HomeAnswersEndocrinologytsh levelMy TSH level increased from 0.19 to 86 uIU/mL despite taking medication. Why?

What could cause elevated TSH levels despite taking medications?

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Published At November 7, 2023
Reviewed AtNovember 7, 2023

Patient's Query

Hello doctor,

My TSH level increased from 0.19 to 86 uIU/mL in 60 days; it was 157 uIU/mL in the next six days. That, too, is when I am taking 75 mcg as suggested by the doctor. Please help me

Thank you.

Hi,

Welcome to icliniq.com.

Your full replacement dose will be 150 to 175 mcg daily. (you may not need the full replacement dose yet, but maybe your requirement has gone up from the initial 50 mcg).

But saying so, I think it is strange the TSH (thyroid stimulating hormone) went from 0.19 to 86 uIU/mL.

Please note that TSH going from 86 to 157 means almost the same, and no need to panic.

Maybe other medicines you took after the ACL surgery may have interfered with the absorption of thyroxine.

I recommend increasing the dose to 125 mcg and taking it on an empty stomach and with no food or drinks, or any other medicines for at least 1 hour.

And repeat the TSH along with Free T4 after 60 days.

Thank you.

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

Dr. Thiyagarajan. T
Dr. Thiyagarajan. T

Diabetology

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