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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do As I Am Having High Cholesterol Level?

Hello.. I am Karan. I was diagonised hypothyroid in Jan 2012 (Free T3 2.93, Free T4 0.38 and TSH 96.45). I consulted doctor and was put on Thyronorm 25. Post that in March 2013, I tested again to see that my Free T3 3.53, T4 0.79 and TSH 8.90. I continued with Thyronorm 25. Now I tested again and now my results are T3 2.5, T4 0.59 and TSH 66. What should I do? Please can you help? I have cholesterol level on higher side.
Wed, 7 Jan 2015
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Endocrinologist,  's  Response
Hi,
Welcome to HCM. I have gone through your question and understand your concerns.

You are only on a small dose of thyronorm and your thyroid functions are never in control on that dose. The TSH on treatment should be between 0.5 and 4 miu/ml while on treatment for hypothyroidism.

The usual dose I start on a similar patient is around 75 to 100 mcg per day according to the weight Then after 6 weeks I will repeat a thyroid functions to see if the TSH has come below 4. If not the dose has to be adjusted.

Since your TSH is higher, you should increase the dose of thyroxine probably to 100mcg after consulting a physician.

Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
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What Should I Do As I Am Having High Cholesterol Level?

Hi, Welcome to HCM. I have gone through your question and understand your concerns. You are only on a small dose of thyronorm and your thyroid functions are never in control on that dose. The TSH on treatment should be between 0.5 and 4 miu/ml while on treatment for hypothyroidism. The usual dose I start on a similar patient is around 75 to 100 mcg per day according to the weight Then after 6 weeks I will repeat a thyroid functions to see if the TSH has come below 4. If not the dose has to be adjusted. Since your TSH is higher, you should increase the dose of thyroxine probably to 100mcg after consulting a physician. Hope I have answered your query. If you have any further questions I will be happy to help With warm regards, Dr Ajish TP (MD,DM) Consultant Endocrinologist.