Why could there be high TSH values despite normal T3 and T4?

Question

Hello doctor,

I am a 44-year-old male with 5ft 4" in height and 152 lbs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I can understand your concern. If you want to start, you can begin Thyrox (Levo-thyroxine) tablet 50 mcg once a day in the morning before breakfast on an empty stomach. Get done repeat thyroid function test after a month. I hope I have solved your query. I will be happy to help you further.

Thank you.

Answer 3

Hi,

Welcome to icliniq.com.

Thanks for your follow-up question on icliniq.

I have gone through the reports you have attached (the attachment was removed to protect the patient's identity). You should immediately stop taking Thyrox (Thyroxine sodium) tablets. Get a thyroid ultrasound done. I will be happy to help you further. Wish you good health.

Thank you.