I recently got a thyroid checkup and my TSH level came back at 100. I'm wondering how we can manage this thyroid issue, especially since I have a knee replacement surgery scheduled in 10 days. Is there any chance that the thyroid might affect the surgery? I'm a bit concerned about it.

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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A TSH level of 100 indicates severe hypothyroidism. To control thyroid levels before your knee replacement operation, you will need to start taking Levothyroxine. The usual starting dose for adults with severe hypothyroidism is 25-50 mcg once daily. Your doctor may adjust the dose based on your TSH levels. Regarding the knee replacement operation, uncontrolled hypothyroidism can increase the risk of complications during surgery, such as heart problems and delayed wound healing. It is important to optimize your thyroid levels before the operation to reduce these risks. Make sure to inform your surgeon about your thyroid condition so they can take necessary precautions during the knee replacement surgery.

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Answered 04/07/2025

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