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Is Restarting Of Levothyroxine Advisable While Having TSH Level Of 8.7?
Posted on
Sun, 17 Jan 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 17 Jan 2016
Answered on
Thu, 18 Feb 2016
Last reviewed on
Question : I have a high TSH level 8.7 but normal levels of t3 and t4 and free t4. I feel fine. I am a very high energy person. I stopped taking the levothyroxine a month ago. Should I re-start? I have attached my lab report. Could that be causing my kidney issues?
Brief Answer:
Retest after another month
Detailed Answer:
Good day,
Noted your concern. your current TSH is 8.7 and T4 is normal ( after stopping levothyroxine for a month).
What was your previous TSH while on treatment.
1) Do you have an enlarged thyroid/goiter?
2) Any abnormal cholesterol profile?
3) Have you ever had a thyroid antibody test done? ( it is important to know about long term prognosis of your thyroid).
At the moment, please do not restart levothyroxine. Please wait another month and retest the TSH.
I did notice that there is excess protein in your urine with trace of blood ( RBC++). This has nothing to do with your thyroid. However, your serum creatinine and eGFR are normal which says that your kidney functions are excellent
Your serum calcium levels are low. ( corrected calcium level is just over 8.6) and phosphorus is low normal. It is a good idea to get a vitamin D level and PTH level ( parathyroid hormone). .
Besides, please do a gynecological check up to look for local causes for presence of blood and protein in urine. In addition, an ultrasound scan of abdomen /kidneys is needed to rule out stones or similar kidney problems which can cause both blood and protein in urine.
Regards
Binu
Retest after another month
Detailed Answer:
Good day,
Noted your concern. your current TSH is 8.7 and T4 is normal ( after stopping levothyroxine for a month).
What was your previous TSH while on treatment.
1) Do you have an enlarged thyroid/goiter?
2) Any abnormal cholesterol profile?
3) Have you ever had a thyroid antibody test done? ( it is important to know about long term prognosis of your thyroid).
At the moment, please do not restart levothyroxine. Please wait another month and retest the TSH.
I did notice that there is excess protein in your urine with trace of blood ( RBC++). This has nothing to do with your thyroid. However, your serum creatinine and eGFR are normal which says that your kidney functions are excellent
Your serum calcium levels are low. ( corrected calcium level is just over 8.6) and phosphorus is low normal. It is a good idea to get a vitamin D level and PTH level ( parathyroid hormone). .
Besides, please do a gynecological check up to look for local causes for presence of blood and protein in urine. In addition, an ultrasound scan of abdomen /kidneys is needed to rule out stones or similar kidney problems which can cause both blood and protein in urine.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello XXXXXXX
Thank you for your reply. I have attached my previous two labs that I had done last July and March. Also, attached is a CT Urogram that I had done in 2014.
It contains some of the answers to your question. I've been having the presence of blood and protein in the urine for two years already. Kindly review them please and let me know your observations.
Thank you for your reply. I have attached my previous two labs that I had done last July and March. Also, attached is a CT Urogram that I had done in 2014.
It contains some of the answers to your question. I've been having the presence of blood and protein in the urine for two years already. Kindly review them please and let me know your observations.
Brief Answer:
Low vitamin D
Detailed Answer:
Thank you for the reply. CT scan showed showed a small stone in left kidney and a small peri pelvic cyst. This itself could be causing the blood and protein in urine. There are no major problems identified. It may be a good idea to ask your urologist about need of a flexible cystoscopy as well.
PTH was normal and Vitamin D was low. Low vitamin D may explain why you have low to low normal calcium on several occasions. The last calcium reports are low and I suspect your vitamin D would be still low. Have you had a vitamin D replacement ?? It may be prudent to check Vitamin D levels again.
I must say that thyroid has nothing to do with all these.
regards XXXXXXX
Low vitamin D
Detailed Answer:
Thank you for the reply. CT scan showed showed a small stone in left kidney and a small peri pelvic cyst. This itself could be causing the blood and protein in urine. There are no major problems identified. It may be a good idea to ask your urologist about need of a flexible cystoscopy as well.
PTH was normal and Vitamin D was low. Low vitamin D may explain why you have low to low normal calcium on several occasions. The last calcium reports are low and I suspect your vitamin D would be still low. Have you had a vitamin D replacement ?? It may be prudent to check Vitamin D levels again.
I must say that thyroid has nothing to do with all these.
regards XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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