Brief Answer:
Dose needs to be adjusted by Endocrine specialist
Detailed Answer:
Hello,
Welcome to Healthcare Magic.
The
TSH is very high, suggesting of an underactive
thyroid, so severe that I am surprised if she is able to walk or get up from bed.
It is quite right that the routine operation is deferred until the thyroid is corrected, as there is a chance of multiple problems intra- and post-operative with this level of thyroid function.
The dose can be increased for a week, then lowered and checked after 2-3 weeks to see a response. But this should be done under close supervision with an Endocrine specialist.
Thyroid specialists should take over care and ensure there is no other complications currently such as
pericardial effusion (water around heart), cardiac rhythm abnormalities, muscle problems or GI issues. All this will be related to the thyroid.
Allergies are worsened in underactive thyroid states.
The TSH will come to a normal range within a few weeks (4-6 weeks) but that depends on the
Eltroxin dose. A very rapid normalisation is usually not attempted.
Cholesterol and triglycerides are very abnormal with such a thyroid state and sometimes may need to be treated. The cholesterol levels normalise on their own at times when the TSH normalises.
I hope that was useful.
Best Wishes.