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What Does Low TSH With Synthroid Usage Indicate?
Question: Dr did not order any scripts for this recent lab test. My tsh is low but by how much? Do I increase or decrease my synthroid?
recent Tsh: 0.16 uIU/mL
Vitamin D,25-Oh, Total: 17 ng/mL . This is always low. But what is normal?
High Cholesterol: 256 mg/dL Final
High Triglyceride: 354 mg/dL Final
Hdl: 51 mg/dL Final
High CHOL/HDL: 5.02 Final
High Ldl: 134 mg/dL Final
Vldl: 70.8 mg/dL Final
Non-hdl, Calc: 205
recent Tsh: 0.16 uIU/mL
Vitamin D,25-Oh, Total: 17 ng/mL . This is always low. But what is normal?
High Cholesterol: 256 mg/dL Final
High Triglyceride: 354 mg/dL Final
Hdl: 51 mg/dL Final
High CHOL/HDL: 5.02 Final
High Ldl: 134 mg/dL Final
Vldl: 70.8 mg/dL Final
Non-hdl, Calc: 205
Brief Answer:
step down thyroxine, add fibric acid derivative
Detailed Answer:
Dear Madam,
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.
I have been through your health record and have the following recommendations for you:
1) TSH levels are too low. Thyroxine levels should be titrated to a TSH 2.5 to 4.5. Currently you are receiving excess of thyroxine. we can step down your thyroxine to 75 mcg from 112/125 mcg and recheck TSH after 6 weeks.
2) Your triglyceride levels are very high. Currently you are on 2 statin drugs which isn't the best plan. I would stop one statin and add a fibric acid derivative. They help reduce triglyceride levels. Rules of the website prevent me from prescribing a particular drug.
3) Your vitamin d3 levels are not in the normal range. We need them above 20. I would recommend you vitamin D3 oral supplementation 60,000 IU once a week for 8 weeks and then maintenance dose of 1000 IU for few months.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
step down thyroxine, add fibric acid derivative
Detailed Answer:
Dear Madam,
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.
I have been through your health record and have the following recommendations for you:
1) TSH levels are too low. Thyroxine levels should be titrated to a TSH 2.5 to 4.5. Currently you are receiving excess of thyroxine. we can step down your thyroxine to 75 mcg from 112/125 mcg and recheck TSH after 6 weeks.
2) Your triglyceride levels are very high. Currently you are on 2 statin drugs which isn't the best plan. I would stop one statin and add a fibric acid derivative. They help reduce triglyceride levels. Rules of the website prevent me from prescribing a particular drug.
3) Your vitamin d3 levels are not in the normal range. We need them above 20. I would recommend you vitamin D3 oral supplementation 60,000 IU once a week for 8 weeks and then maintenance dose of 1000 IU for few months.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
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Above answer was peer-reviewed by :
Dr. Prasad
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