Question 1

I have had two miscarriages in a row and went through several tests afterward. In my recent report, my TSH level came back as 5.5. We are planning to try for pregnancy again, as it has been 6 months since my last miscarriage. Should I start taking thyroid medication to be on the safer side since my TSH is slightly higher than normal? Does a TSH of 5.5 affect ovulation and fertility? If I start the medicine, will it be unnecessary, or is it okay to take a low dose thyroid medicine?

Question 2

She was diagnosed with hypothyroidism 2 years ago. She was prescribed to take Thyronorm 50 and was advised not to stop it. However, now her T3 and T4 levels are within the reference range. Today she had palpitations with quite a lot of sweat. She says she feels better if she does not take the prescribed tablet but she is afraid too. Please let me know what needs to be done. Attached are the last blood test reports.

Question 3

My mother has been taking Eltroxin 50 microgram every morning on an empty stomach. Recently, she has been experiencing heart palpitations, anxiety, and a fast heart rate. Her recent thyroid test results are
T3 (Total) is 0.7 (Normal is 0.7 to 2)
T4 (Total) is 15.16 (Normal is 5 to 12)
TSH is 1.72 (Normal is 0.55 to 4.7)
Should her Eltroxin dose be reduced?

Please check the attached reports, which include CBC, thyroid, and other test results. I tested COVID positive last month. I have been taking a 50 mg thyroid tablet for the past 5 years.

Long standing thyroid issues need updated TSH/T3/T4. Post COVID changes could transiently affect levels. Please take TSH, Free T3, Free T4 and repeat CBC to confirm stability.

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