Dear sir, Few days back I diagnosed with thyroid TSH 14.02 and I consulted in AIIMS delhi and they told me to take "thyronorm 75 mcg" I started the medicine and I have headache whole day and heat is generating inside body. And earlier it was not when I was not taking medicine. And I took medicine for around a week and then I again tested my tsh level it reduced to 6.33 So sir please suggest me what to do? Should I continue with 75 mcg?

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. TSH 14.02 mU/L shows presence of hypothyroidism. Therefore, Thyroxine was recommended as a treatment. It is difficult to understand how TSh can be reduced in one week. Because it takes over 4 to 6 weeks for TSH level to change after correct treatment. Either the first or the second TSH value has to be incorrect. If you have hypothyroidism (which may be confirmed by one more Thyroid Function Test from a good lab), then only treatment is to take appropriate dose of Levothyroxine. Thanks.  

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