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What factors influence TSH fluctuations?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My TSH value has increased to 14.17. T3 and T4 are normal. I take 50 mcg of Thyronorm. What dose should I take now after this increase? What could be the reason for the increase? It was normal four months ago, but now it has increased. A few months ago, I took 30 tablets at a time under anger. Is the increase of TSH because of that? Please help me.

Hello.

Welcome to icliniq.com.

I want to request you not to use any medication excessively for any purpose other than for treatment. I understand issues could trample our minds, and we end up making such decisions. But, please try to be happy, stress-free, and optimistic as much as you could. That is the first step to better health. I want to let you know that the irregular medication history is the reason for the high TSH (thyroid-stimulating hormone) reading.

1) You need to continue taking Thyronorm (Thyroxine) as the medicine is keeping your thyroid hormones within normal limits.

2) You need to consult your regular physician before making any changes in your medication.

3) You need to increase the Thyronorm dosage to 75 mcg for now and have a TSH repeat test done in two weeks after starting the medication.

4) Do not skip the medicine or take it in excess amounts.

Do follow up later after the repeat TSH. Do not worry. Stay healthy and positive.

Medically reviewed byDr. Lochana. K

Published At November 6, 2020
Reviewed AtNovember 7, 2025

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