apollo
  • female
  • 45 Years
  • 29/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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.

Dr. Shubham Suggests...

Consult a Endocrinologist

Answered 04/07/2025

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I'm a bit worried because my TSH level has gone up to 7.8, although my T3 and T4 are still within the normal range. About two months ago, I missed my menopause, so I started taking some medication, and it seems to have worked this month. A blood test I did a month ago showed my TSH was 5.7, and now it's increased. Why might this be happening and what can I do to manage or possibly eliminate this issue completely?

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