36 year old female was detected thyroid and started thyronorm 25 mcg around 15 months back. She is regularly taking medication. She got it checked TSH in September 2015 and it was 4.65. However in June. .when tested TSH was 5. 79. .slightly above normal range. She is feeling weakness, giddiness, slight nausea (some times ).and her appetite got increased and started eating frequently. My query is that are the mentioned symptoms associated with rise in TSH. .Do we need to continue with medication or need to consult Dr. for further investigation.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user, hypothyroidism produces a number of symptoms like early fatigue, tiredness, weight gain, dry skin, dry hair and hair fall, muscle and joint pain, irregular periods, excess flow, occasionally giddiness and nausea may be there. Ideally when on treatment tsh level should be between 3 to 4 milli units/l, to relieve all symptoms. So it appears her current dose of thyroxine is inadequate, needs to be increased. Plus patients weight is much high, almost having grade 1 obesity with a bmi of 29.16 kgs/m2 (normal <23 kgs). With high tsh level efforts to reduce weight also do not become successful. Thanks. 

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