg/day** may **overshoot** and cause **iatrogenic hyperthyroidism**.
* Recommended plan:
1. Increase dose **to 125 or 137 mcg/day initially**.
2. Repeat **TSH after 6–8 weeks**.
3. Adjust further if TSH still high.
* **Start low, go slow** is the preferred method to avoid side effects like palpitations, anxiety, and osteoporosis risk.
---
### 📌 Final Advice:
* Yes, **treatment adjustment is required** due to high TSH.
* But **increasing directly to 175 mcg may not be safe**.
* Consult an endocrinologist to titrate dose safely.
* Repeat **TSH every 6 weeks** after dose change until stabilized.
---
**References**:
* Harrison's Manual of Medicine, 20th Ed: Hypothyroidism section
🔗 [Dr. Pradeep Kumar – Practo Profile](https://www.practo.com/ajmer/doctor/pradeep-kumar-28-anesthesiologist)
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Can u tell me ur wt???
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Connect
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Dr. Femy Maria Varghese
General Physician
5 yrs exp
Bangalore
Need more details to suggest the correct treatment
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Yes you can increase it.
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Connect
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Dr. Anmol Kudal
General Physician
4 yrs exp
Nashik
Hello please consult general medicine doctor
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