Brief Answer:
symptoms of hypothyroidism..thorough evaluation needed..

Detailed Answer:
Hello XXXX, Welcome back to HCM,

I've gone through your query, reviewed the attached thyroid profile reports, and as per this report, the elevated TSH in presence of normal range T3 & T4, along with your symptoms, is suggestive of hypothyroidism mainly (although there are several other causes behind such symptoms)..

I'd advice you to go for further evaluation i.e. Anti-TPO antibodies to check for any thyroid/immune disorders along with a few basic investigation i.e. CBC, Peripheral blood smear, electrolytes, ECG, Vitamin B-12 and Vit D3 levels, Liver and renal function tests for a complete check-up (all these come under preventive health care check-up plan) to look in to it further..

Management will be based on the findings and if hypothyroidism was found as the sole responsible factor, then a low dose Thyroxin supplementation (Levothyroxin 25 mcg Once Daily in empty stomach in the morning before breakfast) should be started, and next follow-up Thyroid function should be checked after 3 months from now.. All these should be done under proper supervision of either an Internal Medicine specialist or an Endocrinologist..

I've tried to make it as simple as possible for you to understand, please let me know if there's any further doubts..

Take Care
Kind Regards

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