Aa
Thyroid
I have TSH level of 120 but dont have the usual symptoms of Hypo T. There is no weight gain,no tiredness etc ? Doctors issued 200mg of levothyroxine but his seems to have opposite effect of what it should.do, makes me tired ,headaches Please help.
I have two problems with your doctor. First that he is diagnosing and medicating you based on TSH only. TSH is a pituitary hormone that is affected by so many variables that it is totally inadequate as the sole diagnostic for thyroid issues.
At best TSH is an indicator to be considered along with more important indicators such as symptoms, and also levels of the biologically active thyroid hormones, Free T3 and Free T4. Of these Free T3 is the most important thyroid hormone because it largely regulates metabolism and many other body functions. Scientific studies have also shown that Free T3 correlated best with hypo symptoms while Free T4 and TSH did not correlate.
My second problem with your doctor is that he obviously doesn't know much about treating a thyroid patient, since he started you on 200 mcg of Levo. Starting doses are usually recommended as being between 25 and 50 mcg. If you really have no hypo symptoms, why would there be a need to medicate at all? Symptoms should be all important, not just test results.
I do suggest that you do further testing. You should request to be tested for the thyroid antibodies, to rule in or out the possibility of Hashimoto's Thyroiditis. Those tests would be TPO ab and TG ab. You should also make sure they always test for Free T3 and Free T4 anytime there is a need to test for thyroid function. Note that these are not the same as Total T3 and T4.
If you get those tests done, please post test results and their reference ranges and members will be glad to help interpret and advise further.
At best TSH is an indicator to be considered along with more important indicators such as symptoms, and also levels of the biologically active thyroid hormones, Free T3 and Free T4. Of these Free T3 is the most important thyroid hormone because it largely regulates metabolism and many other body functions. Scientific studies have also shown that Free T3 correlated best with hypo symptoms while Free T4 and TSH did not correlate.
My second problem with your doctor is that he obviously doesn't know much about treating a thyroid patient, since he started you on 200 mcg of Levo. Starting doses are usually recommended as being between 25 and 50 mcg. If you really have no hypo symptoms, why would there be a need to medicate at all? Symptoms should be all important, not just test results.
I do suggest that you do further testing. You should request to be tested for the thyroid antibodies, to rule in or out the possibility of Hashimoto's Thyroiditis. Those tests would be TPO ab and TG ab. You should also make sure they always test for Free T3 and Free T4 anytime there is a need to test for thyroid function. Note that these are not the same as Total T3 and T4.
If you get those tests done, please post test results and their reference ranges and members will be glad to help interpret and advise further.
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