A member asked:

Tsh came back yesterday at 13. on synthroid (thyroxine) for years. 2nd child 6 mo ago. doctor has incr dose twice but said to just stay at 200 and see again 6wks?

2 doctors weighed in across 2 answers

TSH 13: If your doctor is your primary doctor I recommend you ask for a referral to an Endocrinologist. One thing to consider first. Take your synthroid (thyroxine) at bedtime with at least one hour after your last food intake. That may improve the effect of your current synthroid (thyroxine) dose.

Answered 1/23/2015

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Dr. Marian Chen-hah answered

Specializes in Internal Medicine

Thyroid: I don't think a doctor necessarily needs to be an endocrinologist as long as he/she is capable and comfortable in treating hypothyroidism. Make an appointment to visit with your doctor again and look at the thyroid panel more thoroughly with regards to T3 (liothyronine) and Reverse T3 (liothyronine), and free T4. As a general rule, blood work is not checked again after an adjustment of dose until 6 six later.

Answered 1/29/2015

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