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My TSH level is 5.440. Do I have thyroid problem?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My TSH level is 5.440, whereas T3 and T4 are normal, that is, 1.16 and 7.25, respectively. Do I have thyroid problem? If yes, what treatment should I take? I have diabetes for the last 30 years and taking Insulin 16 morning, 12 evening and one tablet morning and a half tablet of Metformin 500 and Glimipride two in the evening.

Answered by Dr. yellaturi Sivaroja

Education:

MBBS

Professional Bio:

Dr. Y. Siva Roja is an Internal Medicine specialist with nine years of clinical experience. She completed her MBBS and MD in General Medicine at NRI Medical College. She is currently practicing in Guntur, Andhra Pradesh.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have reviewed your query. After reviewing your report (attachment removed to protect patient identity), if you do not have any symptoms of hypothyroidism like dry skin, hair loss, cold intolerance, weight gain, loss of appetite, or bradycardia, you can be diagnosed as having sub-clinical hypothyroidism for which your physician will find no need to start you on any treatment. Because subclinical hypothyroidism is usually started on treatment only in special patients like a pregnant woman, and not usually in a general population.

If your physician has any further doubts after examining you, he may advise you to get anti-TPO (thyroperoxidase) antibodies test and thyroid scan to rule out any remote causes to be started for treatment. I advise you to get a repeat thyroid profile testing done after three months or in between in case you develop any symptoms.

Medically reviewed by Dr. K. Shobana
Published At July 25, 2018
Reviewed At June 4, 2025

Education:

MBBS

Professional Bio:

Dr. Y. Siva Roja is an Internal Medicine specialist with nine years of clinical experience. She completed her MBBS and MD in General Medicine at NRI Medical College. She is currently practicing in Guntur, Andhra Pradesh.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Y. Siva Roja is an Internal Medicine specialist with nine years of clinical experience. She completed her MBBS and MD in General Medicine at NRI Medical College. She is currently practicing in Guntur, Andhra Pradesh.

This doctor is not available for online consultations on the platform anymore.

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