present t3- 0.90
t4- 8.9
tsh-0.227 she is taking thyronorm 100 mg should her continue the same or need to stop or reduce to what level.

Question

Mr Amit Kumar, Thanks for the query.
The TSH level is lower than expected at 0,227 mU/L. Therefore, it is better if present dosage of Levothyroxine is reduced by either 12.5 mcg or 25 mcg  per day. Then she needs to check the TSH again after 6 weeks. TSH should remain around 3 to 4 mU/Lfor being free from all the  symptoms. Thanks

Prabhakar Laxman Jathar · Accepted Answer

Mr Amit Kumar, Thanks for the query.
The TSH level is lower than expected at 0,227 mU/L. Therefore, it is better if present dosage of Levothyroxine is reduced by either 12.5 mcg or 25 mcg  per day. Then she needs to check the TSH again after 6 weeks. TSH should remain around 3 to 4 mU/Lfor being free from all the  symptoms. Thanks

M S Seshadri · Answer

Dear lybrate-user, I note that is 42 years old, overweight by about 8-10 kg and is on 100 ug thyronorm for hypothyroidism. As her current tsh level on this dose is suppressed t ojust below normal, I would suggest reduce the dose to 88 ug once daily and recheck tsh after 3 months you need to maintain a tsh in the range of 2-5 uiu/ml for her weight issue reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein (dhal, soya, egg white, fish or chicken). Take lot of green leafy vegetables walk 5 km per day and gradually reduce weight by 1 kg per month to about 55-57 kg

present t3- 0.90 t4- 8.9 tsh-0.227 she is taking thyronorm 100 mg should her continue the same or need to stop or reduce to what level.