I'm really worried about my wife's thyroid levels. Her TSH level came back as 8, which seems high, but her FT3 and FT4 are normal. Does this mean she has hypothyroidism? I looked it up and found something about subclinical hypothyroidism and a test for antibodies. Should we consider doing that test? What would be the right treatment for this situation?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Based on the high TSH level and normal FT3 and FT4 levels, it is likely that your wife has subclinical hypothyroidism. The treatment for this condition typically involves taking Levothyroxine. The usual starting dose for Levothyroxine in adults with subclinical hypothyroidism is 25-50 mcg per day. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed.

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Answered 04/07/2025

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I've been told that my TSH levels are elevated. What's causing this? Should I consider getting any additional tests to better understand what's happening?

High TSH indicates hypothyroidism.. you can test for free T3 and T4 and anti thyroid antibodies.. USG neck also should be done if there is any tenderness and swelling in the neck..

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I've got a 14 mm thyroid nodule in my right lobe that's grown by 2 mm over the last 1.5 years. A FNA in September 2014 showed it was an adenomatoid nodule with cystic degeneration and there was scant thick colloid in the smears. The FNAC in November 2014 showed suboptimal cellularity. I had a CT scan recently for my neck, and it came back completely normal. My thyroid tests from a few months ago were also normal. Should I consider getting another FNAC or is surgery the next step?

As it is increasinginsize,visit Surgeon for appropriate management

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I'm 31 and planning to conceive this year, but I've been told my TSH levels are too high for that, and I might need hormone pills. My Vitamin D is also low at 4.82 ngml. I've heard low Vitamin D can lead to high TSH. Should I start with Vitamin D supplements first? Would that help with the TSH levels, or should I focus on the TSH issue directly? What's your advice on navigating these levels when planning for pregnancy?

You can take injection. Uprise D3 6L once a week for 6 weeks. After that tab. D3 must 60k to be chewed once a week for 12 weeks.

Answered by 1 Apollo Doctors

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