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Doctor insights on: Tsh High After Thyroidectomy

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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

Dr. Quang Nguyen
943 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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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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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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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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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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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

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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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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 never had high blood pressure before thyroidectomy andits treatment with medicines. My TSH levels were 0.50 last week and yesterday, my blood pressure went to 183/97.What should I do?

I never had high blood pressure before thyroidectomy andits treatment with medicines. My TSH levels were 0.50 last week and yesterday, my blood pressure went to 183/97.What should I do?

Hypertension: One reading doesn't make you a hypertensive. However, I would see you pcp sooner than later with such an initial elevation. You TSH was within normal limits, and can lead to a fast heart rate. ...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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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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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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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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Hyperthyroid 5 years with toxic nodule pre hemi thyroidectomy supressed TSH elevated T4 T3 (liothyronine) 10 days post op TSH supressed low T4 T3 (liothyronine) am I hyper or hypo?

Hyperthyroid 5 years with toxic nodule pre hemi thyroidectomy supressed TSH elevated T4 T3 (liothyronine) 10 days post op TSH supressed low T4 T3 (liothyronine) am I hyper or hypo?

Difficult to answer: Since you're on ptu (propylthiouracil) which inhibits thyroid function and hormone production. Would have to know when and how much ptu (propylthiouracil) you've been taking and serial lab values to determine the answer. If your TSH is still suppressed, you're probably still hyperthyroid, but more or longer therapy w/ptu (propylthiouracil) may help. Methimazole may be safer than put. Think about radio iodine therapy w/your doctor. ...Read more

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Tsh high/ egfr low & slight hemolysis, what does all this mean?

Low thyroid: A high TSH almost always means that there is too little thyroid hormone in the blood. It would not usually cause decreased kidney function as suggested by a low egfr (estimated glomerular filtration rate) or breakdown of red blood cells (hemolysis). The hemolysis and decreased kidney function might be related however. Your situation is and complex and potentially serious - see your doctor! ...Read more

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What does a tsh, high sensitivity level of 177.70 mean for a male patient?

Thyroid deficiency: 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, If you are using conventional units for TSH, this level indicates severe deficiency of thyroid function. See this site for more info.
https://www. Nlm. Nih. Gov/medlineplus/ency/article/003684.htm ...Read more

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Will dielatin 300mg a day make TSH high in blood work and if so why thay keep giving more and more pills?

Will dielatin 300mg a day make TSH high in blood work and if so why thay keep giving more and more pills?

Faster breakdown: Dilantin, like many anti-seizure meds, can speed up certain enzymes in the liver that metabolize, or break down thyroid hormone into inactive chemicals. Since more thyroid hormone is broken down on a daily basis, more must be put into the bloodstream to keep levels up. The thyroid can usually do this naturally, but if someone is already needed pills, a stronger pill may be needed w/ dilantin. ...Read more

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What is meant by low TSH high free t4?

Hyperthyroidism: A low TSH and high T4 is an indication of over-active thyroid (hyperthyroidism). This should be evaluated further for any potential cause and discuss treatment options with your physician. Referral to an endocrinologist may be necessary. ...Read more

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Normal tsh, high T4 and high t3 (liothyronine). What is it?

A high protein: T4 and T3 (liothyronine) are bound to a protein in the blood and when it is high, the T4 and T3 (liothyronine) can be elevated with a normal tsh. Estrogen, birth control and pregnancy are the most common causes of an elevation of this protein. ...Read more

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Cholesterol 238mg/dL, HDL 62mg/dL, LDL 150mg/dL, ALT 99U/L, AST 42U/L and TSH high could this be high from my TSH levels?

Hypothyroidism??: How high is TSH? Hypothyroidism is associated with hyperlipidemia. Do you know the result of T3 (liothyronine) & T4? . How mush do you weight? Obesity, non-alcoholic Fatty liver and NASH (non-alcoholic steatohepatitis)) can also give similar blood test. See a DOC for complete evaluation and discussion of your test result ...Read more

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Low TSH high free t4? What is the cause?

Low TSH high free t4? What is the cause?

Hyperthyroidism: High ft4 and low TSH are a combination usually indicating an over active thyroid. It doesn't explain the cause which will require further testing to figure out. ...Read more

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Normal TSH, high free T4 mild elevation, what might be the cause?

Repeat the labs: Hi. In all likelihood, it's a lab error or some trivial explanation. Repeat the labs to see if the lab profile is reproducible. Among the very rare possibilities that it's real would be thyroid hormone resistance, a condition wherein a mutation in a subunit of the thyroid hormone receptor is present (these people are euthyroid), or a pituitary adenoma that makes thyroid hormone (these are hyperthy ...Read more

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Does suppressing TSH - high T4 cause weight gain?

Does suppressing TSH - high T4 cause weight gain?

No weight loss: High T4 and low TSH means the thyroid gland is overactive and producing more thyroid hormone.That speeds up your metabolism and you end up losing weight.Reverse is true if your TSH is high and T4 is low, in that case you end up gaining weight. ...Read more

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Hospitalized 3.3 K, tachycardia, fluctuations in glucose 100-368 quickly (non-diabetic), TSH High 10.8. My TSH is usually 1.2, glucose 60-120. Cause?

Hospitalized 3.3 K, tachycardia, fluctuations in glucose 100-368 quickly (non-diabetic), TSH High 10.8. My TSH is usually 1.2, glucose 60-120. Cause?

We need a lot: More information to be helpful. For example do you have an eating disorder?????
Why were you admitted?
Any prior history of low thyroid? Family History??

Ask again!
Dr z ...Read more

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Thyroid us 1.2cm by 0.9 nodule hypoechoic. Had previous in June 2014 saw 3 nodules 8mm and all are stable the large one is new. Tsh high 8.1. Freaking?

Thyroid nodules: Most nodules are benign, especially if multiple. Biopsy by needle aspiration may be useful for larger nodules, though recently the threshold for biopsy was lowered to just over 1 cm. Early detection of significant lesions is useful, but most cancers at young age are highly curable even if nodes involved. ...Read more

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T3 (liothyronine) & T4 mormal, but TSH high 24.....Can be cureable.....Can effect married life...?

May be nothing: Thyroid hormone production and control are complex. If your T3 (liothyronine) and T4 levels are normal but your TSH is slightly high, it may be nothing at all. Talk with your doctor and ask about consulting with an endocrinologist if this worries you. It is unlikely this will affect your social life. ...Read more

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A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

Hypothyroid: 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 A1c result is not abnormal and is not pre-diabetes level. However you are hypothyroid and should consult your doctor for replacement medication. ...Read more

Dr. James Dukelow
34 Doctors shared insights

Tsh High (Definition)

A high TSH level means the result is above the normal range. TSH (thyroid stimulating hormone) is usually high when the thyroid gland in the neck is not ...Read more


Dr. Brendan Stack Jr.
370 Doctors shared insights

Thyroidectomy (Definition)

Is the surgical removal ...Read more