Hello in 2018, 3 years earlier I was detected thyroid tsh 8.5, anti tpo <1500, doctor suggested medicine thyronorm 12.5. In week 4 days only, because if I take every day tsh value getting low like 0.02 approx, after 2 years in 2020 even taking 4 days tsh value was getting low, so I completely stop medicine, and was doing test for period of 3-3 months and it was normal range, now I was done a package test on friend suggestion so tsh 8.34 shows higher, anti tpo >600 and vit d 14.5, also for bp 130/90 I am taking starpress xl 12.5 from 2018. Please suggest what to do?

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. From that I understand you had hashimot0o's thyroiditis (ht), which caused hypothyroidism and were on treatment with levothyroxine. Since tsh was low, treatment was stopped and now again it is high. Please clarify following: 1) when was the treatment stopped? What were the t3, t4 & tsh levels at that time? 2) do you have any symptoms related to hypothyroidism now? 3) your bmi (body mass index) is 28.75 kg/sq meter very close to being obese. Has your weight increased after stopping the treatment? 4) what are the current t3, t4 levels as well as lipid levels? It is necessary to know all these. Then only I will be able to advise. Another aspect it is better to get thyroid profile test done at a good local lab rather than going for online package deals. Plus why are you taking metoprolol 12.5 mg? Why was it prescribed? Please come back with all the above clarifications. Thanks.  

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