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Suggest Dosage For Thyronorm When TSH Level Indicate 82 Iu/ml

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Posted on Tue, 12 Jul 2016
Question: hi doctor,

I was taking tyronorm 87.5 at time of my pregnancy. 6 weeks after delivery doctor asked me to stop the medicine and check TSH after some month to check whether it is increasing or not.Now after 6 mnths of delivery i checked again and TSH is 82.Can i start the same level of thyronorm again?

thanks ,
doctor
Answered by Dr. Sandip Kabra (2 hours later)
Brief Answer:
Start with 150 mcg thyroid tablet and check TSH after 1 month.

Detailed Answer:
Hi,
Welcome to HCM.

I have read your query and reviewed the report.

TSH 82.10 iu/ml is very high which is suggestive of very low thyroid hormones in blood (hypothyrodism) and 87.5 mcg dose will not be sufficient.

You will need to start thyroid tablet (thyronorm 150 mcg in my opinion) once daily on empty stomach to get maximum absorption as food might interfere with its absorption.

So,it is taken after 2 hours of having meal or before 45 minutes of meal. Means it is always best not to eat anything for at least 1 hour after taking thyronorm to get maximum absorption.

Check TSH level again after one month and titrate the dose of thyronorm accordingly as per your physician's opinion and your serum TSH level.

So,I would suggest you to see physician for the appropriate dose and prescription of thyronorm.

Hope this helps.

Regards,

Dr.Sandip Kabra
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Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Suggest Dosage For Thyronorm When TSH Level Indicate 82 Iu/ml

Brief Answer: Start with 150 mcg thyroid tablet and check TSH after 1 month. Detailed Answer: Hi, Welcome to HCM. I have read your query and reviewed the report. TSH 82.10 iu/ml is very high which is suggestive of very low thyroid hormones in blood (hypothyrodism) and 87.5 mcg dose will not be sufficient. You will need to start thyroid tablet (thyronorm 150 mcg in my opinion) once daily on empty stomach to get maximum absorption as food might interfere with its absorption. So,it is taken after 2 hours of having meal or before 45 minutes of meal. Means it is always best not to eat anything for at least 1 hour after taking thyronorm to get maximum absorption. Check TSH level again after one month and titrate the dose of thyronorm accordingly as per your physician's opinion and your serum TSH level. So,I would suggest you to see physician for the appropriate dose and prescription of thyronorm. Hope this helps. Regards, Dr.Sandip Kabra