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Tsh t4 normal t3 high
Hi I delivered baby 2 month before.
From past 6 months
my thyroid t3 value always high,
But TSH T4 is within the normal.
Taking 100 mg thyronom medicine.
What's the reason?
Can anyone please tell me?
T3 (Total Triiodothyronine) 268 ng/dL
Range value - 84.6-201.8
T4 (Total Thyroxine) 12.4
Range value µg/dL 5.1-14.1
TSH (Thyroid Stimulating Hormone) -
Ultrasensitive, Serum
2.83 µIU/mL
Range value - 0.54-5.3
Answers (20)
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It is due to thyroxine.
Next Steps
get ur free t3 , free t4 levels tested
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Repeat thyroid profile after 4–6 weeks to confirm trend.
Discuss with your endocrinologist regarding dose adjustment — sometimes, lowering the dose slightly may normalize T3.
Check Free T3, Free T4, Anti-TPO antibodies if not done — these give more accurate information than total T3/T4.
Since you are postpartum, regular monitoring is essential as thyroid levels can fluctuate in this period.
(Warning) Don’t change your dose on your own. Please review these results with your treating doctor/endocrinologist for proper guidance.
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consult me for further information
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You can consult me directly on Practo, or reach out via WhatsApp:
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Early consultation helps avoid complications — feel free to connect.
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Initially Postpartum thyroiditis, a condition common after delivery has to be thought off.
It often shows as high T3/T4 with normal/low TSH in the early months, then sometimes shifts to low thyroid hormones later.
Next Steps
If you feel well and asymptomatic, continue the same dose and recheck in 4 - 6 weeks.
Health Tips
If you are having symptoms such as palpitations, anxiety, weight loss, or fatigue, hair loss, weight gain, then will require frequent assessments.
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Reduce dose
Check after 2 months
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High value of T3 is due to Thyronom tablet which contains Thyroxine. You need to consult the doctor and adjust the dosage of the said drug.
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Due to thyroxine
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During and after pregnancy managing your thyroid medication is very important, given that you are taking your thyroid medication i will need your detailed history
Next Steps
Book a consultation with your doctor who have started you on thyroid medication or you can book a consultation with me so that we can figure it out together
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Your reports show high T3 with normal T4 and TSH while on Thyronorm.
This may be due to post-pregnancy thyroid changes, medicine effect, or lab variation.
Repeat testing and possible dose adjustment may be needed after review.
If more questions are in your mind, you can contact me on WhatsApp at nine one one nine two five five six nine nine for free consultation.
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You should reduce the dose of Thyronorm to 50 mcg per day and then do your TSH level after a gap of two months.
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The drug you taking is T4. Which is getting converted to t3. Your tsh is normal now but t3 is going high unnecessarily.i haven't seen your past datas so I cannot directly advice to stop it completely. if you can tell me if you had hypothyroidism during first trimester or before pregnancy? thats's key question in correctly managing your case. How long have you been taking this drug?
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Because of your thyroxine tablet
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Mohak Kamboj
General Physician
1 yrs exp
Fatehabad
High T3 with normal TSH & T4 can happen due to Thyronorm (Levothyroxine) converting T4 → T3, especially after delivery.
Next Steps
Get Free T3, Free T4 & TSH tested and review with your endocrinologist for dose adjustment.
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Dr. Prasanna Kumar T P
General Physician
Madurai
Hello ma'am,
This may be due to intake of thyroxine tablet.
But we can't come to a conclusion with total T3 level. We need to know free T3 levels.
Next Steps
Get tested for Free T3 and Free T4, then review for thyroxine dose adjustments.
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Dr. Mickey Patel
General Physician
7 yrs exp
Ramgarh
Hello,
Your T3 is high but your TSH and T4 are within normal range.
You need to get your free T3 and T4 levels done.
T3 hormone has two forms free and bind T3.Due to pregnancy hormonal changes total T3 may be on higher side,but mainly we have to check Free T3 levels.
Next Steps
Get free T3 and free T3 test done..
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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