A member asked:
Hi, i got my tsh level checked today it has come to be 18.5 whish is way too high from the normal range. what should be the future course of action?
3 doctors weighed in across 3 answers
Repeat testing: To investigate hypothyroidism, a TSH level should first be repeated along with a free T4 level. A simple physical exam should be used to determine if your thyroid is enlarged (goiter), tender (thyroiditis) or nodular, and then depending upon the result therapy will likely be started with levothyroxine (Synthroid). The dose is then adjusted based upon follow-up testing in 6 week intervals.
Answered 8/12/2015
2.4k views
Low thyroid function: This may cause many problems for you if not treated. See your doctor regarding thyroid replacement. In rare cases the pituitary gland just puts out a lot of TSH and in this case you will end up with an overactive thyroid.
Answered 8/12/2015
2.4k views
Repeat test: Also measure T4 and Thyroid antibodies (Thyroglobulin and Thyroid peroxidase) If T4 low and antibodies elevated, your physician should consider treating you for Hashimoto's thyroiditis. Thanks for trusting HealthTap!
Answered 8/12/2015
2.4k views
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