every time I test tsh it's 6.5 and t3 t4 are normal. I consulted endocrinologist she suggested me to start 25 mcg thyronorm. During pregnancy it was changed to 50 mcg. Dint take thyronorm for 4 months after delivery. Now I tested again tsh is 6.55 and t3 t4 are normal. What should I do?

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. Madam I have seen the details. The tsh levels mentioned are definitely higher than what should be normally seen at your age. This is suggestive of sub-clinical hypothyroidism. In many cases of sub-clinical hypothyroidism no treatment is advised. However, if there are obvious symptoms of hypothyroidism seen like weight gain, irregular menstrual cycles, lethargy, feeling of tiredness, no interest in doing routine things, dry skin, muscle and joint pains and hair loss etc, then treatment is advised. Another important aspect is to check anti tpo antibodies, if that number is high then even with low rise in tsh can lead to clear hypothyroidism. So please come back with specific details if you are keen in getting a proper advise and/or treatment. It is better if you come back with all the details like height, weight, t3, t4 and anti tpo antibodies level and symptoms if any in a private conversation. Then I will be able to advise specifically and also prescribe the drug if required. Or else please contact your physician locally I hope things are clear. Thanks.  

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