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Should 25 Mcg Of Thyronorm Be Continued With TSH Level Of 1.91?
Posted on
Thu, 19 May 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 19 May 2016
Answered on
Mon, 27 Jun 2016
Last reviewed on
Question : Hi,
i have hypothyroid during pregnancy doctor adviced me to take 50 mcg for 5days(mon-fri) and 100mcg for 2days(sat-sun) in a week.
after my baby birth doctor adviced me to take 25mcg daily.
I am contunuing same dose since baby birth. its been 3months.
Recently i did thyroid checkup and my TSH is 1.91
Should i continue 25mcg??
Please advice.
Thanks in advance
i have hypothyroid during pregnancy doctor adviced me to take 50 mcg for 5days(mon-fri) and 100mcg for 2days(sat-sun) in a week.
after my baby birth doctor adviced me to take 25mcg daily.
I am contunuing same dose since baby birth. its been 3months.
Recently i did thyroid checkup and my TSH is 1.91
Should i continue 25mcg??
Please advice.
Thanks in advance
Brief Answer:
Thyroid
Detailed Answer:
I suggest you discuss with your doctor if you truly have permanent irreversible thyroid condition called Primary Acquired Hypothyroidism due to Chronic Lymphocytic (Hashimoti's) autoimmune thyroiditis.
What this long term means is whether your thyroid has stopped making adequate amounts of hormone, or not.
If so, you will need lifelong replacement with levo thyroxine. The dose is a secondary matter. It will have to adjusted to achieve and maintain TSH targets.
But first make this determination as to whether you have the permanent condition or not. In order to make this diagnosis correctly, a physical examination is required in addition to blood tests.
When I see someone like you in my practice, I typically order 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 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
Sometimes endocrinologists prescribe this medication during pregnancy and are able to stop it afterwards.
Thyroid
Detailed Answer:
I suggest you discuss with your doctor if you truly have permanent irreversible thyroid condition called Primary Acquired Hypothyroidism due to Chronic Lymphocytic (Hashimoti's) autoimmune thyroiditis.
What this long term means is whether your thyroid has stopped making adequate amounts of hormone, or not.
If so, you will need lifelong replacement with levo thyroxine. The dose is a secondary matter. It will have to adjusted to achieve and maintain TSH targets.
But first make this determination as to whether you have the permanent condition or not. In order to make this diagnosis correctly, a physical examination is required in addition to blood tests.
When I see someone like you in my practice, I typically order 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 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
Sometimes endocrinologists prescribe this medication during pregnancy and are able to stop it afterwards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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