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Thyroid Goiter Has Been Removed Surgically. On Synthroid. What Are The Findings?

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Posted on Wed, 28 Aug 2013
Question: Hello. I had a thyroid goiter that was surgically removed. My question is, my thyroxine level is 0.9. My TSH is 2.85. Souls I be started on synthroid? My email address is YYYY@YYYY
doctor
Answered by Dr. Michelle Gibson James (31 minutes later)
HI, thanks for using healthcare magic

Normal TSH and T4 levels can vary slightly from lab to lab due to different laboratory techniques but in general the normal range for TSH is approximately 0.4-4.2 mIU/l.

The normal free T4 level is approximately 0.7- 1.8 ng/dl (9-23 pmol/l).

Both of your values are within their respective ranges ( your lab form may state the lab ranges for the particular lab that your sample was sent to).

Since both values are normal, it is unlikely that hormone replacement would be required at this time.

If you were hypothyroid (low thyroid hormone), the thyroxine level would decrease below the normal range and the TSH would be high.

TSH is released from the brain and it stimulates the thyroid gland to release thyroxine.
The thyroxine then stops the gland in the brain from releasing any more TSH (called negative feedback)

This is the reason a low thyroxine level would result in a high TSH. There is not enough thyroxine going back into the brain to prevent TSH release.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (5 minutes later)
If my thyroid levels are within normal range, then why is my hair falling out and my weight keeps elevating
doctor
Answered by Dr. Michelle Gibson James (34 minutes later)
Hi

You can ask your doctor to review your previous thyroid function levels to see if there is a significant change.
For example if your thyroid hormone level was previously 1.6 and is now 0.9, even though it is still within the normal range , it is low for you.
If there is no significant changes then your doctor may look for other causes of your hair loss and weight gain.

There are other possible causes for both of these problems

Please feel free to ask any other questions
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. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Thyroid Goiter Has Been Removed Surgically. On Synthroid. What Are The Findings?

HI, thanks for using healthcare magic

Normal TSH and T4 levels can vary slightly from lab to lab due to different laboratory techniques but in general the normal range for TSH is approximately 0.4-4.2 mIU/l.

The normal free T4 level is approximately 0.7- 1.8 ng/dl (9-23 pmol/l).

Both of your values are within their respective ranges ( your lab form may state the lab ranges for the particular lab that your sample was sent to).

Since both values are normal, it is unlikely that hormone replacement would be required at this time.

If you were hypothyroid (low thyroid hormone), the thyroxine level would decrease below the normal range and the TSH would be high.

TSH is released from the brain and it stimulates the thyroid gland to release thyroxine.
The thyroxine then stops the gland in the brain from releasing any more TSH (called negative feedback)

This is the reason a low thyroxine level would result in a high TSH. There is not enough thyroxine going back into the brain to prevent TSH release.

I hope this helps, feel free to ask any other questions