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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Thyroidectomy. Have Low TSH. Taking Levothyroxine. Need For Concern?

I am 10 years post thyroidectomy. A long history of hypthyroidism that wasn't treated because I was coping. My TSH, T3, and T4 were always low normal. So since the TSH was low normal and the others just inside of normal, I was ok.
I am currently on 115 mcg of levothyroxine and 10 mcg of cytomel (one 5 mcg pill taken in the morning the other in the afternoon).
I was on 125 mcg of levothyroxine and felt great. However, my TSH was to low so they decreased my dose to 115 as I refused to go back down to 100 mcg--on that dose I would fall asleep if I got still, made bargains with myself to keep going (vacuum and you can rest for 30 min and could not think).
After months of complaining about feeling sluggish, loosing hair, dry skin, and gaining weight even tho I was doing bootcamp twice a week, kickboxing twice a week, running two nights a week, and long runs of over 5 miles every Saturday (I was trainig for a 1/2 marathon) and doing weight watchers. My weight watchers leader told me I wasn't eating enough, I was eating to much, and then finally I was working out to much. But I could not lose weight and gained 30 lbs, which I still cannot get off.
My last thyroid tests were:
TSH: 0.02 ref: 0.27-4.20
FT3: 3.51 ref: 2.30-4.20
FT4: 1.22 ref: 0.93-1.70
My endo is concerned that my TSH is so low but since I am feeling fine and have no symptoms of hyperthyroidism, he will keep me on my current meds. However, I wonder if I should be worried that my TSH is so low???? Should I be???
Tue, 16 Jul 2013
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Endocrinologist 's  Response
You haven't mentioned why thyroidectomy was done? malignancy related and non malignancy related. What is your age? to assess the estrogen status. To much TSH suppression is detrimental to bone. If no malignant evidence is there, better to maintain TSH between 0.5 to 2.0
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History Of Thyroidectomy. Have Low TSH. Taking Levothyroxine. Need For Concern?

You haven t mentioned why thyroidectomy was done? malignancy related and non malignancy related. What is your age? to assess the estrogen status. To much TSH suppression is detrimental to bone. If no malignant evidence is there, better to maintain TSH between 0.5 to 2.0