Suggest Treatment For Hypothyroidism

Posted on Tue, 20 Oct 2015

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

Tue, 20 Oct 2015 Answered on

Thu, 5 Nov 2015 Last reviewed on

Question : I got results as 8.77 Tsh which means I have hypothyroidism.

How do I get it to normal

Answered by Dr. Ajish TP (26 minutes later)

Brief Answer:
Subclinical hypothyroidism

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

Slightly elevated TSH ( 5-10miu/ml) doesn't require treatment always. It is called subclinical hypothyroidism. The indications for treatment at your TSH are

1. Thyroid swelling
2. Increased anti TPO antibodies ( a blood test) in blood
3. Pregnant or planning pregnancy
4. High cholesterol

Please check with your doctor if you have any of these four indications.

If needed, treatment is by thyroid hormone ( thyronorm or Eltroxin). The starting dose is usually 25 mcg daily.

Diet rich in iodine ( iodised salt, sea food etc) may improve subclinical hypothyroidism.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ajish TP (1 hour later)

Hello Doctor

Thanks for your reply. You had mentioned 4 points, out of which one is

Increased TPO antibodies.. Can u confirm what does that mean?

This will help to close discussion. Many thanks for your inputs

Answered by Dr. Ajish TP (22 minutes later)

Brief Answer:
These are anti thyroid antibodies

Detailed Answer:
Hi,

Welcome back.

This is anti thyroid antibody. If this antibody is present in blood, your thyroid function will decline with time and you will become hypothyroid.

If antibodies are there your risk of developing hypothyroidism ( TSH > 10) is very high. So we will start medication (thyroid hormone) even when TSH is slightly elevated as in your case.

Regard's
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Prasad