Thyronorm 25Mcg Tablet For Hypothyroidism

I have been taking 100 mcg thyronorm since 8 years. Very recently on arpil 19 2023 I took the tsh sensitive test and my tsh level was 0.20 uiu/ml. And the doctor mentioned that your is too low indicating too much thyroid medication. I am now taking 75 mcg my question is that tsh 0.20 uiu/ml is considered as overactive thyroid, so why is that the doc has prescribed of levothyroxine? Please advise as I am confused now.

Dr. S.K. Tandon 93% (53294 ratings)
M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE), CCIGC ( GERIATRIC CARE )
Sexologist, Sri Ganganagar
I have been taking 100 mcg thyronorm since 8 years. Very recently on arpil 19 2023 I took the tsh sensitive test and ...
As your dose was more than required so your doctor rightly decrease the dose. Tab. Levothyroxine is for hypothyroidism treatment. Recheck after 6 weeks.
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I have hypothyroidism, earlier I had 150 tsh level and gone through 100 mcg thyronorm med. I had no symptoms of it though when I had it, I lack healthy body and was very underweight. Which was strange to this condition. Now its 4 years passed and I checked regularly, it was normal. Recently I checked again and my tsh= 26 this time so Dr. said to have 125 mcg thyronorm. Its been 15 days and I checked again with antibody test. Tsh = 1.629µiu/ml, t4 = 12.2µg/dl ,t3= 0.96 ng/ml. Anti tpo, serum = 266.3 u/ml so I have hashimoto disease. Still I feel weakness even on medication. I would like to know is anything there that can help me through? And can I get rid of hashimoto?

Dr. Prabhakar Laxman Jathar 92% (20239 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I have hypothyroidism, earlier I had 150 tsh level and gone through 100 mcg thyronorm med.
I had no symptoms of it th...
Hello, thanks for the query. I have seen the details mentioned. Please understand hashimoto's thyroiditis (ht) is an autoimmune phenomenon, that causes hypothyroidism. There is no medication to cure or remove it. In majority of hypothyroidism patients the cause is ht. In any form of hypothyroidism only treatment is to take adequate dosage of levothyroxine and maintain tsh with in the specified range as well as t4 in the normal range. There is no specific treatment for ht. Further there is no need to check anti tpo antibodies again & again. So do not worry about "curing ht" just take adequate dosage of levothyroxine and maintain tsh as well as t4 with in range. That will help you remain free from symptoms. If you have any questions please do come back. Thanks.
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My t3 & t4 were normal & tsh was 17.67. This happen after taking covid vaccination. Since it was vaccination effect thought will be fine without medicines over the time. After year again done test - t3 & t4 were normal & tsh was 20. Decided to show doctor & he advised to start taking 75 mcg thyronorm within 25 days after taking medicine tsh came down to 1.17. Than I reduced the dose to 50 mcg again done test after 20 days tsh was 1.90. My family doctor recommended to take Dr. Reckweg r51 drops along with thyronorm 75 mcg for 3 months. R51 drops I use to take after 45 mins of thyronorm medicine. Followed the same & when I done the test my tsh has come to 7. Is it because of homeopathic medicine? Do I have to take medicine lifetime now? Pls advise.

Dr. Prabhakar Laxman Jathar 92% (20239 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My t3 & t4 were normal & tsh was 17.67. This happen after taking covid vaccination. Since it was vaccination effect t...
Hello, thanks for the query. I have seen the details mentioned. Madam, when one is on adequate dosage of levothyroxine then tsh is maintained around 3 to 4 mu/l, t3 & t4 are in normal range. That is considered as controlled hypothyroidism. Another aspect is please do not keep changing the dosage rapidly. It take about 6 weeks to see appropriate change in tsh levels. To calculate accurate dosage we need to look at weight, height, t4 & tsh levels plus symptoms if any. So if you have any questions please do come back. With relevant information. Thanks.
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I have hypothyroidism, earlier I had 150 tsh level and gone through 100 mcg thyronorm med. I had no symptoms of it though when I had it, I lack healthy body and was very underweight. Which was strange to this condition. Now its 4 years passed and I checked regularly, it was normal. But recent days I took the medicine with food always, I checked tsh level now amd it was 26. When I consulted Dr. he said to increase dose to 125 mcg. So do I need to increase? Or stay with 100 mcg but have before 1 hr before food. Will it solve problem?

Dr. Prabhakar Laxman Jathar 92% (20239 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I have hypothyroidism, earlier I had 150 tsh level and gone through 100 mcg thyronorm med.
I had no symptoms of it th...
Hello, thanks f or the query I have seen the details mentioned. However, I would like to know the following: current t3, t4 & tsh levels (26 that you are mentioning is it tsh?) and if you have done anti tpo antibodies test please inform the details. Also it is better to look at your lipids (cholesterol levels). On seeing all the details I will be able to give correct advise. Another important aspect is levothyroxine tablet has to be always taken early morning on empty stomach and nothing should be taken for next 1 hour. This has to strictly followed. Thanks.
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My mom is 47. She has hypothyroidism for so long and now she's using thyronorm 125 mcg. In the report today, t3 is 0.9 (ref. Interval: 0.8 - 2.3), t4 is 8.5 (ref. Interval: 4.8 - 12.0) and tsh is 0.1 (0.35 - 5.5). Does she need to decrease the dosage or continue with 125 mcg?

Dr. Prabhakar Laxman Jathar 92% (20239 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
My mom is 47. She has hypothyroidism for so long and now she's using thyronorm 125 mcg. In the report today, t3 is 0....
Hello, thanks for the query. I have seen the details given. Her tsh level is definitely lower than lab limit mentioned. Hence, it is better if dosage is reduced by 12.5 mcg to 112.5 mcg per day. Please remember after reducing the dosage (after every dosage change) there is need to check thyroid profile after 6 to 8 weeks to see if the desired change is achieved. In a well controlled patient tsh should remain around 2 to3 or 4 mu/l and t4 in normal range. If you have any questions please do come back. Thanks.
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I am 25 years old female, with a history of hypothyroidism, cervical rib syndrome, cold allergy. For the past 1 month, I am not feeling well, having body pain, leg pain, very tired always. Don't feel like getting out of bed. Sometimes mild headache is also there. My vit d level is low 16.5 ng/ml, esr a bit high. Please help. I take thyronorm 75 daily.

Dr. Nakul Pahwa 92% (72 ratings)
MBBS, MS - General Surgery, mch neuro surgery
Neurosurgeon, Ahmedabad
I am 25 years old female, with a history of hypothyroidism, cervical rib syndrome, cold allergy. For the past 1 month...
So you need to take weekly doses of vitamin d and get your thyroid profile and hemoglobin checked. Also you need weight reduction mam.
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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 Jathar 92% (20239 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
every time I test tsh it's 6.5 and t3 t4 are normal. I consulted endocrinologist she suggested me to start 25 mcg thy...
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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