I was diagnosed with hypothyroidism on October 2016 with TSH level 5.12 I consulted with endocrinologists. They suggested me not to start medicine and keep on checking TSH, T3, T4 level once in 2 months. I did so. My TSH level in the mean time came as 2.49, 2.21, 3.09 and also normal T3, T4 levels. But now 10 days ago my TSH level came as 6.45 I am extremely worried. I am preparing for civil services exam (IAS) which is the toughest exam. If I am diagnosed with hypo thyroid, my brain power will surely get diminished. Then is it possible for me to crack the exam? Many of my friends and family members suggested me to forget the IAS exam as it may not be possible anymore. I am worried. Please suggest.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. The TSH levels earlier and current both are in sub-clinical hypothyroidism level. Usually at this level no treatment is advised. When level crosses 10 mU/L, hypothyroidism is confirmed and treatment is initiated. However, occasionally in some patients even at the sub-clinical level, if there are troublesome symptoms of hypothyroidism present then treatment is initiated with a minimal dose. Please tell me why was the test done? Was there any specific reason for getting the test done? If there is no specific problem, then there is absolutely no reason to worry. But if you have any specific issue, then treatment can be started. As regards your preparation for civil service exam and clearing it, if you are confident of your preparation and capabilities, then nothing will stop you from clearing it with flying colours. Low thyroid levels affect clear thinking and intelligence etc only when it is uncontrolled hypothyroidism. Still if you have any doubts please come back with answers to my few queries mentioned above, then I will be able to guide. Thanks.  

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