I'm really concerned about my wife's recent thyroid test results. Her T3 is 83, T4 is 3.8, and TSH is 57.57. What are the treatment options for a high TSH level like this?

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

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The lab results indicate that your wife's Thyroid-Stimulating Hormone (TSH) level is elevated, suggesting hypothyroidism (underactive thyroid). Here are the common treatments for high TSH levels: *Medications* 1. *Levothyroxine (T4)*: Synthetic T4 hormone replacement medication, such as Synthroid, Levoxyl, or Tirosint. 2. *Liothyronine (T3)*: Synthetic T3 hormone replacement medication, often used in combination with T4. *Treatment Goals* 1. *Normalize TSH levels*: Aim for a TSH level between 0.5 and 5.0 UmL. 2. *Relieve symptoms*: Improve energy levels, mood, and overall well-being. 3. *Prevent long-term complications*: Reduce the risk of cardiovascular disease, osteoporosis, and other hypothyroidism-related complications. *Lifestyle Changes* 1. *Dietary modifications*: Ensure adequate iodine intake through foods like seafood, dairy, and iodized salt. 2. *Regular exercise*: Encourage regular physical activity to improve overall health and well-being. 3. *Stress management*: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises. *Follow-up* 1. *Regular blood tests*: Monitor TSH, T4, and T3 levels every 6-8 weeks to adjust medication dosages as needed. 2. *Adjust medication*: Work with your doctor to find the optimal medication dosage and combination to achieve normal TSH levels.

Answered 15 days ago