I am sujoy roy, 37+ years old. I am taking medicine for thyroid for the last 5 years. In the year 2017, started with eltroxin 50 mcg. Now taking eltroxin 75 mcg. Recently I have done blood test and test report comes: t3 is 101.5 ng/dl, t4 is 7.40 ug/dl, tsh is 10.510 ulu/ml. Always feeling very tired and negative thoughts comes in mind. Why my tsh is always high? Why the power of medicine is increasing day by day? How can I cure from it?

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have gone through the details mentioned. From the the "recently done" thyroid report it is clear that your current dosage is not adequate. When one is on adequate dosage of levothyroxine, tsh is maintained around 3 to 4 mu/l and t4 as well as t3 are within the normal range. That helps control all the symptoms associated with hypothyroidism. Usually it is essential to check thyroid hormone levels whenever dosage is altered or symptoms of the condition (like tired feeling, early fatigue, sluggishness, slow heart rate, increased weight, dry skin, intolerance to cold & hair fall etc) appear. If you have started the treatment with adequate dosage, then usually one does not see increase in tsh as well as repeated increase in symptoms. Another aspect one has to remember is that hypothyroidism is not curable. You will have to take required quantity of the dosage (to be properly calculated based on tsh, t4 levels and body weight, age and height as well as sex). If that is done the disorder is in control and one would feel absolutely normal. Another aspect looking your weight and height with a bmi (body mass index) of 30.07 kg/sq meter (normal < 23 kg/sq meter) you are already in grade 1 obesity. Your ideal weight should be 59 kg, which means there is an excess of over 18 kg. This is because of uncontrolled hypothyroidism. So please take accurate dosage, take proper diet, avoid junk foods, deep fried foods, bakery items and increase intake of green leafy vegetables and salads, plus exercise regularly. If you have any questions please do come back. Thanks.  

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