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Is 2.5 Of TSH Value At 4 Weeks Pregnancy A Cause For Concern?

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Posted on Wed, 7 Jan 2015
Question: Is 2.53 TSH value at 4 weeks pregnancy allright? Lab test reference range is till 2.5
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Answered by Dr. Ajish TP (29 minutes later)
Brief Answer:
TSH slightly on higher side

Detailed Answer:
Hi XXXXXX,

Thanks for posting question in HCM.
I have gone through your question and understand your concerns

No need to worry.

Though we take TSH less than 2.5 as normal, we usually don't start treatment at a value 0.03 higher. What I do in a similar case is to repeat the test along with total T4 and anti thyroid antibodies.

If antibodies are normal and T4 is on the upper half of normal, I won't treat. I will repeat T4,TSH after 4 weeks. Any doubtful or abnormal report, I will start treatment immediately as the benefits of over treatment out weights the risks.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

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Is 2.5 Of TSH Value At 4 Weeks Pregnancy A Cause For Concern?

Brief Answer: TSH slightly on higher side Detailed Answer: Hi XXXXXX, Thanks for posting question in HCM. I have gone through your question and understand your concerns No need to worry. Though we take TSH less than 2.5 as normal, we usually don't start treatment at a value 0.03 higher. What I do in a similar case is to repeat the test along with total T4 and anti thyroid antibodies. If antibodies are normal and T4 is on the upper half of normal, I won't treat. I will repeat T4,TSH after 4 weeks. Any doubtful or abnormal report, I will start treatment immediately as the benefits of over treatment out weights the risks. Hope I have answered your questions. If you have any further queries I will be happy to help you. Regards, Dr Ajish TP [MD,DM] Consultant Endocrinologist