How Can Low TSH Levels With Hypothyroid Symptoms Be Treated?

Posted on Thu, 8 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 8 Mar 2018 Answered on

Wed, 15 Nov 2023 Last reviewed on

Question : Hi I am 68 years old. Had my thyroid completely removed 40 years ago due to nodules caused by radiation. I am experiencing most of the hypothyroid symptoms. My physician did blood work. Just the TSH levels. TSH level was .09 I am on 1.75MG per day of synthroid. What should I do. My physician doesn't want to do anything. Said it is working.

Answered by Dr. Mirjeta Guni (23 minutes later)

Brief Answer:

Decrease the dose as below;

Detailed Answer:

Hello,

The TSH level your reported is too low, suggesting for a high dose of levothyroxine.

I would recommend decreasing the dose (you may take one day 175mcg and the next day 150mcg) and check the TSH after 6 weeks, if normal, continue with this dose for the other 6 months.

Hope I have answered your query.

Take care

Regards,
Dr Mirjeta Guni, Endocrinologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee