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TSH reports are high
I have high tsh (13) but t3 and t4 are in normal range. should i start thyroid medication? please advise
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Dr. Nikhil Prabhu
General Physician 8 yrs exp Mumbai

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Check free T3 and free T4 . If free T4 is low then you have overt hypothyroidism and needs treatment. If free T4 is normal ( less chance as TSH > 10 ) then you have a subclinical hypothyroidism. Which might require low dose levothyroxine treatment as per symptoms. Also I advice you to check anti TPO. Clinical examination is also necessary to r/o goitre and nodule enlargement.
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