me again : so had my 6 mths review does anyone... - Thyroid UK

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me again

Bobby25 profile image
9 Replies

so had my 6 mths review does anyone know what this is telling me? Is that a reading of tsh as 3.56 ? I thought we were supposed to sit about 1 ?

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Bobby25 profile image
Bobby25
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9 Replies
TiggerMe profile image
TiggerMeAmbassador

Under replaced, need an increase.... but I'd remove this as it has your name on it 🤗

PurpleNails profile image
PurpleNailsAdministrator

bobby25, I have removed your image as it has personal identity information.

Bobby25 profile image
Bobby25 in reply toPurpleNails

it was the nurses name not mine so thought its ok

jimh111 profile image
jimh111

If you feel OK then fine, if not ask for an increase.

SlowDragon profile image
SlowDragonAdministrator

Get next dose increase and retest in another 8 weeks

TSH should be under 2 as an absolute maximum when on levothyroxine

gponline.com/endocrinology-...

Graph showing median TSH in healthy population is 1-1.5

web.archive.org/web/2004060...

Comprehensive list of references for needing LOW TSH on levothyroxine

healthunlocked.com/thyroidu....

onlinelibrary.wiley.com/doi...

If symptoms of hypothyroidism persist despite normalisation of TSH, the dose of levothyroxine can be titrated further to place the TSH in the lower part of the reference range or even slightly below (i.e., TSH: 0.1–2.0 mU/L), but avoiding TSH < 0.1 mU/L. Use of alternate day dosing of different levothyroxine strengths may be needed to achieve this (e.g., 100 mcg for 4 days; 125 mcg for 3 days weekly).

Bobby25 profile image
Bobby25

this was 6 mths ago on 75 per day

Photo 1
Bobby25 profile image
Bobby25

I dropped to 50 on two days of the week and now have this

Any suggestions my doctors doesn’t seem to help
SlowDragon profile image
SlowDragonAdministrator in reply toBobby25

So go back to 75mcg daily

Retest in 6-8 weeks

Unless extremely petite, likely to need further increases in dose over coming year

Bobby25 profile image
Bobby25 in reply toSlowDragon

thank you

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