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Suggest treatment for high TSH level - Online Doctor Chats

Date : 10-Jul-2014
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:hello doctor..
Doctor:
Please proceed with your query
User:how are you doing>
User:i suffer from hypothyroidsm..and been on medication...the last TFT i did was in December 2013 and got one done now..
Doctor:Ok, do you have the result?
User:T3 is 0.81 ng/ml (bio ref range 0.7 - 2.0) // T4 6.49 mcg/dl (bio ref range 4.5 - 11.0)
User:and the Thyroid stimulating hormone is 5.00 mcIU/ml (bio ref rane is 0.4 - 4.2)
User:i am currently taking thyroxine sodium tablets 50 mcg...
User:do i need to adjust the dosage?
Doctor:It looks like you will need to increase the dosage slightly
Doctor:your TSH level is still a bit high
User:so what would be your recommendation doctor?
Doctor:but that is just the labs. How do YOU feel since starting the medication
User:well i still have my nails that are brittle and kinda ridged..when you feel it with your fingers...my dry skin is more or less under control (could be due to the fact that the winter has passed/)
User:don't feel as tired since I started taking the medication...my weight kinda remains the same..around 60-61 kgs only
Doctor:Ok, so it seems to be working
Doctor:the fatigue and the dry skin are good indicators
Doctor:In my opinion you should alternate the dose between 50mcg and 75 mcg on alternate days for the next three months
User:but i have been having dry skin since childhood..more or less heridetary..but i keep it moisturized always now..using a good mositurizer
User:and i exercise quite a bit..cycle about 32 kms daily...
User:so an aerobic exercise of about 1 hr and 45 min
Doctor:I see, well, i'm glad you are moisturizing then. And the exercise is wonderful
User:oh ok..let me try that out doctor...
User:do you recommend that i do the tests again after 3 months?
Doctor:good. The most important thing is to continue that dosage schedule for another 3 months and then recheck the thyroid levels
Doctor::-) yes yes I reccomend it
User:cool..will do
Doctor:Do you have any more queries?
User:thatz it from my side doctor..thank you for the help
User:you have a great day
Doctor:Thanks for visiting me here. Bye for now.
User:ciao
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