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Doctor insights on: Tsh Levels After Thyroid Removal

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Dr. Quang Nguyen
893 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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3 weeks out of partial thyroid removal. Pre-surg TSH 1.27 miu/l: ft4 .9 ng/dl: after surgery TSH 3.150 miu/l: ft4 .96. Do i need medication?

3 weeks out of partial thyroid removal. Pre-surg TSH 1.27 miu/l: ft4 .9 ng/dl: after surgery  TSH 3.150 miu/l: ft4  .96. Do i need medication?

Not yet based on lab: Usually after partial or total thyroid removal it can take a while before medication may be needed. Every patient is different as to when they need medication. You are still making thyroid hormone from what's left, it appears your TSH has risen in just 3 weeks and may mean you might need medication soon. Normally we look for TSH to be above 4.5 before starting medication. ...Read more

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Tsh tests between 18 and 25. Over 8 months. T3 (liothyronine) and t4 good. Could there be underlying cause? Total thyroid removal 2014. Doc increased thyroxine

Tsh tests between 18 and 25. Over 8 months. T3 (liothyronine) and t4 good. Could there be underlying cause? Total thyroid removal 2014. Doc increased thyroxine

Increase thyroxine: As you have total thyroid removal , you need Thyroxine as replacement, Dose need to be adjusted based on TSH level, which is preferred to be 0.4 - 2.5. Celiac disease and IBS may cause variability in absorption of Thyroxine. ...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?

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 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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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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Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?

Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?

See a Specialist: Tg ab and tg are a marker for remaining thyroid tissue (and presumably thyroid cancer), TSH is the hormone that stimulates thyroid tissue to grow and produce thyroid hormone, PTH is the hormone that controls your calcium metabolism. You should discuss your lab interpretations with a specialist, especially given your history of thyroid cancer. ...Read more

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I am 3 years post thyroidectomy for 1cm papillary thyroid cancer. Have unexplained lactation that started and TSH jumped from 1 to 3.85 in 6 months.

I am 3 years post thyroidectomy for 1cm papillary thyroid cancer.  Have unexplained lactation that started and TSH jumped from 1 to 3.85 in 6 months.

Complicated question: Since you are on synthroid, (thyroxine) TSH is at least partially under your control. Depends upon dose. You may have missed some doses in the weeks prior to your repeat tsh. Unexplained lactation needs an exam and lab testing to understand. See your doc. ...Read more

Dr. William Culviner
353 doctors shared insights

Thyroidectomy (Definition)

This is the removal of all or part of the thyroid gland. It is generally performed for rumors of the gland, occasionally for enlarged and hyper functioning glands that do ...Read more


Dr. Jan Lei Iwata
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more