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Q. My T3 and T4 values are normal, but my TSH values is high. Why?

Answered by
Dr. Kaushal Bhavsar
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Jun 18, 2019

Hello doctor,

I am a 44-year-old male with 5ft 4" in height and 69 kgs 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.

Dr. Kaushal Bhavsar

General Medicine Internal Medicine Pulmonology (Asthma Doctors)


Welcome to

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.

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Thank you doctor,

What medication do I need to get?

Dr. Kaushal Bhavsar

General Medicine Internal Medicine Pulmonology (Asthma Doctors)


Welcome back to

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.

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