HomeAnswersEndocrinologythyroid-stimulating hormone (TSH) level

My TSH level is derranged after taking Thyronorm. Do I need to adjust the dosage of it?

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Patient's Query

Hi doctor,

Before six months, I took a thyroid test. My FT3, FT4, and TSH were within range. But when I did a test this week, I had a TSH of 14.69 mIU/L and FT3 and FT4 are within range. I am taking Thyronorm 125 mcg for two and a half years. Do I need to adjust its dose for having higher TSH levels?

Answered by Dr. Mohammed Abdul Nasir

Education:

MD

Professional Bio:

Dr. Mohammed Abdul Nasir is an expert in Internal Medicine, with extensive experience and a deep understanding of all treatment modalities within the field.

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

Hi,

Welcome to icliniq.com.

The thyroid hormone present in the blood is made of two components such as free component and bound component. A free component is usually effective. While measuring hormone levels, we need to take both free and bound forms into consideration. As your free form is normal or within range, then you do not need to be worried. Your TSH (thyroid-stimulating hormone) remains high as your bound form of hormone is low. Usually, thyroid hormones get bonded to proteins like albumin. I suggest you do tests to know your albumin level. Kindly continue taking the same dose of Thyronorm and repeat TSH after four weeks.

Investigations to be done

Do serum albumin

Probable diagnosis

You seem to have hypothyroidism.

Treatment plan

You do not require any treatment.
Answered by
Medically reviewed by Dr. K. Shobana
Published At December 10, 2020
Reviewed At June 10, 2021

Education:

MD

Professional Bio:

Dr. Mohammed Abdul Nasir is an expert in Internal Medicine, with extensive experience and a deep understanding of all treatment modalities within the field.

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!

Dr. Mohammed Abdul Nasir

Pain Medicine

Education:

MD

Professional Bio:

Dr. Mohammed Abdul Nasir is an expert in Internal Medicine, with extensive experience and a deep understanding of all treatment modalities within the field.

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

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