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Thyronorm dose adjustment
I am in a huge confusion. My doctor is not responding. I am Anti TPO positive. While I was on thyronorm 88mcg my tsh level increased to 3.87 from 2 and then started taking 100mcg as per doctor's advice. Now roughly after 2-2.5months today my tsh dropped to 0.26. I am also actively trying to conceive. Which dose should I continue with? Please guide me!
Answers (16)
For adjusting your doses you should have to consult after that a proper planning with precautions can be given.
With a proper dosing,and understand your condition you can conceive.
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100 to be continued. Once consult endocrinologist.
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Frankly donot confuse at all
U should thyrnorm tablets on empty stomach never combined with pantoprazole most common mistake by most patients
Take both tablets 30 min before breakfast
Or missing doses or no exercise
If u r following these three then also not decrease better to visit me or contact on practo app
Thank you
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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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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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your current dose is higher than needed Since you are trying to conceive please consult an endocrinologist to review
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Hello,
Take Balanced diet. Take iodized salt in diet.
For diet details and ePrescription consult by practo app.
Thanks.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Your TSH has dropped to 0.26 after increasing Thyronorm to 100 mcg, suggesting possible over-replacement. Please consult an through proper online appointment promptly for dose adjustment rather than changing the dose yourself.
Get your TSH and Free T4 checked. Since you are actively trying to conceive, maintaining optimal thyroid levels is important; a preconception TSH target of around 0.5–2.5 mIU/L is generally recommended.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Please consult your endocrinologist physically for clinical evaluation.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
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Mr. Yateesh R
General Physician
4 yrs exp
Kadur
If your tsh with in normal limit on 88mcg.
No need to increase the dose even if anti-Tpo positive.
If planning to conceive, increase dose by 25%.
Repeat TFT after 6wks.
Next Steps
What's normal range Of TSH ,T3,T4 in your report
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Consult 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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A TSH of 0.26 is now below the normal range, which usually means your current dose has overcorrected, not that you need more. This matters more right now because you're actively trying to conceive, and both a high and a very low TSH can affect conception. This needs your doctor's direct input rather than a guess from either of us.
Next Steps
Since your doctor isn't responding, please book with another endocrinologist or your gynaecologist soon rather than waiting. When trying to conceive, doctors usually aim to keep TSH below 2.5, so your dose will likely need adjusting and rechecking in 6 to 8 weeks.
Health Tips
Please don't change your dose yourself based on today's result alone, since this needs a doctor adjusting it over a couple of blood tests, not a one-time call.
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