Hello, thanks for the query.
Madam, I have seen the details. However, you have mentioned only tsh value, nothing about t3 & t4. It is necessary to know those values also. Tsh 4.6 mu/l is not really high. It must be with in the normal range mentioned in your lab report. In uncontrolled hypothyroidism tsh invariably goes uch higher and t4 values also may be low. Please come back with all the values also mention your weight & height. Thanks.