
Why Is T3T4 Low Again When It Was Rising Before?

About levothyroxine dose;
Detailed Answer:
Hello and thank you for asking!
I have gone carefully throigh your concern.
it is not a pituitary pathology, it is Hashimoto thyroiditis. It is confirmed by high antibodies and there is no relation to Vit D.
I would suggest to increase the dose again 75 mcg.
Hashimoto thyroiditis means that your body produces the antibodies that destroy the thyroid gland progressively and it does not produce hormones. You have to take the hormone orally and the dose needs to be increased with the passing of time as more thyroid tissue will be destroyed.
In April you needed 50 mcg, now you need 75 mcg. There is nothing to get worried.
Increase the dose and check TSH after 6 weeks.
Best wishes,
Dr.Mirjeta Guni


About levothyroxine dose;
Detailed Answer:
Hi again,
No it is not caused by the high levothyroxine dose taken at that time,,this rapid decline is not common ( usually happens post partum or after a very stressful situation), regarding to covid, it's effects aren't studied yet.
All you have to do is to adjust the doses depending on TSH result.
The dose of levothyeoxine needed can go up to 300 mcg/ day, so do not worry, 75 mcg is not considered a high dose.
Hope the information will help.
Best wishes,
Dr.Mirjeta Guni

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