How to normalize TSH levels?

Posted on Sat, 27 Dec 2014 in Thyroid Problem and Hormonal Problems
Question: Hi doctor,

Recently i did my thyroid check up.. My TSH level is 6.56 with normal T3 and T4.
Please suggest suitable medicine to get my TSH level normalised.

Answered by Dr. Ajish TP 20 minutes later
Brief Answer:
Please provide additional information

Detailed Answer:

I've gone through your thyroid function reports. Your TSH is slightly high and T3, T4 is normal. You are suffering from sub clinical hypothyroidism - a mild decrease in thyroid function. The indications for treating this condition are

1. Presence of swelling in thyroid (goiter)
2. Pregnancy or planning to get pregnant
3. High blood cholesterol
4. Presence of anti thyroid antibodies in blood.

Please let us know if you have any of these. The treatment for hypothyroidism is thyroxine hormone replacement. Consult a physician to start you on medications if needed. The starting dose depends on your weight and other features (above mentioned 1-4)

Hope I have answered your questions. If you have any further queries I will be happy to help you.


Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
Follow up: Dr. Ajish TP 23 hours later
Thank you for the reply doctor. I am overwieght 90Kg. Trying to concieve.
My Cholestrol levels are normal.
Please suggest appropriate dosage of medicine.
Answered by Dr. Ajish TP 44 minutes later
Brief Answer:
The usual dose we start with is 25 mcg

Detailed Answer:

Thanks for the follow up question.

Since you are planning for pregnancy you should be immediately started on thyroid hormone replacement.

We have limitations in prescribing medication on line. But the usual dose to start is thyroxine 25 mcg in the morning empty stomach. Please consult a doctor before starting medication.

Dr Ajish TP
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
Answered by
Dr. Ajish TP


Practicing since :2002

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