4.87 TSH should I take Synthroid 25mg?

[MissRita]

Hello Dr.

Iam a 28 year old rheumatoid arthritis patient taking Enbrel. This week my doctor recommended doing a TSH to know how my thyroid was functioning. The results were 4.87  He told me I needed to take Synthroid 25mg dosage because I had hypothyroidism. I was having very dry mouth, eyes & skin, tiredness, mood changes, loss of hair etc. Should i keep taking this dosage? I just started it, two days ago.
Thank you very much for any help and God bless!

Margarita

[Super_sally888]

Hi,

Dr. Lupo doesn't usually reply twice on the same post

You need to have retest of TSH, FT3 and FT4 in approximately 6 weeks.

Target TSH 1 - 2.  Target FT3/FT4 middle to upper half of the reference range.

Hope this helps.

[MissRita]

Thank you Doctor for your diagnose. I started taking Synthroid 25mg 2 days ago. After taking this med, how much time should I wait to take another blood test?
What type of analysis you recommend me taking?????

[Mark Lupo, M.D.]

It is not uncommon to see autoimmune thyroid disease in patients w/ RA.  In this case, it's likely Hashimoto's with early/mild hypothyroidism.  This does not absolutely require treatment, but with symptoms it is worth a try to see if bring the TSH back to completely normal helps.