• question-icon

    Suggest treatment for elevated TSH levels and vitamin D deficiency

default
Posted on Wed, 25 May 2016 in Thyroid Problem and Hormonal Problems
Question: On 15th Feb 2016, I went for a proactive full body check up at apollo clinic and surprisingly TSH level came out as 12.49 µIU/mL. Upon suggestion from a local physician, I did not start any medication and got the TSH, T3, T4 and Vit D tests done on 13th Mar and this time the levels are as follows: TSH=10.17, T3=109, T4=8.1, 25 OH Vit D=19.4. Both T3 and T4 appear to be normal as per reference range however TSH is still on higher side while Vit D shows deficiency. I have attached both test reports for your reference.

Could you please advise what should I be doing next?
doctor
Answered by Dr. Ajish TP 20 hours later
Brief Answer:
Hypothyroidism - start on medications

Detailed Answer:
Hi,

Welcome to HCM. I have gone through your question and understand your concerns.


You are having hypothyroidism. That means your thyroid is not producing enough thyroid hormones. Since you are having only mild hypothyroidism, the T3 and T4 are normal. We usually start on medications once TSH go above 10. So you need to be on thyroid medications (Levothyroxine 25 mcg once daily in empty stomach) even though your TSH is only slightly above 10.

Additional tests you may do are anti thyroid antibodies (Anti TPO and anti TG antibody - blood tests ) and an ultrasound of neck to see the cause and extend of thyroid damage.

Hope I have answered your question. If you have ant further questions I will be happy to help you.

Regards,
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Ajish TP 3 hours later
Thank you Ajish, I will start with 25mcg and go for additional tests your recommended. Your explanation is very clear and to the point, much helpful for a layman.
Hi Dr Ajish, do you think vitamin D deficiency can lead to hypothyroidism? Given 25-OH Vit D=19.4 for me, could you please recommend dosage for Vit D3 supplement?
doctor
Answered by Dr. Ajish TP 35 hours later
Brief Answer:
See details

Detailed Answer:
Hi,

Welcome back. Sorry for the delay in answering.

1. Vitamin D deficiency is not a cause of hypothyroidism.

2. The dose of vitamin D is 60,000 iu weekly once x 8 weeks as replacement and once in 2 months there after as maintenance dose.

It is available as sachets, tablets or syrup of 60,000 IU single dose preparations. Popular brands are D Rise, Torflash, Arachitol nano, Vit D3 60K etc

Regards. Dr Ajish TP
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajish TP 3 days later
Thanks Dr Ajish.
doctor
Answered by Dr. Ajish TP 19 hours later
Brief Answer:
Wishing you good health

Detailed Answer:
Wishing you good health

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Arachitol

doctor1 MD

my family doctor recomanand some test ,as i use to have shoulder pain , I have get done my vitamin D test , i got to know that my level is 38 which...

doctor1 MD

Hi Doctor, My wife is 6 month pregnant and she is taking medicine given below. 1. Megagem 2. Maxolic 3.Scor HB but I am not finding these medicine...

doctor1 MD

Again a follow up question on my aunt's T2N0M0 breast condition. Today met the doctor with Dxa Scan report and he was not interested to see the...

doctor1 MD

Hi, My name is Sumit Poddar. My wife, 30 years old, is suffering from slipped disc and muscular pains. Her Vitamin D3 level is 17 and has been...

doctor1 MD

Hello Doctor, My Friend is 60 years old ,south indian and her report says that she has 10.3 of vitamin D3 .What s the remedy for this?Another...

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

200 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ajish TP
  • Q - Suggest remedy for stress induced diabetes

  • Q - Does thyroid induce sudden weight gain during pregnancy?

  • Q - Suggest treatment for severe cold and chronic pain in lower back

  • Q - Suggest treatment for hashimotos thyroiditis

  • Q - What does light vaginal bleeding post Mifegest kit usage indicate?

  • Q - Suggest dosage of Eltroxine with TSH level of 10

  • Q - Suggest treatment for hypothyroidism

  • Q - Suggest ways to maintain healthy blood sugar levels

  • Q - What causes low blood sugar level?

  • Q - What causes swollen lymph nodes on neck with normal CT scan?

backtotop2