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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increased TSH Levels

HI two years back i was diagnosed with hypothyroid so i was taking thyronorm..then after six months my doctor adviced me to stop taking medicine as all my T3 T4 and TSH levels are in normal range without medicine.But now in my latest blood test my TSH level is again raised so do i need to have this medicine for life long
Mon, 17 Dec 2018
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General & Family Physician,  's  Response
Hi,

There are only a few cases, generally caused by a viral thyroiditis that the thyroid function is low for a short time and it generally recovers so the TSH might come up for a while and then come back to norm. Most of the times the TSH goes up and it remains so and patient needs treatment long term.

In your case because your TSH has started to be high again i would say that you need to take Levothyroxine again and adjust the dose according to regular TSH check. Generally, TSH is checked 6 weeks after starting Levothyroxine and again checked every 6 weeks and dose adjusted till the TSH comes to norm and then every 3 months and if it is stable for a while you can check TSH every 6 months.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Antoneta Zotaj,
General & Family Physician
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Suggest Treatment For Increased TSH Levels

Hi, There are only a few cases, generally caused by a viral thyroiditis that the thyroid function is low for a short time and it generally recovers so the TSH might come up for a while and then come back to norm. Most of the times the TSH goes up and it remains so and patient needs treatment long term. In your case because your TSH has started to be high again i would say that you need to take Levothyroxine again and adjust the dose according to regular TSH check. Generally, TSH is checked 6 weeks after starting Levothyroxine and again checked every 6 weeks and dose adjusted till the TSH comes to norm and then every 3 months and if it is stable for a while you can check TSH every 6 months. Hope I have answered your query. Let me know if I can assist you further. Regards, Antoneta Zotaj, General & Family Physician