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Doctor insights on: High Tsh Levels After Thyroidectomy

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High TSH of 28 after complete thyroidectomy four months ago, but I don't feel any hypothyroid symptoms beyond a little weight gain. What is going on?

High TSH of 28 after complete thyroidectomy four months ago, but I don't feel any hypothyroid symptoms beyond a little weight gain. What is going on?

TSH 28: You can be surprisingly asymtomatic with hypothyroidism but on a cellular level the body is not at optimal performance and over a long time it will take its toll . Please f/u w/ you endocrinologist and take your thyroid medicine. ...Read more

Dr. Quang Nguyen
923 doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more


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18 months after thyroidectomy , my TSH is 30. my dr just increased my Armor. My throat is really achy. Is that a symptom of high tsh?

18 months after thyroidectomy , my TSH is 30. my dr just increased my Armor. My throat is really achy. Is that a symptom of high tsh?

High TSH: is an indication of hypothyroidism. It can cause many symptoms, but achy throat is not one of them. You should consult with your doctor, so he can investigate other possible causes. Good news is that hypothyroidism is readily correctable with increased thyroid medication. ...Read more

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Total thyroidectomy 4 mo ago. High TSH & t4, low t3 (liothyronine). Feeling very hypo. Increases in levothyroxine not helping symptoms. Sliding downhill fast! Help!

Total thyroidectomy 4 mo ago. High TSH & t4, low t3 (liothyronine). Feeling very hypo. Increases in levothyroxine not helping symptoms. Sliding downhill fast! Help!

Thyroid: Something does not sound right. A high TSH with a high T4 is very uncommon. It is possible, but unlikely that your pituitary gland is producing too much TSH. You need to see your thyroid surgeon or your regular doctor as soon as possible. ...Read more

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I had a total thyroidectomy (thyroid papilliary cancer) for 17 years and with a high level of TSH result. And stop taking my euthyrox medicine?

I had a total thyroidectomy (thyroid papilliary cancer) for 17 years and with a high level of TSH result. And stop taking my euthyrox medicine?

Need Thyroid hormone: You need thyroid hormone replacement as you do not have thyroid gland and will need thyroid hormone all your life.Since you stop your euthrox your TSH is high.You need to follow your doctors advice and go back on the thyroid hormone with adjustment of dose to bring TSH to normal level. ...Read more

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I was prescribed 125 mg levothyroxine by a ER dr. With a Tsh Level of 0.40 does that seem too high? (Total thyroidectomy w/parathyroid removal 11mos)

I was prescribed 125 mg levothyroxine by a ER dr. With a Tsh Level of 0.40  does that seem too high? (Total thyroidectomy w/parathyroid removal 11mos)

Get 2nd opinion: If the lab studies given are correct you should not need any supplemental thyroid therapy. If you have a low TSH it generally means that your thyroid is functioning at a high level. Factors to consider are why you had the thyroid removed, have you been on previous meds and has a T4, T3, (liothyronine) and Free Thyroxine been done. Have you been having any symptoms, if not, seek a second opinion before starting. ...Read more

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Been having elevated BP since total thyroidectomy 3 weeks ago. Tsh was 17 and on Synthroid (thyroxine) 125. Will BP fluctuate until hormone levels stable?

Been having elevated BP since total thyroidectomy 3 weeks ago. Tsh was 17 and on Synthroid (thyroxine) 125. Will BP fluctuate until hormone levels stable?

Blood pressure: Problems are not caused by an underactive thyroid. Have your doctor look for other causes and treatments. Once the thyroid level is stable, make sure your doctor knows to keep it at a level appropriate for someone with thyroid cancer, not the usual normal range. ...Read more

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Post thyroidectomy(over a year) show elevated. Tsh. And low. Thyroglobulin. What that means?

Post thyroidectomy(over a year)  show elevated. Tsh.   And low. Thyroglobulin. What that means?

Thyroid in the Dumps: There is a possiblity you may not be taking enough thyroid hormone replacement. Your doctor will likely look a little deeper into your thyroid labs to find an answer. ...Read more

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My level of TSH is 20.76 after a total thyroidectomy in 6?

You have significant: post-surgical hypothyroidism which needs to be treated with an appropriate dose of BRAND NAME T4 replacement to return your levels to normal. Check w/your doctor. ...Read more

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What should be my TSH level range with a total thyroidectomy for a goiter and pre cancerous cells? Thank you.

What should be my TSH level range with a total thyroidectomy for a goiter and pre cancerous cells? Thank you.

Precancerous?: Hi. Please give us the exact surgical pathology report wording. They don't read those as "precancerous". If it is not cancer, the TSH goal is to be normal. If it were cancer, your endocrinologist would have arranged for radioactive iodine therapy followed by some degree of TSH suppression (that goal is a moving target at this time). Good luck. ...Read more

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I had a complete thyroidectomy 10 years ago. I just got a call from my PCP and my TSH level was 7.8. What does this mean?

I had a complete thyroidectomy 10 years ago. I just got a call from my PCP and my TSH level was 7.8. What does this mean?

Underactive: More information would be helpful, like why you had the thyroidectomy and what medicines you are on. But, the TSH of 7.8 is slightly elevated, which means your brain is trying to make your thyroid (which you don't have) work harder. The bottom line is this mean you are being slightly under-treated for your underachieve thyroid and likely need to be on a higher dose of levothyroxine. ...Read more

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Which test is best to monitor thyroid levels in thyroidectomy patients, just ft3 and ft4, TSH and ft4, or like i feel should be tsh, ft3 and ft4?

TSH: All you really need is a tsh. Assuming there is nothing wrong with your pituitary, this hormone responds in a very sensitive manner to the levels of your T4 and t3 (liothyronine). You are presumably taking levothyroxine as replacement. ...Read more

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I have TSH 4.910 High and T4 12.1 High - why are both high? I have had thyroidectomy and take synthroid (thyroxine).

I have TSH 4.910 High and T4 12.1 High - why are both high?  I have had thyroidectomy and take synthroid (thyroxine).

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your TSH is borderline high, T4 may be normal especially if you are taking birth control pills. It would be prudent to discuss this with your doctor at the next visit. http://www.nlm.nih.gov/medlineplus/ency/article/003517.htis ...Read more

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My TSH is a little low. T4 is a little high. I can't take the thyroid meds. Will a partial thyroidectomy help? (feeling very sick)

My TSH is a little low. T4 is a little high. I can't take the thyroid meds. Will a partial thyroidectomy help? (feeling very sick)

Possibly.: If you can't take thyroid meds, surgery or radioactive iodine ablation are useful. In fact radioactive iodine ablation is effective, with 40-70% of patients becoming hypothyroid after its administration. You might want to just observe since your T4 and your TSH are only slightly high and low respectively, and you might still have normal function. It would be best to see your doctor to decide. ...Read more

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Had total thyroidectomy 6 months ago now all of a sudden my TSH keeps going up no matter how high they increase my synthroid (thyroxine). Absorption issues r/o?

Had total thyroidectomy 6 months ago now all of a sudden my TSH keeps going up no matter how high they increase my synthroid (thyroxine). Absorption issues r/o?

Add Active Thyroid.: Adding active thyroid (t3) will make a difference as it is a stronger inhibitor of tsh. There is no T3 in synthroid (thyroxine). T3 can be found in nature-throid or westroid. Check antibodies (anti-tpo, anti-thyroglobulin) and rt3 (reverse T3 that is inactive). These can be improved and/or corrected with higher does of t3. You may to also add t3sr from compound pharmacy, too. Take 2-3x daily as directed. ...Read more

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Why would my TSH be normal but T4 and T3 (liothyronine) be high 3 days after total thyroidectomy?

Why would my TSH be normal but T4 and T3 (liothyronine) be high 3 days after total thyroidectomy?

Many reasons: Why did you have the "total thyroidectomy"? - cancer?, hyperthyroidism? Were you taking thyroid before the surgery? Why was the blood test done so soon? Ask your surgeon why he/she did it and what they expected. ...Read more

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3 months of dex & cyclo for myeloma. Severe thyroid prob TSH high T4 low. hypocalcemic also. No change in dose. Are the 2 related? Thyroidectomy 2013

3 months of dex & cyclo for myeloma. Severe thyroid prob TSH high T4  low. hypocalcemic also. No change in dose. Are the 2 related? Thyroidectomy 2013

Your low: thyroid levels are much more likely due to your prior thyroid surgery. Check w/your doctor and begin BRAND NAME T4 replacement up to a level that normalizes your lab values. ...Read more

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Had total thyroidectomy 10 years ago. Currently 8 weeks pregnant, taking synthroid (thyroxine) 125mcg. Very low TSH 0.01 and high free T4 at 26 (normal 12-22). ?

Had total thyroidectomy 10 years ago. Currently 8 weeks pregnant, taking synthroid (thyroxine) 125mcg. Very low TSH 0.01 and high free T4 at 26 (normal 12-22). ?

Way off: That dose of thyroid needs to be reduced ASAP. Please consult with your doctor right away. I'm guessing they're doing that already if they received those test results. ...Read more

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My TSH is low, my T3 (liothyronine) and T4 is high. I don't have graves disease or thyroiditis. My dr. Suggested a partial thyroidectomy to correct this. Is that ok?

My TSH is low, my T3 (liothyronine) and T4 is high. I don't have graves disease or thyroiditis. My dr. Suggested a partial thyroidectomy to correct this. Is that ok?

An overactive: Thyroid can also be treated successfully with either radioiodine or anti-thyroid drugs and avoid the potential risks and dangers of surgery. Talk it over with your doctor, and even consider getting a second opinion before making your decision. ...Read more

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Dr. William Culviner
367 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...Read more