HomeAnswersEndocrinologytsh levelMy TSH value is high whereas my T3 and T4 values are normal. What could be the reason?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At June 18, 2019
Reviewed AtApril 16, 2024

Patient's Query

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.

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.

Patient's Query

Thank you doctor,

What medication do I need to get?

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.

Patient's Query

Hello doctor,

I have completed taking the tablet Thyrox 50 mcg for one month but now my TSH is very low and am having high blood pressure as a side effect. What should I do?

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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