Hi I am 47 years old women. I am taking thyronorm for almost last 10 years .my t3 and t4 is within range .tsh is highly fluctuating. September 2019 it was 5.64 reference range is 0.3-5.5.i was on 25 mg thyronorm. Then on march 2020 my tsh dropped to 0.02.dr asked me to stop medicine. Last three months no medicine and now today my report says tsh 0.006. Please help me to know when I should increase or decrease or stop my medicine .in 2017 my tsh was 6.29.so for hypo n hyper thyroid do we have same medicine.

Dr. Prabhakar Laxman JatharEndocrinologist49yrs exp

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Hello, thanks for the query. I have seen the details mentioned. Since tsh has gone towards hyperthyroidism level, there is a need to stop levothyroxine for now. Then you will have to check tsh again after 6 weeks to see if it has come up or not. Another important aspect is what symptoms do you have now? Please let me following: t4, & t3 levels, bp, heart rate, whether you have any palpitations, sleep disturbances and excessive sweating? What about your menstrual cycles? Also look at your lipid levels and inform the same. It is better if you come in a private conversation with all that information, then I will be able to give specific guidance and even prescribe if there is any drug is required. In this communication we are supposed to give only general guidelines. No drugs can be prescribed. Therefore, please come back as suggested or please do consult your physician preferably an endocrinologist at your place because a proper decision needs to be taken. Choice is yours. Thanks.  

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