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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63985
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Dear Dr.I have been diagnosed with hypothyroidism ten months

Resolved Question:

Dear Dr.
I have been diagnosed with hypothyroidism ten months ago and have been on treatment with thyroxine gradually increased to 100 Sat, Sun,Mon, Tue and 75 Wed, Thur and Fri. T3 and T4 are within normal range but TSH is rising despite treatment, the last reading was 16.9. What could be the possible reason for this.
Sincerely *****
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.
HelloYou are not on enough thyroid medicine.The TSH should be done every 6 weeks and medicine adjusted up.I have seen patients that require 250 micrograms to get stable. OK, so that is an initial answer….Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.
My thyroid medication has been increased by 50 micrograms every six weeks, could it be increased by more than 50 micrograms at 6 week intervals if TSH continued to rise or remain the same. , and what is the desired TSH level?
Sincerely *****
Expert:  DrRussMD replied 1 year ago.
The desired TSH level, as stated, is about .8.
50 micrograms is enough as you do not want to stimulate to fast of a correction, which can cause problems, overstimulate the heart, etc.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63985
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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