Hi sir/mam I was diagnosed with hypothyroidism 8 months ago when my tsh was 10, t3, 4 normal and anti tpo was -very. After that I was on 25 mcg thyronorm and my tsh was 3.7.my endocrinologist advised to continue treatment and repeat tsh after 3 months. But due to lock down I waited and did test after 5 and a half months and to my surprise my tsh was 16 which is higher than anytime before as I was taking medicine daily. I wanted to know the reason. Currently I am on 25 now as doc suggested. But thr reason for surge in my tsh explained by my doctor didn't satisfy me. So please tell me the reason in detail also I have body aches (small, tiredness (moderate) and sweating (excess. please suggest ways to cope with these symptoms. Thank you.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. I have seen the details mentioned. TSH was 10 mU/L and T3 & T4 were normal & Anti TPO antibodies number eas not mentioned. Suppose if that number was high then some times TSH may not be very high. So initially the dosage that was given to control hypothyroidism might have been lower than actual required. I need to know your weight and height to help calculate the dosage of Levothyroxine that was supposed to be given. Since that information is not there, it is difficult to comment. One of the main reasons for increased TSH is inadequate dosing of Levothyroxine. If you have any questions please do come back. However, now there is a need to increase the dosage to at least 50 mcg per day, then check TSH again after 6 weeks. Thanks. 

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