How to normalize TSH levels?

default
Posted on Wed, 29 Oct 2014 in Thyroid Problem and Hormonal Problems
Question: I had a complete thyroidectomy. In July, my TSH was .7. In September, I was on Cipro for a kidney infection and didn't realize that I should take it 6 hours apart from my Armour thyroid. During a recent physical, my TSH is 46. My endo ordered more tests to verify such a high number, but I feel horrible...tired, muscle weakness, heavy feeling in my neck, clavicle, and throat. What is the usual course of action for a doctor to return my TSH to normal?
doctor
Answered by Dr. Saumya Mittal 1 hour later
Brief Answer:
I would start thyroid replacement

Detailed Answer:
Hi
I am Dr Mittal.
I have read your query.

The best way to answer your question would be to explain to you the way it works.

Thyroid hormones are secreted as a result of stimulating effect of TSH. When thyroid was producing excess thyroid hormone levels, TSH was low. Now that thyroid levels are gone, TSH is secreted excessively to stimulate thyroid hormones. Thyroid gland has been removed, so body creates more TSH.

The best way to control the symptoms would be to take thyroid medicines. It is regularly prescribed by the doctor to people who had a thyroid surgery

At those levels, I will suggest that you can get a initial dose of 100 mcg and then step up from there. If you can let me know your body weight, last dose, and last test report, I think I will be able to make a better suggestion on the dose of the medicines.

Your symptoms all are suggesting hypothyroidism. Almost text book features.

Best if luck.
Dr Mittal...

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Saumya Mittal 1 hour later
Thank you. I typically take 30 mcg (1/2 of a 60 mcg tablet daily). My last dose of Armour was 60 mcg on October 1 at 8 AM. I weigh 105. My lab results were from 9/24/14:
TSH: 46.8 uIU/mL
Free T4: .76 ng/dL
Free T3: 3/1 PG/ML
doctor
Answered by Dr. Saumya Mittal 8 hours later
Brief Answer:
go to 100 mcg

Detailed Answer:
by the calculation, your ideal thyroid needs should settle around 150 mcg.
However, that is a very high dose to get to straight off.
I would suggest stepping up to 100 mcg.
Repeat thyroid profile after 2 months.
If TSH is still low, we can then move to 150 mcg.

I hope that helps.
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2881 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication
Medical Procedures
Medical Topics ,  

Recent questions on  Kidney infection

doctor1 MD

son in law is having night sweats where he soaks the bed, and it also happens during the day. he has low back pain, doesn't feel like eating much...

doctor1 MD

Ive only taken2 bactrim pills for a kidney infection and my pinky finger is red super hot and swollen and I have a few blotchy spots on my body. Im...

doctor1 MD

Hello for the past year I have had tenable headaches... i was referred to a specialist and brain scan came back normal... i I haven t like I have...

doctor1 MD

I have been peeing excessively. I went to the immediate care and they thought I either had a bladder, uti, or kidney infection. They gave me a 5...

doctor1 MD

I hava had chronic back pain for the last 25 years. My doctor performed a lumbar fusion in 1992. During the last 2 months, I have had severe...

doctor1 MD

My urine is very pungent and cloudy And very yello all of a sudden. I know that I don’t have a urinary track infection and I know that I don’t have...

doctor1 MD

My 31 year old son in law has a mystery illness that resulted in two hospitalizations. It started out with a kidney infection and horrible toe pain...

Get personalised answers from verified doctor in minutes across 80+ specialties

158 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2