TSH or thyroid-stimulating hormone is produced by the pituitary gland to regulate the amount of thyroid hormones (T3 and T4) it produces. An increase or decrease in the level of the hormone can indicate hyperthyroidism or hypothyroidism.
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My thyroid level is fluctuating after delivery. Why?
Query: Hi doctor, I had postpartum thyroiditis with my first child and it presented again with second child at 7 months postpartum. I am dealing with anxiety, higher than normal heart rate, fatigue and trouble sleeping. During previous PPT, I could not tolerate medicines and it resolved when my child was 1... Read Full »
Answer: Hi, Welcome to icliniq.com. The duration of the cycle that is normal is 23 to 35 days. So, anything in between these days is actually normal. After delivery, cycles tend to be irregular for a year or so and hence, no medicines are required during this period. Your thyroid-stimulating hormone is nor... Read Full »
What medicines can I take for my thyroid problem?
Query: Hi doctor, I am 40 year old. Recently I tested my thyroid and the report shows T3 - 1.1, T4- 8.4 and TSH - 6.7. Please advise me which medicine is currently safe for me. My health problem includes fatigue and occasional depression. Also my lips are dry. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. Read Full »
Is tablet Thyroxine enough to cure hypothyroidism?
Query: Hello doctor, I have hypothyroidism. My TSH level is 124.5, T3 - 3.16 and T4 - 45.6. My doctor advised me to take Thyroxine 100 mg tablet two times a day. I am taking that right now. Is Thyroxine enough to cure hypothyroidism? Do I need any other medical attention? But, I feel better now after takin... Read Full »
Answer: Hello, Welcome to icliniq.com. Hypothyroidism means low thyroid hormone and you are taking Thyroxine (Levothyroxine) which is a thyroid hormone. You should take it in the right way that is early morning in empty stomach and do not take anything within two hours after that. Repeat the TSH (thyroid s... Read Full »
What is thyroglobulin antibody test?
Query: Hi doctor, I just received a test back from my immunologist and I am trying to understand what it means. I am suffering from fatigue and chronic sinusitis. I have CVID and get infusions every three weeks. I have been having adverse reactions to the infusions. So, they ran several tests and this is ... Read Full »
Answer: Hi, Welcome to icliniq.com. This is a test to detect whether your body is producing antibodies against your thyroid gland. A high value indicates that your body is producing antibodies against your thyroid gland. In simple words, it means your body is itself destroying its own thyroid gland. ... Read Full »
Is high TSH after delivery a sign of postpartum thyroiditis?
Query: Hi doctor, My wife, who is 29 years old, had symptoms of tiredness and dry skin. So, we tested her thyroid function. I found that her serum TSH level was 150 as well as free T4 below normal. Is this symptom of hypothyroidism? She delivered a baby seven months ago and the test was done recently. She ... Read Full »
Answer: Hi, Welcome to icliniq.com. It could be postpartum thyroiditis or unmasking of autoimmune hypothyroidism. As it is most likely to be the latter, kindly start her on Thyroxine 75 to 100 mcg once daily (Levothyroxine) depending upon her weight. Check TSH (thyroid stimulating hormone), FT4 (free T4), A... Read Full »
I have a dull headache. Can it be related to thyroid issue?
Query: Hi doctor, I have been diagnosed with Hashimoto's five months ago. My anti-TPO and anti-TG were 115 and 33 respectively. My TSH was 1.5 and FT4 1.1, so normal function. Two months ago, I started having palpitations and tested my thyroid again. TSH was 0.0018 (suppressed), FT4 2.66 and FT3 7.8. I was... Read Full »
Answer: Hi, Welcome to icliniq.com. You have written a very detailed and engrossing history. Well done! The diagnosis of Graves' is usually made with a technetium scan of thyroid which I am not sure it was done or not. Regarding your dull ache of the head, is it present throughout the day or just morning... Read Full »
What am I experiencing multiple symptoms?
Query: Hi doctor, I am a 25 year old female. In childhood, I had malaria and double typhoid. Everything was normal until few years back. Things started all over again since the last five to six years. I have been putting on weight continuously, suffering from weakness, horrible fatigue and body pain all th... Read Full »
Answer: Hi, Welcome to icliniq.com. You have what is called subclinical hypothyroidism. It is also a metabolic component of PCOD (polycystic ovarian disease). You are doing most things right. Remember there is no magic treatment. Exercise and diet are continuous events that need regular and consistent fol... Read Full »
My recent thyroid function tests suggest high TSH levels. How can I manage my thyroid levels?
Query: Hi doctor, My recent thyroid function test results showed a high TSH level of 169 uIU/ml, with T3, a Total of 0.23 ng/mL, and T4, a Total of 2.5 µg/dl. I am unable to consult a specialist for further advice. Could you please provide me with guidance on managing my thyroid levels and steps to impro... Read Full »
Answer: Hello, Welcome to Icliniq.com. I have gone through your case and I understand your concern. Repeat thyroid function test after one month to check for hypothyroidism. If TSH( thyroid stimulating harmone )is still high, get an ultrasound of the neck for the thyroid. You may need to take daily thyro... Read Full »
Will increased TSH level harm the baby's brain growth?
Query: Hi doctor, I am 26 years old. My height is 5 feet inch and weight is 115.5 lbs. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosa... Read Full »
Answer: Hi, Welcome to icliniq.com TSH (thyroid stimulating hormone) is very important for the baby's brain growth as rightly said by you. Therefore, it is imperative that we treat aggressively. Target TSH in the first trimester is 0.3 - 2.5 mIU/L and therefore the doctor did not change the treatment. I ho... Read Full »
Should I take thyroid medications during breastfeeding my baby?
Query: Hi doctor, One and a half year back, I was diagnosed with thyroid with the TSH value of around 7.24. I was advised to take Thyronorm 25 mcg daily. I had delivered a baby before two months. I did TSH at that time and the reading was 0.08. Then I stopped the medication as per doctor's advice. On repea... Read Full »
Answer: Hi, Welcome to icliniq.com. My advice is, as of now stop the medication. After six weeks, do a TSH (thyroid stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) test on an empty stomach. If anti-TPO is positive, you may require treatment later. Read Full »