Q. I am taking 25 mcg Thyronorm and it is difficult to reduce my weight. Shall I increase the dose?

Answered by
Dr. Prathish Kumar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 26, 2020 and last reviewed on: Jun 06, 2020

Hello doctor,

I am a 28-year-old female. My T3 is 5.8. I am obese at 76 kg with 153 cm. I take 25 mg Thyronorm tablet every day. Weight loss becomes very difficult as thyroid levels have not decreased in the past five years post-pregnancy. Can I increase my Thyronorm dosage to 100 mg?

Dr. Prathish Kumar

General Medicine Internal Medicine
#

Hi,

Welcome to icliniq.com.

I find you are having hypothyroidism and consulting for Thyronorm dose adjustment. Dose adjustment will be made on free T4 and TSH (thyroid-stimulating hormone) levels and not based on T3 levels. So, I request you to upload the full thyroid profile results then we can decide upon the dosing.


Probable diagnosis:

Hypothyroidism.


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Thank you doctor,

I have attached the report of T3, T4 and TSH.

Dr. Prathish Kumar

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

I have gone through the reports (attachment removed to protect patient identity).

I do not find any value of T3 as 5.8 in the reports. Anyways your TSH values are within normal limits. It means your thyroid present dosing is adequate. I would advise you to continue the same Thyronorm 25 mcg dosage. There is no need for dosage alterations.

Next time when you go for testing, specifically mention free T4 (instead of total T4) and TSH levels for testing.

And I hope you know that on the day of testing, blood sample should be given in an empty stomach even before you take your daily dose of thyroid. Advising just to make sure you are doing it right. And for weight loss concentrate on other measures like diet care and exercise. See you next time when you do a follow-up test.


Probable diagnosis:

Hypothyroidism.

Treatment plan:

Continue Thyronorm 25 mcg daily morning empty stomach.


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