I am on 100 mcg thyronorm, I am a breast feeding mom having a baby on 7 months. My tsh (empty stomach) came 17.85 where as referel range is till 5.5. I am gaining weight currently 79.85 kg with puffy face. How much dose I should start taking?

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details given, with tsh at 17.85 mu/l, you are definitely not in control at all. Ideally it should be between 3 to 4 mu/l, at which level you will be totally symptom free and your efforts to reduce weight will also be fruitful. Since tsh is quite high, you need to increase the dosage of levothyroxine by 12.5 to 25 mcg per day, then check tsh after 6 weeks to see if there is a desired drop in that level. Plus there is a need to give a closer look at your diet aaand exercise, as your ideal body weight should be about 59 to 60 kgs. If you have any questions please do come back. Thanks.  

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Dr. M S SeshadriEndocrinologist49yrs exp

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Dear lybrate-user, it is very common for patients with hypothyroidism to forget medicines on 2-3 days a month. I feel this may be the reason why your recent tsh has gone up to 17.85. Make sure you take the tablet every single day on an empty stomach. You can keep it in the bathroom shelf so that you can take it as soon as you brush your teeth. In case you forget on an occasional day, take it anyway when you remember later in the day. If you forget for a whole day take the extra dose the next day. Follow this advice and recheck free t4 and tsh after 2 months and let me know on an online consultation. We can then decide if any dose adjustment is needed  

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