Tyroid TSH level

[kinu1229]

I am 38 Years old female. I have 5 Years old child. I have checked my thyroid TSH level is 8.48 on 8th June I have consult Endocrinologist for Thyroid on 12th June he advice me to take Tyronarm-25mg but I am having a doubt so without taking tablet I have checked on 12th June with Different lab. My TSH level is 4.48 so I have checked once again on 18th June with different lab my TSH level is 4.98. I met the Doctor with all reports but he suggest me to take Tyronarm-25 mg as my sister is having a Hypothyroid. He told me even we consider 4.98 TSH you are near to border line you should take tablets or You have to monitoring your thyroid after 3-4 months regularly but as per my experience after 3 to 4 month you may have High TSH level as your sister is suffering from thyroid it is in your genetics. What to do now whether I should take tablets or wait for high level of TSH?
(other reports for your reference my cholestrol is 183.80,Triglyceride is 119, VLDL is 23.8 LDL is 117 HDL is 117.B-12 is 152(I have start injections for B-12 and Vit D level is 6.48( I have start to take Tor Flash MD sachet -3 after every 15 days)

[Mark Lupo, M.D.]

You most likely have Hashimoto's.  Therapy is not mandatory with the current TSH levels but would be if the TSH is consistently above 10.  If there is evidence of goiter, or symptoms that may be due to even mild hypothyroidism then medication would be warranted.  Otherwise if you're feeling well and preferred to avoid medications, it is reasonable to wait.  Please discuss these options with your physician

[Red_Star]

Your vitamin D and vitamin B12 levels are severely deficient. These two deficiency states are common with hypothyroidism but there may be other reasons.  Recommended vitamin B12 serum is over 800 pg/mL or 600 pmol/L. Vitamin D council recommends vitamin D serum levels between 50 - 80 ng/mL or 125 - 200 nmol/L.

Your fluctuating TSH may be a sign of Hashimoto's thyroiditis which is an autoimmune disease and the most common cause of hypothyroidism.  A more indepth thyroid panel includes TSH, free T3, free T4, thyroid peroxidase antibodies (TPOAb), and thyroglobulin antibodies (TgAb). When treating hypothyroidism, the TSH value should generally be around 1mU/L.