Since last 1 month I feel weakness , swelling in my hands and legs , and I also gain weight without any reason and pain in body. Then I go for thyroid test and in that test my T3 and T4 is normal but TSH is more than maximum limit mentioned in lab testing report by Thyrocare lab i.e. 6.91. Please suggest me treatment.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Lybrate-user, tsh level of 6.91 mu/l is high, but falls in the sub- clinical hypothyroidism category, for which no treatment is advised. Only when tsh level crosses 10 u/l treatment is advocated. Some times even at less than 10 mu/l treatment is given if certain symptoms dominate or trouble the patient and t4 levels are low. Looking at your height and weight it is clear that you have grade 2 obesity. It is possible that you have been over weight even before, and now there is further increase. Please take a restricted diet that provides calories based on ideal body weight (52.5 kgs x 20 = 1050 calories a day). Plus exercise daily for at least 1 hour a day and aim at reducing 5 to 8 % of current weight. Thanks. 

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