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Is It Necessary To Decrease Thyroxine Dosage For Elevated TSH Levels?

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Posted on Mon, 23 Mar 2015
Question: Why does my endocrinologist keep lowering my dose of thyroxine to raise my TSH after thyroidectomy?
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Answered by Dr. Chobufo Ditah (15 minutes later)
Brief Answer:
Probably you are being over treated for this!

Detailed Answer:
Hi and thank you so much for this query.

The dose of throne depends on individual response. It is always titrated to look for what works best for each client. Others need more while others need less. The approach to identify the exact dosage is to monitor the symptoms and laboratory TSH levels. When the TSH is in the normal level, it means supplementation is normal. If it is too low, it means that you are being over medicated. i think this is the reason why he is reducing it so that your TSH can increase and fall in the normal range which translates into the right dosage.

I hope this addresses your query fully. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Is It Necessary To Decrease Thyroxine Dosage For Elevated TSH Levels?

Brief Answer: Probably you are being over treated for this! Detailed Answer: Hi and thank you so much for this query. The dose of throne depends on individual response. It is always titrated to look for what works best for each client. Others need more while others need less. The approach to identify the exact dosage is to monitor the symptoms and laboratory TSH levels. When the TSH is in the normal level, it means supplementation is normal. If it is too low, it means that you are being over medicated. i think this is the reason why he is reducing it so that your TSH can increase and fall in the normal range which translates into the right dosage. I hope this addresses your query fully. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.