Download FREE Practo app
Get ₹200 HealthCash
TSH 5.6, Thyronorm 62.5
TSH 10 diagnosed first 1 year back & started on 50 mcg after which TSH 0.13.
On 25 mcg TSH came 5.6
On 37.5 , TSH 9
On 50 mcg TSH 3.3
On 50 mcg, current TSH 5.6 and Thyronorm dose increased 62.5 mcg
Patient 72 yrs has liver disease hypertension prediabetes.
No thyroid symptoms, weight 52.40 kg.
Is Thyronorm dose given now of 62.5 for TSH 5.6 appropriate?
Answers (2)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Yes, increasing Thyronorm to 62.5 mcg is a reasonable and cautious step for TSH 5.6. In a 72-year-old with liver disease and hypertension, the TSH target should be more relaxed â around 4â6 µIU/mL is acceptable; aggressive over-correction risks atrial fibrillation and bone loss in the elderly. The incremental increase from 50 to 62.5 mcg is appropriate. Note that liver disease can affect T4 metabolism, which may explain the fluctuating TSH responses.
Next Steps
Recheck TSH after 6â8 weeks on 62.5 mcg. Monitor LFTs and heart rate. Please consult me directly on Practo.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+151
Yes
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.