Is TSH Level Of 1.76 A Cause For Concern?

Posted on Tue, 18 Oct 2016

Tue, 18 Oct 2016 Answered on

Tue, 8 Nov 2016 Last reviewed on

Question : I can't get answers why I still feel bad being in levothyroxine 59mcg. my tsh is 1.76. I'm having systoms of feeling out of it, like being in a dream, pains all over my body especially between my breast, sometimes i even get a punching in my chest n goes to arms,dizzy, and I get tired really easy. my heart rate is very fast in the morning(90 - 115) just doingnstuff arpund the house, but my resting HR is in the 70s. i have had my heart check with ekg, and ultrasounds, my blood pressure runs 125/75. I cry all the time, and getting depressed since starting this medication, which has been 4 months. my dr. says my levels are fine so why don't I feel normal.

Answered by Dr. Mirjeta Guni (27 minutes later)

Brief Answer:
Thyroid is excluded as a cause for your symptoms.

Detailed Answer:
Hello,
I can understand your concern.
We see many patients in our everyday practice that have still symptoms despite TSH level is corrected with levothyroxine. In these cases another cause should be found.
I would recommend the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average).
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Calcium, magnesium level.

None of these tests require any fasting and can be done at any time of the day.
Please do not hesitate to attach the results. It will be a pleasure to help you further.

Kind regards,
Dr.Mirjeta

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Above answer was peer-reviewed by : Dr. Yogesh D