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Why is TSH of 238 still coming back as such?

I recently had a complete blood panel drawn. I have struggled for many years (almost 10) to get my thyroid levels under control. I just re-started levothyroxine 110mcgs . My blood results just came in after a dr visit. (Still need to await a follow up visit, mind you. also-this is with a regular MD) My TSH is 238. I think the norm range is .45 - 4.50. Is there something I can ask my doctor as to what can be done to get better control of this? Am i doing something wrong? I am 40 year old Asian female. Live in Philadelphia.......Thnk you
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Avatar universal
If TSH is the only thyroid test being done to diagnose and treat you, then you need a new doctor.  A good thyroid doctor will treat a hypothyroid patient clinically by testing and adjusting the biologically active thyroid hormones, Free T4 and Free T3 as needed to relieve symptoms, without being influenced by resultant TSH levels.  Symptom relief should be all important, not just test results.  

Also, please tell us about any symptoms you have.  
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TSH of that high is not a problem but make sure your Free T3 and Free T4 values are in optimal or at least in normal ranges. Also the main thing, watch out your symptoms. For example if you are feeling cold when the temperature is medium or high then its hypo mode and if feeling very hot unusually then its hyper. Many other symptoms there.
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