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Dr. Andrew Rynne

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How can low TSH levels with hypothyroid symptoms be treated?

Answered by
Dr. Mirjeta Guni


Practicing since :2006

Answered : 2210 Questions

Posted on Fri, 8 Feb 2019 in Thyroid Problem and Hormonal Problems
Question: Hi I am 68 years old. Had my thyroid completely removed 40 years ago due to nodules caused by radiation. I am experiencing most of the hypothyroid symptoms. My physician did blood work. Just the TSH levels. TSH level was .09 I am on 1.75MG per day of synthroid. What should I do. My physician doesn't want to do anything. Said it is working.
Answered by Dr. Mirjeta Guni 23 minutes later
Brief Answer:

Decrease the dose as below;

Detailed Answer:


The TSH level your reported is too low, suggesting for a high dose of levothyroxine.

I would recommend decreasing the dose (you may take one day 175mcg and the next day 150mcg) and check the TSH after 6 weeks, if normal, continue with this dose for the other 6 months.

Hope I have answered your query.

Take care

Dr Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee

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