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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Sharp Changes In TSH Every Few Months. What Could Be The Reason For Erratic Fluctuations?

Hi Doctor, I am suffering from Hyper and Hypo thyroid issue since 6 years , meaning there are sharp changes every few months Tsh goes to 0.015, 0.03 levels and then again increase to 14, 16 , 18. Recently it has gone to 39, in past it had gone to 100. Before two months only TSH was 0.015 and now 39! Is it something to do with other disorder thank Thyroid? What could be the reason for these erratic fluctuations? what treatment?
Wed, 17 Oct 2012
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General & Family Physician 's  Response
What medicine you are taking now for thyroid problem?
Certain cause of this dramatic fluctuation may be-
1. Inappropriate dose of drug
2. Repeated changes in dose
3. Irregular medicine
4. sudden stop of drug
Just consult your doctor, if required you may take a second opinion.
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General & Family Physician Dr. Aparna Kohli's  Response
Hi,
thanks for writing to us.
TSH levels can fluctuate due to a variety of reasons. ;
a. Change in the time you take the medication
b. Change in the labs you;re getting the test at
c. Disorder called Hashimoto'ss thyroiditis can cause such a situation
d. if you continue to take the same dose of the drug when your thyroid hormone levels are fluctuating.

Please see an endocrinologist. This thing needs specialty treatment
regards
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Infertility Specialist Dr. Dattaprasad's  Response
Hi,
Sometimes one can have these types of swings before hypothyroidism manifests finally. Another few reasons can be too frequent adjustment of Thyroxine dosage, Thyroxin being taken with food or other medicines/change of brand of medicine. You can consult your endocrinologist to find out exact reason.
Wish you good health.
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Suffering With Sharp Changes In TSH Every Few Months. What Could Be The Reason For Erratic Fluctuations?

What medicine you are taking now for thyroid problem? Certain cause of this dramatic fluctuation may be- 1. Inappropriate dose of drug 2. Repeated changes in dose 3. Irregular medicine 4. sudden stop of drug Just consult your doctor, if required you may take a second opinion.