Sir I had total thyroidectomy with ptc on may 6, 2020 after 10 days my tsh was 50 doctor advise me 3 x thyroxine table on august 26 I test my tsh that was 0.010 I consult doctor he advise me 1 tablet of thyronorm please advise me.

Dr. M S SeshadriEndocrinologist49yrs exp

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Dear lybrate-user, after tota thyroidectomy for papillary thyroid cancer the dose of thyroxine should be adjusted to maintain tsh < 0.1 uiu/ml for the initial 5 years at least. I assume you are now on 100 ug once daily this may have to be increased to 2 tablets taken on an empty stomach. Do not miss any dose. If you forget in the morning take it when you remember. After 3 months check tsh and make sure it is less than 0.1. You will need thyroxine lifelong and I am sure your doctor would have told you that professor m s seshadri.  

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