Common "Tsh Level" queries answered by top doctors | iCliniq

Tsh Level

TSH or thyroid-stimulating hormone is produced by the pituitary gland to regulate the amount of thyroid hormones (T3 and T4) it produces. An increase or decrease in the level of the hormone can indicate hyperthyroidism or hypothyroidism.

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My TSH level has dropped after using Thyrox. Why?

Query: Hello doctor, My TSH level was 5.45 mIU/L with normal T3 and T4, for which my doctor suggested Thyrox 12.5 mg half tablet. After that, my TSH was normal at 4.23 mIU/L, but the doctor said to continue the same dose of Thyrox now. My TSH has dropped to 0.325 mIU/L. What should I do? Currently, I am su...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. I can understand your concern. If your free T4 was normal and only TSH (thyroid stimulating hormone) was mildly elevated, in my opinion, if you are not planning for pregnancy, there is no need to start Thyroxine tablets. It is better to stop Thyroxine and repeat your TSH...  Read Full »

Are my hair loss, skin pigmentation, weight gain and sleep disorder due to my thyroid issues?

Query: Hi doctor, I am a 37-year-old female of weight 143 lbs and height 5 feet 1 inch. I took Thyrox 50 mg for one year, and I am currently taking Thyrox 25 mg. Now, I face extreme hair loss and hair dryness, skin pigmentation near eyebrows, and sleep disorder. My weight is also increasing. One week back,...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. I understand your concern. Thyroid dysfunction can lead to hair thinning. The dose you are taking is relatively low, but your thyroid function tests are fine. I would like to know the following: 1) Do you have any other symptoms like constipation, feeling low mood, tir...  Read Full »

How to fix my thyroid levels on top of Levothyroxine pills?

Query: Hello doctor, I have been diagnosed with Hashimoto's disease, but it was suggested with my ANA tests over the last two years that I also have lupus. My symptoms are out of control and I have developed a mast cell disorder over the last two years. Currently, I am taking Levoxyl, Zolpidem, and Xanax m...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi. Welcome to icliniq.com. You did not mention the dosage for Levoxyl (Levothyroxine). Levoxyl (Levothyroxine) is the thyroid hormone that you are taking for your slow thyroid function, which is the result of Hashimoto's thyroiditis. Your TSH (thyroid stimulating hormone) (attachment removed to p...  Read Full »

Why do I have elevated prolactin, TSH and low testosterone?

Query: Hi doctor, I did a blood test, and four of my markers were not normal. Prolactin is high 401 mcg/L, TSH is 6.07 mIU/mL, and my testosterone is 6.72, and SHBG is 13.2. How can I improve these?  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. You did not mention anything about the reason why you did these blood tests. Do you have any symptoms? Are you taking any medications right now? Any previous medical history? If you have no symptoms and all your answers are negative, you need to repeat your blood tests ...  Read Full »

How to treat high TSH levels?

Query: Hi doctor, I am a 62-year-old female. I took a blood test, and my thyroid levels T3 - 129 ng/dl, T4 - 9.6 ug/dl, and TSH 11.8 ul/ml. Please suggest medicine to cure my thyroid problem.  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Your TSH is high and T3, and T4 are normal. It is called subclinical hypothyroidism. You need to take Levothyroxine 25 mcg once daily before breakfast. Take for six weeks, then repeat TSH (thyroid-stimulating hormone). Your TSH target is 0.5 to 5. Let me know your resul...  Read Full »

Should I worry about high thyroglobulin antibody levels during pregnancy?

Query: Hello doctor, I am 13 weeks pregnant. I have been taking Levothyrox 50 micrograms for eight weeks because of TSH levels at 3.91. I have now stopped Levothyrox and got another blood test suggested by my Gynecologist to see if I should pursue the treatment. Now, my TSH, T3, T4 levels, and TPO antibodi...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Why you started Levothyroxine? Is it just because of your TSH level being 3.17? How much was your free T4 at that time? Do you have a history of hypothyroidism? Did you take any Levothyroxine before? If you just took Levothyroxine because of TSH of 3.17, then no need to...  Read Full »

Will lowering high TSH value help with pain in my leg and knee area?

Query: Hello doctor, I am a 42-year-old female. I am a thyroid patient and going through a lot of pain around my leg and knee area. I am unable to walk properly and the pain is constant. So I recently did a blood test and the report showed high TSH rate which is about 29.423 ulU/mL   Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Your thyroid tests (attachment removed to protect patient identity) show that you have hypothyroidism. Your thyroid hormone T4 is low and TSH is quite high. So you need to start your medication. Please take Levothyroxine 50 mcg once daily before breakfast. When you take...  Read Full »

What do high TSH with normal T3 and T4 values indicate?

Query: Hello doctor, I have a thyroid issue. My TSH value is 7.24 (range 0.35-5.5) tested last week. Even the same test conducted before seven months shows the value of 7.06. The remaining TT3 and TT4 are in the normal range. Kindly advise.  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. I have seen your blood tests (attachment removed to protect patient identity). You are overweight. Your HbA1c (glycated hemoglobin) is in the pre-diabetic range, but your fasting and postprandial sugar levels are normal. Your HDL (high-density lipoprotein) is quite low...  Read Full »

Should I alter the dose of Thyronorm according to the TSH levels?

Query: Hello doctor, I have hypothyroidism. I am taking Thyronorm 37.5 mg after the blood report otherwise 25 mg. My previous blood report shows TSH 0.5 in April 2020.   Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Your last TSH is 0.5 and you told previously you were taking 25 mcg which you increased to 37.5 mcg. Is it correct? If your TSH is 0.5 you should have decreased your medication from the dose you are taking and that will not increase your medication. So I will advise you...  Read Full »

Will taking PTU for hyperthyroidism during pregnancy cause any complication?

Query: Hello doctor, I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU.  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnanc...  Read Full »

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