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Doctor insights on: Hyperthyroidism Vs Hypothyroidism Tsh Levels

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Dr. Thomas Knecht Dr. Knecht
Internal Medicine - Endocrinology
27 years in practice
UC San Diego School of Medicine
1

1
Hi My TSH level is 6.5 is this hypothyroid or hyperthyroid. is this normal?

Hi My TSH level is 6.5 is this hypothyroid or hyperthyroid. is this normal?

Probably hypo: Hi. In all likelihood, you have subclinical hypothyroidism. It would help to know your free T4. There are VERY rare conditions (emphasis on VERY) due to either TSH-producing pituitary adenomas or mutations in the thyroid receptor where elevations in TSH are seen and the patient does not have subclinical hypothyroidism, but playing the odds, go with hypo. Checking TPO and Tg antibodies may help too ...Read more

Dr. Susan Wingo
521 doctors shared insights

Overactive Thyroid (Definition)

Hyperthyroidism, often called "overactive thyroid," is a condition where the thyroid secretes too much of the thyroid hormones. Common symptoms include heat intolerance, increased appetite, ...Read more


Dr. Quang Nguyen Dr. Nguyen
Internal Medicine - Endocrinology
years in practice
Midwestern University Arizona College of Osteopathic Medicine
2

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I have hyperthyroid. I am taking neo-mercazole. The issue is while on medication i cross the TSH level and get hypothyroidism.How should I keep track?

I have hyperthyroid. I am taking neo-mercazole. The issue is while on medication i cross the TSH level and get hypothyroidism.How should I keep track?

Lower the dose: If you become hypothyroid on the pill, you need to decrease the dose until you are euthyroid again. Your doc should be able to do this for you. This is the art of medicine. If the pill is unable to do this, you might need to consider definitive treatment such as i-131 ablation... ...Read more

Dr. Thomas Knecht Dr. Knecht
Internal Medicine - Endocrinology
27 years in practice
UC San Diego School of Medicine
3

3
My T3 (liothyronine) and T4 levels are 102.06 and 5.6 resp. and my TSH level is 6.23 Is this indicative of hyperthyroidism or hypothyroidism?

My T3 (liothyronine) and T4 levels are 102.06 and 5.6 resp. and my TSH level is 6.23 Is this indicative of hyperthyroidism or hypothyroidism?

Probably: Hi. It's probably early/mild hypothyroidism. Definitely NOT hyperthyroidism. And please ask your doc to drop using total T4 and T3 (liothyronine). Measure FREE T4 (and I'd say free T3 (liothyronine) too, but that's still debated among endo's). But your TSH is elevated, and you clearly don't have a pituitary thyrotroph adenoma or thyroid hormone resistance. You're early/mild hypothyroidism till proven otherwise. ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
4
Dr. Philip Kern Dr. Kern
Internal Medicine - Endocrinology
39 years in practice
New York Medical College
5

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My graves disease went into remmission. My TSH levels were TSH 5.93 t4.14 t4.85 t3125. Is it possible that i can go from hyperthyroid to hypothyroid?

My graves disease went into remmission. My TSH levels were TSH 5.93 t4.14 t4.85 t3125. Is it possible that i can go from hyperthyroid to hypothyroid?

Graves remission: Yes, graves can go into remission. One strategy is to treat with Methimazole for a while, and then see if there is a sustained remission. Other autoimmune diseases behave similarly. The remission may not last forever, however. You can get hyperthyroid again, or it can "burn out" and you can become hypo. See your endocrinologist. ...Read more

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Dr. Quang Nguyen Dr. Nguyen
Internal Medicine - Endocrinology
years in practice
Midwestern University Arizona College of Osteopathic Medicine
6

6
My TSH is 29.20 , is it hypothyroid or hyperthyroid?

My TSH is 29.20 , is it hypothyroid or hyperthyroid?

Hypothyroidism: You have hypothyroidism. Get a free T4 and thyroid antibodies drawn to determine the cause. See your physician to start thyroid treatment. Good luck. ...Read more

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Dr. Marybeth Lambe Dr. Lambe
Travel Medicine
41 years in practice
University of Michigan Medical School
7

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Hi.I've TSH 27.95 is it hypothyroidism or hyperthyroidism?Thanx

Hypothyroidism: Imagine it this way. Tsh is a measure of how much your body is 'calling out' for thyroid hormone. If low, your body is saying it has more than enough circulating thyroid hormone (though there are some exceptions to this) a high TSH can be thought of as your body asking for more thyroid. The higher the tsh, the more your body may be in need of thyroid hormone. (there are exceptions). ...Read more

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Dr. Philip Kern Dr. Kern
Internal Medicine - Endocrinology
39 years in practice
New York Medical College
8

8
I have hypothyroidism with a reading of 7.03 TSH and then go back to being hyperthyroid?

I have hypothyroidism with a reading of 7.03 TSH and then go back to being hyperthyroid?

Graves disease: Your profile says graves disease, and you are taking Methimazole and/or ptu (propylthiouracil). Graves makes you hyperthyroid. The medications then suppress your thyroid, and can eventually oversuppress your thyroid to be hypo. Graves is tricky to treat, and you can get swings of thyroid function back/forth. You should be seeing someone who is familiar with graves (endocrinologist). ...Read more

Dr. Paul Kaplowitz Dr. Kaplowitz
Pediatrics - Endocrinology
41 years in practice
University of Chicago Pritzker School of Medicine
9

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I hav never had so much trouble with my tsh being out of balance and having intermittent hyperthyroid and hypothyroid. Been 6 weeks. Normal?

I hav never had so much trouble with my tsh being out of balance and having intermittent hyperthyroid and hypothyroid.  Been 6 weeks. Normal?

Need more info: I can't tell why you are having your thyroid tested so often except if you were recently started on thyroid hormone in which case your doctor is having trouble finding the correct dose for you. You might want to see an endocrinologist if you are not seeing one now to help you sort this out ...Read more

Dr. Thomas Knecht Dr. Knecht
Internal Medicine - Endocrinology
27 years in practice
UC San Diego School of Medicine
10

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Dr my free T4 is 1.03 and TSH is 3.18 normal between .1 to 4.8 shown in result. I want to clarify i am having hypothyroid or hyperthyroid?

Dr my free T4 is 1.03 and TSH is 3.18 normal between .1 to 4.8 shown in result. I want to clarify i am having hypothyroid or hyperthyroid?

Neither: Hi. Maybe I'm missing yor point. You have a normal TSH and a normal free T4, and you're wondering if you're hypothyroid or hyperthyroid? You left out the correct answer...normal thyroid. Normal is normal. That sounds trite, doesn't it?! But true. Normal thyroid function is normal, not hypo, not hyper, but normal. If I'm missing the point, please clarify. Good luck! ...Read more

Dr. David Sneid Dr. Sneid
Internal Medicine - Endocrinology
37 years in practice
Washington University School of Medicine
11

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My wife's T4 value is 11.5 and TSH is 4.98 can u please suggest is it hypothyroidism or hyperthyroidism and medicine for same?

Subclinical hypothyr: She has subclinical hypothyroidism. Tsh is technically "normal", but not appropriate for someone her age. Many doctors would begin low dose brand name T4 replacement; others would wait until lab worsens. ...Read more

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Dr. Susan Wingo Dr. Wingo
Internal Medicine - Endocrinology
29 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
12

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Hi. I um 30 weeks pregnant..At 24weeks i was diagnosed with 4.4 tsh.This is hyperthyroid or hypothyroid..It will effect my baby any way?

Hi. I um 30 weeks pregnant..At  24weeks i was diagnosed with 4.4 tsh.This is hyperthyroid or hypothyroid..It will effect my baby any way?

See your doctor: This TSH may be "normal" or high for nonpregnant women, depending on your lab's reference range, but it is high for a pregnant woman. High TSHs indicate lower-than-desired thyroid hormone levels or HYPOthyroidism. If you were already taking thyroid hormone, you need a slightly higher dose. If not on thyroid hormone, may not need to start - depends on any symptoms, and needs recheck soon. ...Read more

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
13

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T4 free 0.93, T3 (liothyronine) free 1.2, TSH 1.02 does this mean I have hypothyroidism, hyperthyroidism, or is it normal.

T4 free 0.93, T3 (liothyronine) free 1.2, TSH 1.02 does this mean I have hypothyroidism, hyperthyroidism, or is it normal.

Normal.: Thyroid values appear normal, but should be interpreted in the context of your symptoms and underlying disease process. They are just a snapshot. ...Read more

Dr. Yelena Kipervas Dr. Kipervas
Family Medicine
19 years in practice
New York Institute of Technology New York College of Osteopathic Medicine
14
Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
15
Dr. Michael Finkelstein Dr. Finkelstein
Internal Medicine
33 years in practice
Ross University School of Medicine
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Why no doc doesnt want to give me treatment for hashimoto if my TSH is normal?and will hashimoto 100% develop into hypothyroidism or hyperthyroidism?

Why no doc doesnt want to give me treatment for hashimoto if my TSH is normal?and will hashimoto 100% develop into hypothyroidism or hyperthyroidism?

Hashimoto: thyroiditis is usually self limited if the TSH is normal it just is monitored. it could develop into hypothyroid and you should be checked routinely ...Read more

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
17

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I was diagnosed with subacute thyroiditis. I have gone through the hyperthyroidism stage and now think I am in the normal stage but wondered how long before I see a change into the hypothyroidism stage. My T3 and T4 are in "normal" range but my TSH is ve

DeQuervain's?: This is a self-limited, common disease that generally self-cures and requires little or no treatment. I'm sorry you had to endure the unpleasantness of hyperthyroidism briefly; if your physician is agreeable, the best thing to do right now is let the thyroid regenerate itself under the gentle control of the extra tsh. ...Read more

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
19
Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
20

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Thyroid ultrasound results showed hyperthyroidism but blood tests came back saying hypothyroidism TSH 11.4 antibodies teat also came back high?

Thyroid ultrasound results showed hyperthyroidism but blood tests came back saying hypothyroidism TSH 11.4 antibodies teat also came back high?

Size v function: The ultrasound can only tell you the anatomy of the thyroid whereas the blood tests tell you how it functions. In your case, you have low thyroid function and probably an enlarged thyroid. ...Read more

Dr. Quang Nguyen
926 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


Dr. Su Fairchild
1,239 doctors shared insights

Hypothyroidism (Definition)

When the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more