A member asked:

My pcp wants me to start taking synthroid 25 mcg to treat a mildly elevated tsh with normal t4. i have no symptoms. i'm 5'9" 142 lbs, with normal cholesterol levels. i have occasional palpitations with normal ekg's. since december 2014 until november 2015

A doctor has provided 1 answer
Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Subclinical thyroid: Sub-clinical hypothyroidism is a grey area..Some start low dose synthroid (thyroxine) . It may have beneficial effects on lipids and cardiac function. May consider repeating TSH in 6 weeks and if again low then starting, check thyroid antibodies. TSH may wax and wane between abn and normal over months . f/u w/doc http://www.aafp.org/afp/1998/0215/p776.html

Answered 11/20/2015

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