Tsh at 5.76

Hi I am 32 years male. My tsh in latest test shows at 5.76. What should be my next steps? How can I naturally bring it to normal levels without medication. I have a slight shiver in my left hand - not sure if that is because of the tsh levels.
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Harisha N L
General Physician 3 yrs exp Bangalore

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Hi there I understand your concern and anxiety....increased thyroid stimulating hormone levels suggestive of hypothyroidism I.e under active thyroid gland...The most common cause of hypothyroidism is Hashimoto's thyroiditis which is an autoimmune thyroid disorder..others being viral infection of thyroid gland,low iodine in diet,radiotherapy,radio active iodine treatment etc...Changes in the menstrual cycle,constipation,depression,dry hair and hair loss,dry skin,fatigue,greater sensitivity to cold,slow heart rate,swelling of the thyroid gland (goiter),unexplained weight gain or difficulty losing weight etc....diagnosis is done by estimating tsh and t3 and t4 levels...Lower-than-normal T4 levels usually mean you have hypothyroidism. However, some people may have increased TSH levels while having normal T4 levels. This is called subclinical (mild) hypothyroidism. It is believed to be an early stage of hypothyroidism...treatment is mainly by replacing thyroid hormones by thyroxin tablets in appropriate dose... Consult nearest physician for clinical examination they will help you further.
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