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Suffering From Hypothyroid, On 75 Mcg Dosage. Suggest What Can Be Done?

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Posted on Tue, 2 Jul 2013
Question: hi doctor
i am XXXXXXX 32.5 years of age. i am suffering from hypothyroid from past 2 years after my son was born who was then 2 years. 6 months back i got my thyroid tested, it was 7. i am on 75 mcg dosage. please suggest what and how to do.
thanks XXXXXXX
doctor
Answered by Dr. Shehzad Topiwala (37 hours later)
Hi XXXXXXX

The TSH target range for a person on treatment with hypothyroidism is 0.4 to 2, with free T4 levels in the high normal range. Studies show that patients feel best with this approach. There are a few exceptions to this general rule such as those who have had thyroid cancer in recent years, in which care higher doses are recommended to keep the TSH suppressed. Then in those with osteoporosis or heart disease, dose increments need to be small and cautious.

Assuming you have no such conditions, a dose increase is warranted in your case from 75 to 100. A conservative increase would be 88 but a scientific trial of each of these two doses would be needed to see how much your body requires.
So I suggest going to 100 daily for now and checking TSH and free T4 in 6-8 weeks and assessing if the TSH is in target range or not. For more information , peruse this weblink WWW.WWWW.WW
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suffering From Hypothyroid, On 75 Mcg Dosage. Suggest What Can Be Done?

Hi XXXXXXX

The TSH target range for a person on treatment with hypothyroidism is 0.4 to 2, with free T4 levels in the high normal range. Studies show that patients feel best with this approach. There are a few exceptions to this general rule such as those who have had thyroid cancer in recent years, in which care higher doses are recommended to keep the TSH suppressed. Then in those with osteoporosis or heart disease, dose increments need to be small and cautious.

Assuming you have no such conditions, a dose increase is warranted in your case from 75 to 100. A conservative increase would be 88 but a scientific trial of each of these two doses would be needed to see how much your body requires.
So I suggest going to 100 daily for now and checking TSH and free T4 in 6-8 weeks and assessing if the TSH is in target range or not. For more information , peruse this weblink WWW.WWWW.WW