HomeAnswersEndocrinologythyroid-stimulating hormone (TSH) level

What could cause elevated TSH levels despite taking medications?

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

Patient's Query

Hello doctor,

My TSH level increased from 0.19 to 86 uIU/mL in 60 days; it was 157 uIU/mL in the next six days. That, too, is when I am taking 75 mcg as suggested by the doctor. Please help me

Thank you.
Answered by Dr. Thiyagarajan. T

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

Your full replacement dose will be 150 to 175 mcg daily. (you may not need the full replacement dose yet, but maybe your requirement has gone up from the initial 50 mcg).

But saying so, I think it is strange the TSH (thyroid stimulating hormone) went from 0.19 to 86 uIU/mL.

Please note that TSH going from 86 to 157 means almost the same, and no need to panic.

Maybe other medicines you took after the ACL surgery may have interfered with the absorption of thyroxine.

I recommend increasing the dose to 125 mcg and taking it on an empty stomach and with no food or drinks, or any other medicines for at least 1 hour.

And repeat the TSH along with Free T4 after 60 days.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 7, 2023
Reviewed At November 7, 2023

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Thiyagarajan. T
Dr. Thiyagarajan. T

Diabetology

Education:

MBBS

Professional Bio:

Dr. Thiyagarajan T is an eminent Endocrinologist specializing in the diagnosis and management of hormonal and metabolic disorders. He has expertise in diabetes, thyroid disorders, osteoporosis, adrenal and pituitary disorders, and obesity management. Known for his patient-centered approach, Dr. Thiyagarajan combines advanced diagnostic techniques with personalized treatment plans to optimize hormonal health, improve quality of life, and support long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

Are thyroid medications safe during pregnancy?

Why is there excessive heat in my body with burning sensation in foot?

My TSH level increased to 7.40 from 3.45 in five months. Why?

My TSH level was 11.768 U/mL, do I have to start taking Synthroid again?

Comprehensive Second Opinion

Read answers about:

thyroid-stimulating hormone (tsh) level

Ask your health query to a doctor online

Endocrinology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.