Howdy Doctor I recently had my levels checked due to the fact that my cognitive process was getting slow and when I did my physical fitness program I would not recover within the normal parameters. My T4 is at 1.7 with a total of 12.5 TSH I am 60 years of age male and I am usually physical fit until this happened. My nutrition is on the healthy side and have also learned that the nightshade family can cause a bad TSH result, I have been consuming potato, eggplant, tomato, bok choy, tofu and many other "vegetables" daily in hopes of a better nutritional intake. I am by no means a vegan or vegetarian however I could if my health depends on the commitment on doing so. My physician has prescribed levothyroxine .25mcg. I am feeling a bit better but getting back into my daily routine has been taxing. Any suggestions you can offer are appreciated.
@@rusty-ole-boomstick1268 Hi Mike, for whatever reason I missed your comment and I apologize! I know it was from several months ago, but I wanted to make sure to answer it anyways in case you're still working on things. Sometimes TSH can increase as a normal function of aging, so I would be curious to see what your exact symptoms were. The T4 you described looks to be normal. For my male patients who are above 60, I like to make sure they're getting enough protein (>130 grams depending on body size), eating foods that work for them and don't cause digestive symptoms, mixing in some resistance training to tolerance, and are of a healthy weight. Again, my apologies for missing your comment! Feel free to respond back if you have any other questions. Hope you're doing well and feeling better lately!
@@manja546 Just to be clear, is that free T4 and are the units pmol/L? To me the TSH looks a little high and so does the free T4. It would be helpful to know the other thyroid labs you had checked to give you better feedback. Things like total T4, free T3, total T3, reverse T3, and thyroid antibodies. Additionally, it may be a good idea to get another blood draw to establish a pattern and see what direction those markers are trending in. Let me know if this helps!
Hello! So last week I went to the doctor and my tsh was 4.58 and T4 15. I have a hard time breathing and my heart rate rises easily. I also feel very tired and my stomach bloats. I am on a fodmap diet and it doesnt help. I'm not overweight and I exercise a lot. My question is, can chronic stress and anxiety raise tsh levels? I have had physical stress symptoms every day for two years. There is no hypothyroidism in my family and I am 23 years old.
Thank you dear doctor. My TSH is elevated at 5.3 and my doctor wants to put me on hormone medication for my thyroid, however my T3 and T4 are at normal range. I’ve never had issues with my thyroid. I just lost both my husband and my mother and I am under severe emotional stress and depression….. I am engulfed in grief. I’m 43 and I’m not eating at all, I barely eat to stay alive and I’m losing weight very quickly. I believe all these issues have caused my elevated TSH 😢
I just want to say THANK YOU for answering each and every persons query, you are the most kind hearted doctor who really wants good health for everyone.
You're welcome Arym! I do my very best to get around to everyone who has an honest question. I know it can be hard to get help with this stuff so I'm doing my best to give people a little bit of resources and information. Thank you for all the wonderful feedback!
Hi Sharon, thanks for the feedback! I hope the information was helpful and, as I mentioned, I do believe that these things can get better with the right kind of support ❤
Hi Hansi, unfortunately, that seems to be the case everywhere. Of course, there are outliers with individual doctors who are more interested in looking at the whole picture when it comes to a patient's health, but that's typically rare. It's frustrating and I don't know exactly why it happens, especially when patients come back to their doctor and tell them that they're not feeling better. I hope you can get some better help soon! Please let me know if I can help with any questions.
@MCA-MiddleClassAmmayihii! Did you find any solution..please let me know ,I'm also facing the same problem,I'm 21 years old only and my tsh level is 7.91
Hello Doctor Brad, Iam Priya. My mother is having thyroid. Her age is 62, t3 level 95 t4 5.47 level and TSH 12.09. She has stopped the medication few months back and she is feeling better after stopping medicine. She used 50 mcg for 10 yrs. Can you please suggest what we can do. Thanks
Omg!!! I have sub-clinical hypothyroidism and I have always wondered how my TSH is high (5.5) but normal T4 and T3 and adequate T4 to T3 conversion. Thank you for explaining it - you are the only one who addressed this !!
I'm happy I could help Mahasweta! If the TSH remains high on follow up with your doctor, you're going to want to continue to track your T4 and T3. For some people the TSH will resolve, for others it may be a sign that you're in the early stages of thyroid dysfunction. Hope you're doing well! Let me know if you have any questions!
@@DrBradBodleHi, my TSH last year was 12, with normal T3 and T4 and negative anti TPO antibodies. I was prescribed 25 mg Eltroxine and the TSH was normally coming down to below 1 in January 2024. But last week, it again rose to 28. Blood work and glucose are normal. No apparent problems as such too. My dose has now been increased to 50 mg Eltroxine. What is going on? Can you explain? Thank you!
Glad I found your channel and this video. Just got some bloodwork back with both high TSH 3rd Gen of 13.995 and Ferritin of 449. Trying to get some answers and also some questions to ask my doctor.
Hey Dr. Brad! Your videos are always so easy to understand and follow along! Thanks so much for breaking down for us what to do if we have high TSH levels! This is super helpful!! :)
Thanks Marina! I'm really glad that they're coming across clearly. I try to walk through the process as simply as I can. Thank you so much for watching!
This is so interesting. Never had TSH checked before and you always explain it in a way that makes it super easy to understand. Thank you so much for sharing your knowledge on this topic, Dr. Brad.
This is incredibly helpful! I have had two blood tests (a year apart) come back as Subclinical Hypothyroid. My question is - how long do you recommend waiting to see if your body will resolve subclinical hypothyroid on its own before taking some action to intervene?
Hi Allison! I'm so happy the video was helpful to you! In my practice, I usually like follow up within 6-8 weeks, but it wouldn't be unusual for some doctors to do a 3 month check-in. Both would work fine and give you a better idea of the trend. The big thing here is correlating the labs with your symptoms. If you're not feeling well and you have back to back labs with elevated TSH, then it might be worth it to start making some changes. Hope this helps!
Thanks a lot sir, it's really explained neatly. I am diagnosed diabetes since 3 months. It's started with hba1c 9 and now reduced to 7.8 in 3 months. But I was loosing weight regularly. Yesterday when tested for thyroid. It came TSH of 13 with T3 and T4 normal. I don't any symptoms either for diabetes or thyroid until now. Please advise how to treat this TSH and my weight loss or diabetes is due to TSH? Thanks
Hi Umesh, first of all, congrats on the weight loss and improved lab markers, that's awesome!! Keep up the good work 👍 To answer your question regarding the TSH, weight loss can change our hormones in a number of ways that can be hard to predict. This is one of those scenarios where I would repeat testing to see if the TSH stays high. If it does, depending on your symptoms, you and your doctor can decide to take action or wait and watch. As long as you're not having symptoms, you might want to wait until your weight stabilizes to give you a more accurate picture. Hope this helps! Let me know if I can clarify anything for you.
Hey Doc Thanks for the informative video. I have been doing research watching videos and reading articles about Thyroid. My TSH is currently 18.05 and T4 0.57. I am 65 male thin and fit lost 50 lbs from 215 lbs 4 years ago to 165 lbs today. I do low carb high fat/protein diet lifestyle. My Doc just says I'm Hypothyroid and because of the numbers wants me on Thyroid Meds for the rest of my life and refuses to do a full Thyroid panel. I have no symptoms and feel great ! I need to find the root cause before I commit to such a life changing thing. Any advice would be helpful . Thanks much Michael M.
Hey Michael, thanks for the message! I'm with you on his and personally I'd also like more info before making a decision on medication. In addition to getting a full panel, I think simply getting your TSH checked again would be helpful to get a better idea of any trends or patterns. If you were feeling poorly, then I would understand more urgency to try and be proactive, but I would take things one step at a time for right now. Not much advice other than I agree with you :) Hope it's helpful though! Let me know if I can assist with anything else!
Hi Theresa, thanks so much for subscribing and for the support! :) Yes, I think that if more providers thought a little more holistically about these things, then many patients would be treated to better outcomes. Thanks again and let me know if you have any questions!
Hi Agrim, you need to follow up with your doctor right away to get assessed. These numbers are not healthy and you need a treatment plan with someone who understands your full health history. I hope you can get helped soon!
Hi Dr Brad, thankyou very much explaining so well. I wanted to check if the TSH is >60 and the t3 and t4 tests are not done, should we continue taking thyroxine medicine. There are symptoms like dry skin, and metabolic issues. How does thyroid affect fertility in the long run ?
Hi! You're welcome! Yes, most doctors would have you continue with your medication is TSH is above 60 (the threshold for this is typically around 10), even with normal T4 and T3. However, it sounds like there might be something else going on here since the TSH isn't resolving with adequate hormone levels. It might not be a bad idea to get a full thyroid panel including thyroid antibodies (TPO antibodies and Tg antibodies) to see if anything else is abnormal. Low thyroid function can impact fertility as it is a very metabolically demanding process to maintain and grow the fetus. Hope this answers your questions! Let me know if I can assist with anything else!
Dear Dr. Bodle. I had a blood test last week and my TSH is 11.000 and my T4 1.00. I did not fast the night before, but had no breakfast. I'm 67, and was on 50mg of synthroid for years. Last year I started having sever muscle pain. It got so bad in my legs at night I'd wake up in tears. My doctor lowered my dose to 25. Still pain. I couldn't handle the pain, so I decided to take myself off synthroid. I'm sure I'm in for a lecture. I started taking a natural Thyroid suppliment containing b vitamins, sellium, iodine etc. I have been feeling great and with no pain. I'm not sure I want to go back on a drug and live with pain. What can I do? What advice can you give me?
Hi, Ductor I'm from Bangladesh....I like yours vedios it's helpful for us.... My TSH 30 and FT4 9.8 .... before testing I take levothyroxine sodium USP 50 mg (1+0+0) par dey What I will do ....now.... please answer me
Great video with clear information. I have terrible constant fatigue and dry skin and recently found out my TSH was high. My T3 and T4 are normal. Would thyroid medication help me?
Hi Jason, thanks for the kind feedback! It's hard to say. Sometimes when people have normal T4 and T3 levels adding hormone can fix the TSH, but then people have too much thyroid hormone in their system and can struggle with hyper-thyroid symptoms. Other times, it can be ok. Just be aware that both are possible and you'll want to talk through strategies with your doc. At the same time, it might be helpful to check thyroid antibodies (TPO antibodies and Tg antibodies) to see if autoimmunity is contributing to the changes in TSH. Hope this helps! Thanks again!
Hi! I have TSH 9,15 and T3, T4 normal values. I am very anxious and have heart palpitations and chest pain daily. Do you think hypothyroidism has affected my heart? Should i take thyroid treatment? Thanks!
Thanks for your wonderful information. I was going for clinical solution, however my T4 is normal and TSH is 6. Now after watching this video I am not going for a Doctor. Thanks a lot.
Hi Iftikhar, thank you! I'm glad you liked the video. I would still follow up with your doctor so you can determine if there is any reason for the change in TSH and if you're experiencing any related symptoms. I always think it's best to proactive when it comes to our health. Thanks again and wishing you the best!
@@DrBradBodle thanks you for your note. I have been through stress for about a year. That stree has developed many dents including high BP. I am struggling with it or in other words running for life.
@@iftikharahmad7086 I'm sorry to hear that Iftikhar! I hope your stress improves soon and you are feeling better. I know how hard that can be on your health.
Hello Sir in my case i have FT3=3.10 FT4=1.56 but my THS level is 15.437 2yrs ago i had my iodine therapy and currently taking 62.5mg thyroxine medicine and im 26years old How do i lower my THS level Though it is 2yrs old video i hope to get your helpful reply soon
Hey doctor brad ive recently done my thyroid test and i found that my tsh is very elevated at 24 and t4 t3 and free t4 are normal. Im suffering from severe anxiety and panic attacks . It would mean the world to me if you can show a path
Dr. Brad, I'm wondering what external factors can affect TSH in a short period of time? For example, if today I eat a Pork's blood sausage can this change my TSH lab result tomorrow?
Hi there! It wouldn't Be unusual or impossible for TSH levels to fluctuate within a day depending on changes in other aspects of our physiology. In fact, TSH normally has a diurnal rhythm with a peak at midnight and the low point in the late afternoon. An inflammatory reaction or immune system change because of increased stressors could easily impact levels. I don't think blood sausage would be a huge factor here, but I could be wrong. Hope this helps!
Sir your videos are so informative & lucid. my t3 0.82, t4 8.50, tsh 5.43, tpo antibody 464.70. I am experiencing heavy hair fall especially from crown area. Is it beacuse of thyroid issue? regards Wrishav
Hallo Dr. One question. I made an tsh test it showed 4,6. After 5 day the doctor recommended to take another one. My tsh 6,5 F4 1,3 T3 1,7 Tomorrow I will go to test the thyroid gland . Please if you can give me your recommendation .thank you.
Thank you Dr.Brad for making this informative video. I have high TSH 45 so is it necessary to take medication for whole life? I feel frustrated when I have to daily take medication. I simply skipped my medication and my TSH is now increased to 45. Can I get any remedy for controlling TSH without taking medicine? Thank you in advance.
Hi Trupti, you're welcome! I'm glad you liked the video. TSH can change depending on a variety of health factors and as long as you're working with your doctor to address the root cause of your thyroid problems, then it's possible you might not need medication some day. That's not the case for everyone, but this is where a full thyroid lab panel (in my office that includes TSH, total T4, free T4, total T3, free T3, T3U, reverse T3, TPO antibodies, and Tg antibodies) will help you to better understand what's going on and why your TSH is high. Hope this is helpful to you! Let me know if you have any other questions!
Thanks for this great video. I usually work out(weight lifting) 5-6 days a week from last 4 years and my weight is 196 and height is 5.7. I was having hair loss issues and my doctor asked me to do blood test for thyroid. Today I got the report and my TSH is 4.420 uIU/ml and standard Range is from 0.35 to 3.74. So, my TSH is flagged High. My doctor prescribed me to take levothyroxine 50 mcg tablet for rest of my life. Should I start taking this medication or should I wait and do another lab test while visiting doctor after 5 weeks?
Hi Narayan, usually when we have a mild elevation of TSH and the rest of our thyroid markers are normal, then the standard of care is to track things first. If the TSH is under 10, then it's possible for these situations to resolve without medication. However, since you're having symptoms, your doctor might believe that they are caused by thyroid issues and is trying to be proactive, which is also a good thing. We always want to make sure that the hair loss issues are being caused by low thyroid hormone and not something else. Hope this helps! Let me know if you have any other questions!
Had my bloodwork done today due to hair loss, and my T4 is normal and TSH is over 10. I have been on Levothyroxine 100 mcg for years now. Is it not working? I am going to see my primary in November, but I am hoping you can provide advice in the meantime. Thank you for the informative video.
Hi Tracee, thanks for reaching out! TSH is definitely high and your free T4 is low. Make sure you're working with your doctor to get that all figured out! Wishing you the best!
Sir, my TSH is 8.34 , T4 4.6 , T3 1.07 4 months back TSH was 6.4 , T4 4.879 , T3 normal Rose in tsh in 4 months and dew drops in t4, how should i start my treatment
I was diagnosed with subacute thyroiditis this past weekend. I just received my blood work results and my TSH lvl is 50.79, T3 free is 2.2, and my T4 free is 0.6. What does this mean?? I have an endocrinologist appointment tomorrow, but i don't want to go in without some knowledge of my own. Thank you in advance for your help.
Hello Dr Brad, thankyou for the video, .my mother TSH is 17 and her T3 and T4 are normal she is a NA liver cirrhosis patient would you recommend us to see a endocrinologist?
Hi Satish, thanks for watching! :) Yes, I think that would be a great idea. Depending on her general practitioners comfort level, they might be able to help as well. But I'm sure they could point you in the right direction and get you the referral to the endo if necessary. Hope this helps and good luck to your mother!
Dr, Brad I already underwent total thyroidectomy from July 2015..Now when I went for TSH check up last July 28 2023, my TSH is 41. what does this mean and how to put it down?
My TSH was around 5.5 and I hadn't noticed any symptoms beyond fertility issues when I was first diagnosed but because I had antibodies, low T4 and was trying to conceive I started a small dose of generic levothyroxine. Within a few months my TSH was a 30, and other labs simliarly out of whack. I always wonder whether it's possible that taking the medication caused the drastic changes I saw in such a short amount of time? Or does the fact that they increased show that I indeed needed medication?
Hi Kelsey, thanks for the comment! It's hard for me to say without knowing all the details, but it is very possible for people to not react well to certain medications (I have some patients who don't tolerate most thyroid meds). Whatever the cause, I would not say that having the TSH increase is a good outcome or that it shows you really needed it. Let me know if you have any questions! I'd be happy to discuss this more.
Thanks dr for such helpful video 👏 my dr prescribed 75 mcg when my tsh level was around 3.6 , I feel it’s putting my tsh level down to normal, what should I do ? Should I stop medicine?
Hi Anshika, before you change your medication you should talk to your doctor and get an updated set of labs. This will help you both to objectively decide what you best course of action is. Thank you for reaching out! Let me know if you have any other questions!
Hey Dr. I’ve gotten my tsh, t3, and t4 tested and my tsh is 1.72, t4 is 1.4 and my t3 is 206. I just got more blood work done but would like to hear your opinion! I’ve also been dealing with heart flutters for many years now and I’m only 22 could that be related in anyway?
Such a nice information Doctor.. Any way my levels are here.. T4 - 0.956 ng/ dL T3 - 0.284 ng/dL TSH - 8.28 uIU/ml Taking medication : EUTHYROX 50mg Can u guide any diet to decrease my levels of TSH, we are planning for second baby.. Please do suggest do's and don'ts..
Thnx for sharing your valuable knowledge with us.. 🤩.. How do u suggest can we mk our thyroid healthy in a holistic way without medication if the tsh is 20.9.. Stay Blessed Stay Happy 🤗🥰🧚♀️🦄🧿🌈
Hi Shailyy, you're very welcome! I hope it's been helpful. This is something that you'll need to work with your doctor on because some people can do things naturally, some people need medication, and others will need a bit of both. To help manage the TSH, we have to figure out why it's elevated in the first place. This is where running a full thyroid panel will help you get a better idea of what's going on, so I would start there. Hope this makes sense and let me know if you have any other questions!
Thnx Brad for reverting.. Am trying to figure out how to rectify the issue.. Thyroid elevated due to major stress n lifestyle gone bonkers 😁so now am trying to set it right n am sure v soon it vl b fyn🤩.. Wish me luck 🦄🌈 Stay Blessed Stay Happy 🧚♀️🦄🌈🧿🤗🥰😘
Hello doctor this is Hayder from iraq i really like your videos and i have a question. i have microadinoma in the pituitary gland 9×8mm with high prolactin level which goes low when i use dostinex and another MRI check came normal pituitary size .. i didn't take the dostinex for a while doctor suggested to chk the HGH ,TSH , prolactin hermones we find that TSH level is 6.8 IU/ML ..do you think that prolactinoma effects on the TSH level ? i will do T4 test also cuz i don't want the doctor to start thyroxine medication when i don't need it? thank you, doctor, for your helpful videos
Hi Doctor ! Your video was really helpful. My TSH is slightly elevated, 4.6, and my other hormones are within normal range. Is it possible that my TSH will drop on its own in the next 3 months? Thank you
Hi Doc , I am 18 years old and I had a TSH test and the result was 0.88 . The doctor told me that it was a high percentage and gave me a medicine called ( carbimazole ) for hyperthyroidism. What do you think about this diagnosis , Doc ?
Hi Dr. I am 35, eat healthy and exercise try to take care of my body 5'4" 120lbs My TSH spiked from normal range to 45 my t3 and t4 were normal. Endocrinologist put me on 100 mcg of levothyroxine and my tsh in 6 weeks went to .25. It keeps fluctuating and I feel so anxious now I hate taking medication. My TPO antibody was 160. Now I am having gallbladder and liver issues is this related?
Dr, Just got my blood tests before I got for my yearly visit and my TSH w/reflex ULu/mL and it came back reading high the chart says 0.27 to 4,2 would normal and mine was high with a reading of 5;55. Last year it was also elevated but I don't know how much. MY Dr is going to say you need a hormone I don't take any medication and I really don't want to either. Im 75 and in very good health... So tell me if he wants me to take meds what should I do I refused before. But it's weird because I have no symptoms...thanks for your time...
Hi @Dr. Brad Bodle We had a baby 10 days ago with TSH 17.13. We didn't check T4 for him, I'm so worried about him. The health authority here in "Egypt" asked us to retest in two weeks. Please tell me if this percentage is considered dangerous or not. Or what should i do? please answer me.
This is what confuses me a little because my TSH has never been higher then 5.58 and my FT4 has always been in the higher normal range. I was put on medication right away because I had symptoms, was tired for years. But when they found out my TSH was to high they also found out that I had a severe shortage of vitamin D. Which I go supplements for. And finally after many years of feeling tired and lack of energy I felt great. But now when I read into subclinical hypothyroidism I start to wonder what will happen if I stop my medication? Where my symptoms not just due my vitamin D shortage? But at the same time I don't want to quit taking that because I'm scared I will get all the symptoms back I had for years.
I find it confusing, my primary only does TSH. I have Hashimoto's. Today. I had a result of .843 which I think means I should continue with my Levothyroxin but how do they figure out what dosage should be.?
Hi Khadija, I'm glad you liked the video :) My advice would be to work with your doctor to figure out what is causing your thyroid dysfunction. I think it's generally a good idea to get thyroid antibodies checked (TPO antibodies and Tg antibodies) on your next set of labs to see if autoimmunity is a factor. Additionally, sometimes we can focus too much on the thyroid and not consider the other parts of the body that can play a role. Things like gut function, inflammation, nutrient status (iron, B vitamins, selenium), sleep, and stress levels might need to be addressed as well to help you feel your best. Hope this helps! Let me know if you have any other questions!
Hi Ritika, TSH above 10 is at the point where we might want to be more proactive, but it really depends on if she has any symptoms or not. I'd have her check with her doctor for the next steps. Hope this helps and thanks for the question!
Hi doctor, I’m currently on 175mcg of thyroxine and 5mcg of thyronine and levels of TSH came back at 65.9 while T4 came back at 1.00 and T3 was at 2.00. I have no symptoms of hypothyroidism though, I feel great. Energy is great, no weight gain or loss, everything seems to be normal but I know this abnormally high. I’m not sure of the issue if you have any advice?
Hi dr my recent tsh is 33 T4 10 T3 4.8 I don’t wanna take medicine as my dr want me to start I do have antibodies as well What should I do ? Is there any supplements will help ? Please reply
Full panel done high TSH else is good. Feeling very miserable and dysfunctional. Want to have baby and my cycle is all over place. Have been on thyroid diet fo a long time…what to do?
I came across this video doing research! I have all the symptoms of hypo but my endo just said I have all "normal" labs and there is nothing they can do for me. My TSH was 3.49, my t4 was 0.54, and my t3 was 3.9 .. what do you think?
Hi Sara, so glad you found me! It might be worth your time to get a full thyroid panel to see if any of the other markers are abnormal. If it's one of my patients, I like to check TSH, total T4, free T4, total T3, free T3, T3 Uptake, reverse T3, TPO antibodies, and Tg (thyroglobulin) antibodies. If those all look good, then it's possible your symptoms are being caused by something other than thyroid. I also have a few videos explaining some of these markers and reasons why you have normal TSH, but continue to have symptoms. Feel free to check those out if your interested or I can send you the links if you'd like! Thanks for reaching out Sara! Let me know if you have any other questions!
Doctor, I had Grave’s disease at age 13. I was treated with Tapazol only for several months then stopped and left to my own accord. At age 30, I went into a double blind study at MGH for failed thyroids as a volunteer patient. After the 3 years of them studying me, it was suggested I go on Synthroid as my TSH was 4.0. I am now 74 and on Synthroid 88 mcg and 30 mg of Natural thyroid QD. Is there anyway I can every come off thyroid medication at this age or is it too late?
Hi Dr. Bodle,I been on Armour Thyroid 60mg 1x day. My TSH level today was 5.290. I didn't see a T4 on lab report but had a complete blood profile done. 7 months ago my T4 free was 1.1 and TSH was 4.44. Any thought on these results? Thank you 😊
Hi Raven, the TSH is a little on the high end, but the fT4 values look normal. I think the most important thing with labs is to always correlate them with how you're feeling and if you have any symptoms. If you're doing well, then continue to monitor and see if the labs continue to deviate. However, if you're feeling worse in any way, discuss the results with your doctor and determine if a change is necessary for your care plan. Hope this helps!
Hi Dr. Thank you for sharing. My TSH is 18. An my t4 t3 is normal , My Dr. Put me on 25mg . But sometimes I missed taking them or sometimes I stop. How long do I have to continue taking this med . Thank you
Hi Karland, thanks for reaching out! Unfortunately, I don't have an answer for you. I don't know what is causing the changes in your thyroid labs and whether or not that condition is temporary or chronic. You'll need to figure this out with your doctor, track how you're responding to the medication, and develop a plan from there. Hopefully this is helpful!
Hi Dr, we checked thyroid test yesterday t3 and t4 values are in normal range but TSH is 18.77 also having type 2 diabetes for the past 11 years now sugar levels are under control. How to reduce TSH level for my 52 years husband? Thank you T3 is 1.06 T4 is5.23 TSH is 18.77
Hi there! These things can take time to change, but if you're not noticing any differences or improvements, then I would reach out to your doctor and provide them with an update. If changes need to be made or additional testing meds to be order, then you can both be proactive about it. Hope this helps! Sorry you haven't been feeling well :(
Hi there! I usually check labs with my patients every 2 months or so, but some doctors will check every month, especially if you're making changes to your healthcare plan. A month would certainly be enough time to start seeing changes and assess if the labs are trending in the right direction. Hope this helps! :)
Thank you for this video! My issue with thyroid problems is that an endo is the worst person to treat them! Yet I keep getting referred to an endo! If it could be a gut problem for example, why is it not a gastroenterologist with endo background! Is there such a thing?? Endos lack the wholistic knowledge that we need as “healthy within range” patients.
Hi Jumana, I totally agree with you! Unfortunately, in my experience, gastroenterologists can get caught in the same trap as endocrinologists. Both are can be unwilling to look beyond their niche and consider the whole picture. I've even had patients who told me that their gastro said diet had nothing to do with their gut problems, so who knows! But yes, we need to be willing to dig deeper if someone is having symptoms even if things are "normal." Thanks so much for reaching out and sharing your thoughts! Let me know if you have any questions!
My wife is 6-7 weeks pregnant. TSH level is >100. Is there any risk to pregnancy or the baby?After seeing the report, My wife just started taking medicine to reduce the level from today as doctor suggested. 50 mg dose 3 Pcs in morning before meal. Please help
Hi Doc, Male 41, 200 lbs.I was diagnosed for Hypo in nov 2020 with TSH level 48 and was put on 50 mcg thyroxine which was increased to 75mcg and then 100 mcg. In next 4 months my TSH came down to 2. I continued on 100 mcg for an year and due to some reason was not able to re test. I know it was stupid but 5 months back i changed my dose to 75mcg hoping that it will maintain some thyroid level. However two months back i gained a lot of weight with a puffy face and so when i did my labs last week the TSH was high af 214. I am scared and confused.How could the TSH level go so high in 4 months when i was taking 75mcg instead of my regular 100mcg ? Also now what should be my dose ?100 mcg or shall i increase it ? Plz advice
loved your video ...i have hypothyroid for like 3 years ,found it when i was 15 and my tsh was 150 , i am 19 now and recent check up of tsh level was 1.13 ..am i doing well? and pls let me know how dangerous was 150 tsh
Hi Rohan, I'm so glad you liked the video! Yes, I would say that you're doing a great job! Getting TSH from 150 to 1.13 is a big change, so congrats :) In terms of danger, it's interesting because you would think that higher TSH would mean a greater degree of severity, but I don't always see that in practice. Some people have a TSH of 10 and are falling apart. Others might have a TSH of 100 and they're hanging in there. There's a number of factors that can influence these values, so it's not always straightforward to say higher = more danger. The biggest thing would be to pay attention to your symptoms and how you feel. Hope this helps! Thank you for watching and for your comment!
What are your thoughts on high TSh (above 10) but with someone who had subacute thyroiditis… so six weeks ago they had extremely low TSH and high T3 and t4 and now they are in hypo state. How long would you let this patient wait to see if the increase in TSH does cause the thyroid to begin producing the right amounts of T3 and T4 after the viral infection??
Hi Jenny, I think getting labs monthly at a minimum would be a good idea. More frequently if something changes and the patient starts feeling worse. Being as proactive as possible is always the best way to do things in my opinion. Let me know if this helps answer your question!
Sir if TSH is 39.63 and T3 is 0.60 and T4 is 5.20. What to do should i reduce my Thyroxine tablet content or increase. Currently taking 100mg Thyroxine tablet
Thanks Dr.Brad. Your explanations helped me to understand about thyroid function tests. I was put on levothyroxine 25 mcg at the age of 45. Yesterday my lab results TSH 5.75, T4 7.69 and T3 (total) 65.0. TSH elevated, T4 within normal ranges and T3 at normal range. I took synthroid for the last 15 years. I guess the results show me at subclinical hypothyroidism. What if I hope to be off my medication in the near future..
Hi Anna, I'm so glad the video was helpful for you! Sounds like you're making some good improvements and hopefully that trend continues for you! Great job and good luck with everything :)
@DrBradBodle @DrBradBodle Thanks for the best wishes Dr.Brad 👍 I am planning to repeat lab work in a couple of months. Dr. Brad, what if I stop taking tab. Levothyroxine from today as my TSH is 5.75 with normal T4 and T3. For the last 10 months, I have continued low carbohydrate diet and intermittent fasting (13 hours). Hopefully, the new diet brings a healthy hormone shift.
I have been on Levothyroxine for 13 years, last year TSH 7.5, this year 16.9!! T4 and T3 in normal range, but weight issues and extreme tiredness. Should I be taking T3 with T4? Or what is going on, my cholesterol also high now
Can you suggest natural ways to reduce tsh with depending on thyiod medications for life I have subclinical hypothyroidism is it reversible I am 19 years old I don't want to take levothyroxine for life
hi dr.brad,i checked my 6 month old daughter TSH yesterday.the resualt is 22.53 .is it something to really worry about ?please reply.i'm waiting doc. from sri lanka
I am a guy had problems sleeping and my face and hair was very very dry . I went to see the doctor mainly for sleep , after a blood test i was told i had thyroid problem and would have to take levothyroxine 100 mg the rest of my life .16 years later after so many blood tests over the years feel crap . How knows if i have thyroid problem
Hi Phillip, this would be one of those cases where we would want to get more lab work done to determine what's going on. Ask your doctor if you can get an expanded thyroid panel, but if that looks good, have them assess other areas that could cause these kinds of symptoms. Wishing you the best with everything!
Dr Kindly make video aboutSubacute Thyroiditis. Ian suffering from subacute thyroiditis. The first t4 is so high 78 , Tsh is so low 0.04 and t3 is normol . After 2 month t4 is normol ,t3 is normol but TSH is 9.4. Can I need med or its gone by itself through time??
A year ago for a year before that I was tired , unfocused , weak. I went to the doctor and was put on thyroid medicine cause mine is functioning slow . Few months later was back to normal . They lowered the medicine but I moved to Germany and took my higher dose with me . I just got tested six months from last time my thyroid horomone is 11.0. I am trying to get pregnant
Hi Ashley, of course you'll want to work with your local doctor because they know you best, but if your TSH is elevated again, then you might need to have your medication adjusted or there's something else going on that is causing your condition to progress. This is where it might be helpful to check thyroid antibodies (TPO antibodies and Tg antibodies) to see if you have signs of autoimmunity. People can still get pregnant with thyroid problems, but it is important to get your labs optimized beforehand. Hope this helps!
Hi William, sometimes TSH can be mildly elevated and it's nothing to be concerned about. However, you will want to track this and get follow up testing to see if it returns to normal or gets worse. Additionally, it can be helpful to correlate the changes in TSH with the onset of any new symptoms. Hope this helps!
My TSH was 6.2 my 3-t t-4 was good! But Dr put me on Thyroid meds anyways! I was taking iodine drops before for about a month. Could this have made my numbers high? And do u think desacated meds are better? Thanks
Hi Delores, the iodine drops could have interfered with the numbers and it's possible for excess iodine to make your thyroid symptoms worse if you have Hashimoto's. As per usual, the choices we need to make to support our thyroid depends on the actual cause of the issue. I know this isn't a great answer, but desiccated medication is not better or worse, it also depends on the situation. If you and your doctor determine that you're having a tough time with thyroid hormone conversion (converting T4 into T3), then something like desiccated medication could help as it includes both T4 and T3. However, some people can be sensitive to T3 medication or if their levels are normal, then adding T3 might push their numbers too high. It all has to be assessed within the context of what is going on with your body. Hope this makes sense! Let me know if there's anything I can clarify for you.
Have you had TSH checked before? How about other thyroid markers? What patterns do your labs follow? Looking forward to chatting with you!
Howdy Doctor
I recently had my levels checked due to the fact that my cognitive process was getting slow and when I did my physical fitness program I would not recover within the normal parameters.
My T4 is at 1.7 with a total of 12.5 TSH I am 60 years of age male and I am usually physical fit until this happened. My nutrition is on the healthy side and have also learned that the nightshade family can cause a bad TSH result, I have been consuming potato, eggplant, tomato, bok choy, tofu and many other "vegetables" daily in hopes of a better nutritional intake. I am by no means a vegan or vegetarian however I could if my health depends on the commitment on doing so.
My physician has prescribed levothyroxine .25mcg.
I am feeling a bit better but getting back into my daily routine has been taxing.
Any suggestions you can offer are appreciated.
@@rusty-ole-boomstick1268 Hi Mike, for whatever reason I missed your comment and I apologize! I know it was from several months ago, but I wanted to make sure to answer it anyways in case you're still working on things.
Sometimes TSH can increase as a normal function of aging, so I would be curious to see what your exact symptoms were. The T4 you described looks to be normal. For my male patients who are above 60, I like to make sure they're getting enough protein (>130 grams depending on body size), eating foods that work for them and don't cause digestive symptoms, mixing in some resistance training to tolerance, and are of a healthy weight.
Again, my apologies for missing your comment! Feel free to respond back if you have any other questions. Hope you're doing well and feeling better lately!
Hi, my tsh is 5.49 and my t4 is 23.94 may i know what it is? my doctor said that it cant be consider as hypo or hyper
@@manja546 Just to be clear, is that free T4 and are the units pmol/L? To me the TSH looks a little high and so does the free T4. It would be helpful to know the other thyroid labs you had checked to give you better feedback. Things like total T4, free T3, total T3, reverse T3, and thyroid antibodies. Additionally, it may be a good idea to get another blood draw to establish a pattern and see what direction those markers are trending in. Let me know if this helps!
Hello! So last week I went to the doctor and my tsh was 4.58 and T4 15. I have a hard time breathing and my heart rate rises easily. I also feel very tired and my stomach bloats. I am on a fodmap diet and it doesnt help. I'm not overweight and I exercise a lot. My question is, can chronic stress and anxiety raise tsh levels? I have had physical stress symptoms every day for two years. There is no hypothyroidism in my family and I am 23 years old.
Thank you dear doctor. My TSH is elevated at 5.3 and my doctor wants to put me on hormone medication for my thyroid, however my T3 and T4 are at normal range. I’ve never had issues with my thyroid. I just lost both my husband and my mother and I am under severe emotional stress and depression….. I am engulfed in grief. I’m 43 and I’m not eating at all, I barely eat to stay alive and I’m losing weight very quickly. I believe all these issues have caused my elevated TSH 😢
I love the way you make this so comprehendible to the average person.
Thanks Elizabeth! That's always my goal, but I know these things can get a little messy sometimes. Really appreciate your feedback!
I just want to say THANK YOU for answering each and every persons query, you are the most kind hearted doctor who really wants good health for everyone.
You're welcome Arym! I do my very best to get around to everyone who has an honest question. I know it can be hard to get help with this stuff so I'm doing my best to give people a little bit of resources and information. Thank you for all the wonderful feedback!
I agree! This is the most caring, knowledgeable doctor on TH-cam! I wish my doc was this good!! His patients are very blessed !!
Great teaching things that I never knew,I wish I know this before,but according to your teaching,I believe there is hope.
Hi Sharon, thanks for the feedback! I hope the information was helpful and, as I mentioned, I do believe that these things can get better with the right kind of support ❤
The main problem is doctors arent ready to find root cause. They just give medicines for symptoms. Atleast thats the case in my country.
Hi Hansi, unfortunately, that seems to be the case everywhere. Of course, there are outliers with individual doctors who are more interested in looking at the whole picture when it comes to a patient's health, but that's typically rare. It's frustrating and I don't know exactly why it happens, especially when patients come back to their doctor and tell them that they're not feeling better. I hope you can get some better help soon! Please let me know if I can help with any questions.
@MCA-MiddleClassAmmayihii! Did you find any solution..please let me know ,I'm also facing the same problem,I'm 21 years old only and my tsh level is 7.91
Hello Doctor Brad, Iam Priya. My mother is having thyroid. Her age is 62, t3 level 95 t4 5.47 level and TSH 12.09. She has stopped the medication few months back and she is feeling better after stopping medicine. She used 50 mcg for 10 yrs. Can you please suggest what we can do. Thanks
Always
Its sad but its the same case everywhere. Got checked in two countries.
Omg!!! I have sub-clinical hypothyroidism and I have always wondered how my TSH is high (5.5) but normal T4 and T3 and adequate T4 to T3 conversion. Thank you for explaining it - you are the only one who addressed this !!
I'm happy I could help Mahasweta! If the TSH remains high on follow up with your doctor, you're going to want to continue to track your T4 and T3. For some people the TSH will resolve, for others it may be a sign that you're in the early stages of thyroid dysfunction. Hope you're doing well! Let me know if you have any questions!
@@DrBradBodleHi, my TSH last year was 12, with normal T3 and T4 and negative anti TPO antibodies. I was prescribed 25 mg Eltroxine and the TSH was normally coming down to below 1 in January 2024. But last week, it again rose to 28. Blood work and glucose are normal. No apparent problems as such too. My dose has now been increased to 50 mg Eltroxine. What is going on? Can you explain? Thank you!
@@DrBradBodle sir my tsh is 5.74 can I control and back to normal by without medicine. Only by diet..😢?
The way you have explained I never knew it before.Thanks!
My Serum TSH is 5.7 T4 is 17
Awesome! I'm so glad to hear it! I hope it was helpful and can lead to improvements in how you feel :)
Glad I found your channel and this video. Just got some bloodwork back with both high TSH 3rd Gen of 13.995 and Ferritin of 449. Trying to get some answers and also some questions to ask my doctor.
Hey Dr. Brad! Your videos are always so easy to understand and follow along! Thanks so much for breaking down for us what to do if we have high TSH levels! This is super helpful!! :)
Thanks Marina! I'm really glad that they're coming across clearly. I try to walk through the process as simply as I can. Thank you so much for watching!
1:19 @@DrBradBodle
This is so interesting. Never had TSH checked before and you always explain it in a way that makes it super easy to understand. Thank you so much for sharing your knowledge on this topic, Dr. Brad.
Hi Mallory, you likely wouldn't have it checked unless there was justification for doing so. Thank you for watching though! I really appreciate it!
@@DrBradBodle thank you for the teachiing,I understand it mush more clearly...
This video was SO helpful! Explained very well and easy to understand. Thank you!
Hi Masso, I'm so happy to hear that! Thank you for the feedback and let me know if you have any questions! :)
Thank you so much for explaining my bloodwork came back 6.4 but thanks to this video I know the questions to ask the specialist.
Awesome! I'm so glad to hear that :) Good luck with everything and hope you have a good visit!
This is incredibly helpful! I have had two blood tests (a year apart) come back as Subclinical Hypothyroid. My question is - how long do you recommend waiting to see if your body will resolve subclinical hypothyroid on its own before taking some action to intervene?
Hi Allison! I'm so happy the video was helpful to you! In my practice, I usually like follow up within 6-8 weeks, but it wouldn't be unusual for some doctors to do a 3 month check-in. Both would work fine and give you a better idea of the trend. The big thing here is correlating the labs with your symptoms. If you're not feeling well and you have back to back labs with elevated TSH, then it might be worth it to start making some changes. Hope this helps!
Thank you for discussing the causes and how they rel aste to the rest of the body, among everything else. Great video
You're so welcome! Thanks for the feedback and I'm glad to hear you liked the video :)
Thanks a lot sir, it's really explained neatly. I am diagnosed diabetes since 3 months. It's started with hba1c 9 and now reduced to 7.8 in 3 months. But I was loosing weight regularly. Yesterday when tested for thyroid. It came TSH of 13 with T3 and T4 normal. I don't any symptoms either for diabetes or thyroid until now. Please advise how to treat this TSH and my weight loss or diabetes is due to TSH? Thanks
Hi Umesh, first of all, congrats on the weight loss and improved lab markers, that's awesome!! Keep up the good work 👍
To answer your question regarding the TSH, weight loss can change our hormones in a number of ways that can be hard to predict. This is one of those scenarios where I would repeat testing to see if the TSH stays high. If it does, depending on your symptoms, you and your doctor can decide to take action or wait and watch. As long as you're not having symptoms, you might want to wait until your weight stabilizes to give you a more accurate picture.
Hope this helps! Let me know if I can clarify anything for you.
This is very helpful Dr. Bodie. Thanks for putting this information.
Hi Derek, you bet! I'm glad you found it to be useful. Appreciate the feedback :)
Hey Doc
Thanks for the informative video. I have been doing research watching videos and reading articles about Thyroid. My TSH is currently 18.05 and T4 0.57. I am 65 male thin and fit lost 50 lbs from 215 lbs 4 years ago to 165 lbs today. I do low carb high fat/protein diet lifestyle. My Doc just says I'm Hypothyroid and because of the numbers wants me on Thyroid Meds for the rest of my life and refuses to do a full Thyroid panel. I have no symptoms and feel great ! I need to find the root cause before I commit to such a life changing thing. Any advice would be helpful .
Thanks much Michael M.
Hey Michael, thanks for the message! I'm with you on his and personally I'd also like more info before making a decision on medication. In addition to getting a full panel, I think simply getting your TSH checked again would be helpful to get a better idea of any trends or patterns. If you were feeling poorly, then I would understand more urgency to try and be proactive, but I would take things one step at a time for right now. Not much advice other than I agree with you :) Hope it's helpful though! Let me know if I can assist with anything else!
Get a second opinion. Go see another doc ... someone that will listen and work with you. Good-luck
Very helpful! New subscriber here. Also a Nurse in the middle of finding a diagnosis. I wish all mainstream PCP's and Endos would watch your videos.
Hi Theresa, thanks so much for subscribing and for the support! :) Yes, I think that if more providers thought a little more holistically about these things, then many patients would be treated to better outcomes. Thanks again and let me know if you have any questions!
I'm a 19 year old male, my TSH 388.20, T3 49 and T4 2. I'm very worried, this does explain my slow metabolism as well.
Hi Agrim, you need to follow up with your doctor right away to get assessed. These numbers are not healthy and you need a treatment plan with someone who understands your full health history. I hope you can get helped soon!
@@DrBradBodle thank I just got some of my test done again. My doctor will assess me soon.
@@agrimvashisht1466 That sounds good Agrim. Best of luck to you!
@@DrBradBodle thank you Doctor :)
@@agrimvashisht1466 You're welcome!
Hi Dr Brad, thankyou very much explaining so well.
I wanted to check if the TSH is >60 and the t3 and t4 tests are not done, should we continue taking thyroxine medicine. There are symptoms like dry skin, and metabolic issues. How does thyroid affect fertility in the long run ?
Hi! You're welcome! Yes, most doctors would have you continue with your medication is TSH is above 60 (the threshold for this is typically around 10), even with normal T4 and T3. However, it sounds like there might be something else going on here since the TSH isn't resolving with adequate hormone levels. It might not be a bad idea to get a full thyroid panel including thyroid antibodies (TPO antibodies and Tg antibodies) to see if anything else is abnormal. Low thyroid function can impact fertility as it is a very metabolically demanding process to maintain and grow the fetus. Hope this answers your questions! Let me know if I can assist with anything else!
I'm a male and my tsh just tested at 8.47 from 2.17 last June. My t 4 was low Normal. You did a great job explaining this complicated subject.
Thank you so much! I'm glad the video was helpful. Let me know if there's anything else I can help with!
How you lower your tsh level?
@@digitalworld3986 I took it upon myself to supplement iodine and selenium. #'s have gotten better
what happen if TSH values 14.380 and T3 and T4 in normal range DR.
TSH -30.15 T4 -0.5 T4 1.6 DONE 4/15/2024 didn't here from doctor office until MAY 2
Thank you. My wife was just diagnosed. We are going to try managing it through diet.
You're welcome! Thank you for watching. Hopefully this was helpful for you guys!
Dear Dr. Bodle. I had a blood test last week and my TSH is 11.000 and my T4 1.00. I did not fast the night before, but had no breakfast. I'm 67, and was on 50mg of synthroid for years. Last year I started having sever muscle pain. It got so bad in my legs at night I'd wake up in tears. My doctor lowered my dose to 25. Still pain. I couldn't handle the pain, so I decided to take myself off synthroid. I'm sure I'm in for a lecture. I started taking a natural Thyroid suppliment containing b vitamins, sellium, iodine etc. I have been feeling great and with no pain. I'm not sure I want to go back on a drug and live with pain. What can I do? What advice can you give me?
Best vid I've seen on the subject. Great job.
Thank you again! I know there's a lot of content out there, so that means a lot. Hope you're having a nice weekend!
Hi, Ductor I'm from Bangladesh....I like yours vedios it's helpful for us....
My TSH 30 and FT4 9.8 .... before testing I take levothyroxine sodium USP 50 mg (1+0+0) par dey
What I will do ....now.... please answer me
Great video with clear information. I have terrible constant fatigue and dry skin and recently found out my TSH was high. My T3 and T4 are normal. Would thyroid medication help me?
Hi Jason, thanks for the kind feedback! It's hard to say. Sometimes when people have normal T4 and T3 levels adding hormone can fix the TSH, but then people have too much thyroid hormone in their system and can struggle with hyper-thyroid symptoms. Other times, it can be ok. Just be aware that both are possible and you'll want to talk through strategies with your doc. At the same time, it might be helpful to check thyroid antibodies (TPO antibodies and Tg antibodies) to see if autoimmunity is contributing to the changes in TSH. Hope this helps! Thanks again!
@DrBradBodle Thanks for your reply and the info. I will talk it through with my doctor.
Hi! I have TSH 9,15 and T3, T4 normal values. I am very anxious and have heart palpitations and chest pain daily. Do you think hypothyroidism has affected my heart?
Should i take thyroid treatment? Thanks!
Yes doctor earlier t3- 1.24
T4- 10.2
Tsh- 7.88
Thanks for your wonderful information. I was going for clinical solution, however my T4 is normal and TSH is 6. Now after watching this video I am not going for a Doctor. Thanks a lot.
Hi Iftikhar, thank you! I'm glad you liked the video. I would still follow up with your doctor so you can determine if there is any reason for the change in TSH and if you're experiencing any related symptoms. I always think it's best to proactive when it comes to our health. Thanks again and wishing you the best!
@@DrBradBodle thanks you for your note. I have been through stress for about a year. That stree has developed many dents including high BP. I am struggling with it or in other words running for life.
@@iftikharahmad7086 I'm sorry to hear that Iftikhar! I hope your stress improves soon and you are feeling better. I know how hard that can be on your health.
Great ! Quite helpful. Thanks Doc
Hello Sir in my case i have FT3=3.10 FT4=1.56 but my THS level is 15.437
2yrs ago i had my iodine therapy and currently taking 62.5mg thyroxine medicine and im 26years old
How do i lower my THS level
Though it is 2yrs old video i hope to get your helpful reply soon
Hey doctor brad ive recently done my thyroid test and i found that my tsh is very elevated at 24 and t4 t3 and free t4 are normal. Im suffering from severe anxiety and panic attacks . It would mean the world to me if you can show a path
Dr. Brad, I'm wondering what external factors can affect TSH in a short period of time? For example, if today I eat a Pork's blood sausage can this change my TSH lab result tomorrow?
Hi there! It wouldn't Be unusual or impossible for TSH levels to fluctuate within a day depending on changes in other aspects of our physiology. In fact, TSH normally has a diurnal rhythm with a peak at midnight and the low point in the late afternoon. An inflammatory reaction or immune system change because of increased stressors could easily impact levels. I don't think blood sausage would be a huge factor here, but I could be wrong. Hope this helps!
Sir
your videos are so informative & lucid. my t3 0.82, t4 8.50, tsh 5.43, tpo antibody 464.70. I am experiencing heavy hair fall especially from crown area. Is it beacuse of thyroid issue?
regards
Wrishav
Hallo Dr. One question. I made an tsh test it showed 4,6.
After 5 day the doctor recommended to take another one. My tsh 6,5
F4 1,3
T3 1,7
Tomorrow I will go to test the thyroid gland .
Please if you can give me your recommendation .thank you.
Thank you Dr.Brad for making this informative video. I have high TSH 45 so is it necessary to take medication for whole life? I feel frustrated when I have to daily take medication. I simply skipped my medication and my TSH is now increased to 45. Can I get any remedy for controlling TSH without taking medicine? Thank you in advance.
Hi Trupti, you're welcome! I'm glad you liked the video. TSH can change depending on a variety of health factors and as long as you're working with your doctor to address the root cause of your thyroid problems, then it's possible you might not need medication some day. That's not the case for everyone, but this is where a full thyroid lab panel (in my office that includes TSH, total T4, free T4, total T3, free T3, T3U, reverse T3, TPO antibodies, and Tg antibodies) will help you to better understand what's going on and why your TSH is high. Hope this is helpful to you! Let me know if you have any other questions!
@@DrBradBodle Thank you for reply. I had already done my full test including T3 T4, etc.
@@truptidavda8574 You're welcome! And all of those values, plus the antibodies came back as normal?
Thanks for this great video. I usually work out(weight lifting) 5-6 days a week from last 4 years and my weight is 196 and height is 5.7. I was having hair loss issues and my doctor asked me to do blood test for thyroid. Today I got the report and my TSH is 4.420 uIU/ml and standard Range is from 0.35 to 3.74. So, my TSH is flagged High. My doctor prescribed me to take levothyroxine 50 mcg tablet for rest of my life. Should I start taking this medication or should I wait and do another lab test while visiting doctor after 5 weeks?
Hi Narayan, usually when we have a mild elevation of TSH and the rest of our thyroid markers are normal, then the standard of care is to track things first. If the TSH is under 10, then it's possible for these situations to resolve without medication. However, since you're having symptoms, your doctor might believe that they are caused by thyroid issues and is trying to be proactive, which is also a good thing. We always want to make sure that the hair loss issues are being caused by low thyroid hormone and not something else. Hope this helps! Let me know if you have any other questions!
Had my bloodwork done today due to hair loss, and my T4 is normal and TSH is over 10. I have been on Levothyroxine 100 mcg for years now. Is it not working? I am going to see my primary in November, but I am hoping you can provide advice in the meantime. Thank you for the informative video.
Check your free t3
Great information! MY TSH IS 7.706 FREE T4
Hi Tracee, thanks for reaching out! TSH is definitely high and your free T4 is low. Make sure you're working with your doctor to get that all figured out! Wishing you the best!
@@DrBradBodle Thank you! We are trying Tirosint. Hoping for the best!
@@determined1TV Sounds like a good plan! Hope you're feeling better soon :)
Sir, my TSH is 8.34 , T4 4.6 , T3 1.07
4 months back TSH was 6.4 , T4 4.879 , T3 normal
Rose in tsh in 4 months and dew drops in t4, how should i start my treatment
I was diagnosed with subacute thyroiditis this past weekend. I just received my blood work results and my TSH lvl is 50.79, T3 free is 2.2, and my T4 free is 0.6. What does this mean?? I have an endocrinologist appointment tomorrow, but i don't want to go in without some knowledge of my own. Thank you in advance for your help.
Hello Dr Brad, thankyou for the video,
.my mother TSH is 17 and her T3 and T4 are normal she is a NA liver cirrhosis patient would you recommend us to see a endocrinologist?
Hi Satish, thanks for watching! :) Yes, I think that would be a great idea. Depending on her general practitioners comfort level, they might be able to help as well. But I'm sure they could point you in the right direction and get you the referral to the endo if necessary. Hope this helps and good luck to your mother!
Dr, Brad I already underwent total thyroidectomy from July 2015..Now when I went for TSH check up last July 28 2023, my TSH is 41. what does this mean and how to put it down?
Im. Happy to see your vedio dr.its a big help my daughter is hyperthyroidism patient
Thank you so much! I hope the information is helpful for your daughter! Wishing you both the best with everything!
My TSH was around 5.5 and I hadn't noticed any symptoms beyond fertility issues when I was first diagnosed but because I had antibodies, low T4 and was trying to conceive I started a small dose of generic levothyroxine. Within a few months my TSH was a 30, and other labs simliarly out of whack. I always wonder whether it's possible that taking the medication caused the drastic changes I saw in such a short amount of time? Or does the fact that they increased show that I indeed needed medication?
Hi Kelsey, thanks for the comment! It's hard for me to say without knowing all the details, but it is very possible for people to not react well to certain medications (I have some patients who don't tolerate most thyroid meds). Whatever the cause, I would not say that having the TSH increase is a good outcome or that it shows you really needed it. Let me know if you have any questions! I'd be happy to discuss this more.
Thanks dr for such helpful video 👏 my dr prescribed 75 mcg when my tsh level was around 3.6 , I feel it’s putting my tsh level down to normal, what should I do ? Should I stop medicine?
Hi Anshika, before you change your medication you should talk to your doctor and get an updated set of labs. This will help you both to objectively decide what you best course of action is. Thank you for reaching out! Let me know if you have any other questions!
Hey Dr. I’ve gotten my tsh, t3, and t4 tested and my tsh is 1.72, t4 is 1.4 and my t3 is 206. I just got more blood work done but would like to hear your opinion! I’ve also been dealing with heart flutters for many years now and I’m only 22 could that be related in anyway?
T3 total* and T4 free*
Such a nice information Doctor..
Any way my levels are here..
T4 - 0.956 ng/ dL
T3 - 0.284 ng/dL
TSH - 8.28 uIU/ml
Taking medication : EUTHYROX 50mg
Can u guide any diet to decrease my levels of TSH, we are planning for second baby..
Please do suggest do's and don'ts..
Thnx for sharing your valuable knowledge with us.. 🤩..
How do u suggest can we mk our thyroid healthy in a holistic way without medication if the tsh is 20.9..
Stay Blessed Stay Happy 🤗🥰🧚♀️🦄🧿🌈
Hi Shailyy, you're very welcome! I hope it's been helpful. This is something that you'll need to work with your doctor on because some people can do things naturally, some people need medication, and others will need a bit of both. To help manage the TSH, we have to figure out why it's elevated in the first place. This is where running a full thyroid panel will help you get a better idea of what's going on, so I would start there. Hope this makes sense and let me know if you have any other questions!
Thnx Brad for reverting.. Am trying to figure out how to rectify the issue.. Thyroid elevated due to major stress n lifestyle gone bonkers 😁so now am trying to set it right n am sure v soon it vl b fyn🤩.. Wish me luck 🦄🌈
Stay Blessed Stay Happy 🧚♀️🦄🌈🧿🤗🥰😘
Hello doctor this is Hayder from iraq i really like your videos and i have a question.
i have microadinoma in the pituitary gland 9×8mm with high prolactin level which goes low when i use dostinex and another MRI check came normal pituitary size .. i didn't take the dostinex for a while doctor suggested to chk the HGH ,TSH , prolactin hermones we find that TSH level is 6.8 IU/ML ..do you think that prolactinoma effects on the TSH level ? i will do T4 test also cuz i don't want the doctor to start thyroxine medication when i don't need it?
thank you, doctor, for your helpful videos
Hi Doctor ! Your video was really helpful. My TSH is slightly elevated, 4.6, and my other hormones are within normal range. Is it possible that my TSH will drop on its own in the next 3 months? Thank you
Mine too. How is ur sleep pattern. ?
Hey Doc!
Thank you to life.... So informative
Thanks so much! I appreciate the feedback and hope you're having a nice day!
Hi Doc , I am 18 years old and I had a TSH test and the result was 0.88 . The doctor told me that it was a high percentage and gave me a medicine called ( carbimazole ) for hyperthyroidism. What do you think about this diagnosis , Doc ?
Hi Dr. I am 35, eat healthy and exercise try to take care of my body 5'4" 120lbs My TSH spiked from normal range to 45 my t3 and t4 were normal. Endocrinologist put me on 100 mcg of levothyroxine and my tsh in 6 weeks went to .25. It keeps fluctuating and I feel so anxious now I hate taking medication. My TPO antibody was 160. Now I am having gallbladder and liver issues is this related?
Dr, Just got my blood tests before I got for my yearly visit and my TSH w/reflex ULu/mL and it came back reading high the chart says 0.27 to 4,2 would normal and mine was high with a reading of 5;55. Last year it was also elevated but I don't know how much. MY Dr is going to say you need a hormone I don't take any medication and I really don't want to either. Im 75 and in very good health... So tell me if he wants me to take meds what should I do I refused before. But it's weird because I have no symptoms...thanks for your time...
Hi! My tsh came in at 4.59 was immediately given levothyroxine. Can stress anxiety & iodine deficiency cause this?
Did you have your thyroid for ultrasound?
My mother age is 50. Her TSH level is 34.321 and T4 is normal .. would you please suggest what's going on . How can be it treated
Hi @Dr. Brad Bodle We had a baby 10 days ago with TSH 17.13. We didn't check T4 for him, I'm so worried about him. The health authority here in "Egypt" asked us to retest in two weeks. Please tell me if this percentage is considered dangerous or not. Or what should i do? please answer me.
This is what confuses me a little because my TSH has never been higher then 5.58 and my FT4 has always been in the higher normal range. I was put on medication right away because I had symptoms, was tired for years. But when they found out my TSH was to high they also found out that I had a severe shortage of vitamin D. Which I go supplements for. And finally after many years of feeling tired and lack of energy I felt great. But now when I read into subclinical hypothyroidism I start to wonder what will happen if I stop my medication? Where my symptoms not just due my vitamin D shortage? But at the same time I don't want to quit taking that because I'm scared I will get all the symptoms back I had for years.
I find it confusing, my primary only does TSH. I have Hashimoto's. Today. I had a result of .843 which I think means I should continue with my Levothyroxin but how do they figure out what dosage should be.?
Hi... Video is really positive and helping in very pleased... My tsh is
Hi Khadija, I'm glad you liked the video :) My advice would be to work with your doctor to figure out what is causing your thyroid dysfunction. I think it's generally a good idea to get thyroid antibodies checked (TPO antibodies and Tg antibodies) on your next set of labs to see if autoimmunity is a factor. Additionally, sometimes we can focus too much on the thyroid and not consider the other parts of the body that can play a role. Things like gut function, inflammation, nutrient status (iron, B vitamins, selenium), sleep, and stress levels might need to be addressed as well to help you feel your best. Hope this helps! Let me know if you have any other questions!
Hello sir, my grandmother has a TSH if 10.38 and normal t3 and t4, what should be done? Should we wait for it to resolve on its own?
Hi Ritika, TSH above 10 is at the point where we might want to be more proactive, but it really depends on if she has any symptoms or not. I'd have her check with her doctor for the next steps. Hope this helps and thanks for the question!
@@DrBradBodlehello doc
My father is lose his weight and mussels and his TSH is 9.2 and T4 is 12.8
What should I do ?
Hi doctor, I’m currently on 175mcg of thyroxine and 5mcg of thyronine and levels of TSH came back at 65.9 while T4 came back at 1.00 and T3 was at 2.00. I have no symptoms of hypothyroidism though, I feel great. Energy is great, no weight gain or loss, everything seems to be normal but I know this abnormally high. I’m not sure of the issue if you have any advice?
Did you ever get answers?
Do you have Hashimoto’s? How are your antibodies?
Hi dr my recent tsh is 33
T4 10
T3 4.8
I don’t wanna take medicine as my dr want me to start I do have antibodies as well
What should I do ? Is there any supplements will help ? Please reply
All I can say is very good very informative thank you thank you thank you
No problem Kimberly! I'm glad it was helpful for you! Have a wonderful day :)
Full panel done high TSH else is good.
Feeling very miserable and dysfunctional. Want to have baby and my cycle is all over place. Have been on thyroid diet fo a long time…what to do?
I came across this video doing research! I have all the symptoms of hypo but my endo just said I have all "normal" labs and there is nothing they can do for me. My TSH was 3.49, my t4 was 0.54, and my t3 was 3.9 .. what do you think?
Hi Sara, so glad you found me! It might be worth your time to get a full thyroid panel to see if any of the other markers are abnormal. If it's one of my patients, I like to check TSH, total T4, free T4, total T3, free T3, T3 Uptake, reverse T3, TPO antibodies, and Tg (thyroglobulin) antibodies. If those all look good, then it's possible your symptoms are being caused by something other than thyroid. I also have a few videos explaining some of these markers and reasons why you have normal TSH, but continue to have symptoms. Feel free to check those out if your interested or I can send you the links if you'd like!
Thanks for reaching out Sara! Let me know if you have any other questions!
Thank you for explaining so clearly
You bet Anna! Thanks for stopping by and watching :) Let me know if you have any questions that I can help with!
Hello! My wife TSH 10.8 what should I do and how to prevent this cause?
Hi Lamp, I left a response to your other comment. Let me know if you received it! :)
Doctor, I had Grave’s disease at age 13. I was treated with Tapazol only for several months then stopped and left to my own accord. At age 30, I went into a double blind study at MGH for failed thyroids as a volunteer patient. After the 3 years of them studying me, it was suggested I go on Synthroid as my TSH was 4.0. I am now 74 and on Synthroid 88 mcg and 30 mg of Natural thyroid QD. Is there anyway I can every come off thyroid medication at this age or is it too late?
Hi Sir
Good day !
For your advice please I received my TSH result 35.300 I undergo RAI before. Thank you
Hi Dr. Bodle,I been on Armour Thyroid 60mg 1x day. My TSH level today was 5.290. I didn't see a T4 on lab report but had a complete blood profile done. 7 months ago my T4 free was 1.1 and TSH was 4.44. Any thought on these results? Thank you 😊
Hi Raven, the TSH is a little on the high end, but the fT4 values look normal. I think the most important thing with labs is to always correlate them with how you're feeling and if you have any symptoms. If you're doing well, then continue to monitor and see if the labs continue to deviate. However, if you're feeling worse in any way, discuss the results with your doctor and determine if a change is necessary for your care plan. Hope this helps!
Hi Dr. Thank you for sharing. My TSH is 18. An my t4 t3 is normal , My Dr. Put me on 25mg . But sometimes I missed taking them or sometimes I stop. How long do I have to continue taking this med . Thank you
Hi Karland, thanks for reaching out! Unfortunately, I don't have an answer for you. I don't know what is causing the changes in your thyroid labs and whether or not that condition is temporary or chronic. You'll need to figure this out with your doctor, track how you're responding to the medication, and develop a plan from there. Hopefully this is helpful!
Thank you for sharing this video. My TSH is 6.87. My T4 is 0.9 my T3 is 2.7 .
Hi Dr, we checked thyroid test yesterday t3 and t4 values are in normal range but TSH is 18.77 also having type 2 diabetes for the past 11 years now sugar levels are under control. How to reduce TSH level for my 52 years husband? Thank you
T3 is 1.06
T4 is5.23
TSH is 18.77
Dr my TSH >100, i am 32 yrs old.how to decrease it level?
My tsh was 100.ft3 was 3.28 ft4 6.90 L. For the start im taking tyrox 100 for two week but still im fill same.what to do?
Hi there! These things can take time to change, but if you're not noticing any differences or improvements, then I would reach out to your doctor and provide them with an update. If changes need to be made or additional testing meds to be order, then you can both be proactive about it. Hope this helps! Sorry you haven't been feeling well :(
How often should you get your TSH level checked. Mine was over 9. My T4 was in normal levels.
Hi there! I usually check labs with my patients every 2 months or so, but some doctors will check every month, especially if you're making changes to your healthcare plan. A month would certainly be enough time to start seeing changes and assess if the labs are trending in the right direction. Hope this helps! :)
Thank you for this video! My issue with thyroid problems is that an endo is the worst person to treat them! Yet I keep getting referred to an endo! If it could be a gut problem for example, why is it not a gastroenterologist with endo background! Is there such a thing?? Endos lack the wholistic knowledge that we need as “healthy within range” patients.
Hi Jumana, I totally agree with you! Unfortunately, in my experience, gastroenterologists can get caught in the same trap as endocrinologists. Both are can be unwilling to look beyond their niche and consider the whole picture. I've even had patients who told me that their gastro said diet had nothing to do with their gut problems, so who knows! But yes, we need to be willing to dig deeper if someone is having symptoms even if things are "normal." Thanks so much for reaching out and sharing your thoughts! Let me know if you have any questions!
My wife is 6-7 weeks pregnant. TSH level is >100. Is there any risk to pregnancy or the baby?After seeing the report, My wife just started taking medicine to reduce the level from today as doctor suggested. 50 mg dose 3 Pcs in morning before meal. Please help
Hi Doc, Male 41, 200 lbs.I was diagnosed for Hypo in nov 2020 with TSH level 48 and was put on 50 mcg thyroxine which was increased to 75mcg and then 100 mcg. In next 4 months my TSH came down to 2. I continued on 100 mcg for an year and due to some reason was not able to re test. I know it was stupid but 5 months back i changed my dose to 75mcg hoping that it will maintain some thyroid level. However two months back i gained a lot of weight with a puffy face and so when i did my labs last week the TSH was high af 214. I am scared and confused.How could the TSH level go so high in 4 months when i was taking 75mcg instead of my regular 100mcg ? Also now what should be my dose ?100 mcg or shall i increase it ? Plz advice
loved your video ...i have hypothyroid for like 3 years ,found it when i was 15 and my tsh was 150 , i am 19 now and recent check up of tsh level was 1.13 ..am i doing well? and pls let me know how dangerous was 150 tsh
Hi Rohan, I'm so glad you liked the video! Yes, I would say that you're doing a great job! Getting TSH from 150 to 1.13 is a big change, so congrats :) In terms of danger, it's interesting because you would think that higher TSH would mean a greater degree of severity, but I don't always see that in practice. Some people have a TSH of 10 and are falling apart. Others might have a TSH of 100 and they're hanging in there. There's a number of factors that can influence these values, so it's not always straightforward to say higher = more danger. The biggest thing would be to pay attention to your symptoms and how you feel. Hope this helps! Thank you for watching and for your comment!
What are your thoughts on high TSh (above 10) but with someone who had subacute thyroiditis… so six weeks ago they had extremely low TSH and high T3 and t4 and now they are in hypo state. How long would you let this patient wait to see if the increase in TSH does cause the thyroid to begin producing the right amounts of T3 and T4 after the viral infection??
Hi Jenny, I think getting labs monthly at a minimum would be a good idea. More frequently if something changes and the patient starts feeling worse. Being as proactive as possible is always the best way to do things in my opinion. Let me know if this helps answer your question!
Sir if TSH is 39.63 and T3 is 0.60 and T4 is 5.20. What to do should i reduce my Thyroxine tablet content or increase. Currently taking 100mg Thyroxine tablet
Thanks Dr.Brad. Your explanations helped me to understand about thyroid function tests.
I was put on levothyroxine 25 mcg at the age of 45. Yesterday my lab results TSH 5.75, T4 7.69 and T3 (total) 65.0. TSH elevated, T4 within normal ranges and T3 at normal range. I took synthroid for the last 15 years.
I guess the results show me at subclinical hypothyroidism. What if I hope to be off my medication in the near future..
Hi Anna, I'm so glad the video was helpful for you! Sounds like you're making some good improvements and hopefully that trend continues for you! Great job and good luck with everything :)
@DrBradBodle @DrBradBodle Thanks for the best wishes Dr.Brad 👍 I am planning to repeat lab work in a couple of months. Dr. Brad, what if I stop taking tab. Levothyroxine from today as my TSH is 5.75 with normal T4 and T3.
For the last 10 months, I have continued low carbohydrate diet and intermittent fasting (13 hours). Hopefully, the new diet brings a healthy hormone shift.
I have been on Levothyroxine for 13 years, last year TSH 7.5, this year 16.9!! T4 and T3 in normal range, but weight issues and extreme tiredness. Should I be taking T3 with T4? Or what is going on, my cholesterol also high now
Can you suggest natural ways to reduce tsh with depending on thyiod medications for life I have subclinical hypothyroidism is it reversible I am 19 years old I don't want to take levothyroxine for life
hi dr.brad,i checked my 6 month old daughter TSH yesterday.the resualt is 22.53 .is it something to really worry about ?please reply.i'm waiting doc.
from sri lanka
I am a guy had problems sleeping and my face and hair was very very dry . I went to see the doctor mainly for sleep , after a blood test i was told i had thyroid problem and would have to take levothyroxine 100 mg the rest of my life .16 years later after so many blood tests over the years feel crap . How knows if i have thyroid problem
Hi Phillip, this would be one of those cases where we would want to get more lab work done to determine what's going on. Ask your doctor if you can get an expanded thyroid panel, but if that looks good, have them assess other areas that could cause these kinds of symptoms. Wishing you the best with everything!
Dr Kindly make video aboutSubacute Thyroiditis. Ian suffering from subacute thyroiditis. The first t4 is so high 78 , Tsh is so low 0.04 and t3 is normol . After 2 month t4 is normol ,t3 is normol but TSH is 9.4. Can I need med or its gone by itself through time??
My tsh is 6.000uIu/ml t3 is 3.70pg/ml t4 is 0.65ng/dl please help me.
Please reply sir
A year ago for a year before that I was tired , unfocused , weak. I went to the doctor and was put on thyroid medicine cause mine is functioning slow . Few months later was back to normal . They lowered the medicine but I moved to Germany and took my higher dose with me . I just got tested six months from last time my thyroid horomone is 11.0. I am trying to get pregnant
Hi Ashley, of course you'll want to work with your local doctor because they know you best, but if your TSH is elevated again, then you might need to have your medication adjusted or there's something else going on that is causing your condition to progress. This is where it might be helpful to check thyroid antibodies (TPO antibodies and Tg antibodies) to see if you have signs of autoimmunity. People can still get pregnant with thyroid problems, but it is important to get your labs optimized beforehand. Hope this helps!
Hello Dr Brad, my test results for TSH is 5.510 and T4 1.15 Should I be worried?
Hi William, sometimes TSH can be mildly elevated and it's nothing to be concerned about. However, you will want to track this and get follow up testing to see if it returns to normal or gets worse. Additionally, it can be helpful to correlate the changes in TSH with the onset of any new symptoms. Hope this helps!
My Tsh value is 0.3-4.5uIU/ml
Ft3 is 3.08-6.46pmoI/L
Ft4 is 11.4-22.1pmoI/L.
What this means Po?
My thyroid test result 50.60 miu/ml and I take medicine thyronorm 100mg please tel me how much i can take medicine
Doctor, pls a TSH OF 21.25 mU/L and a free T4 value of 9pmol/L
is it overt or sub-clinical? i will appreciate your response, thanks in advance.
My TSH was 6.2 my 3-t t-4 was good! But Dr put me on Thyroid meds anyways! I was taking iodine drops before for about a month. Could this have made my numbers high? And do u think desacated meds are better? Thanks
Hi Delores, the iodine drops could have interfered with the numbers and it's possible for excess iodine to make your thyroid symptoms worse if you have Hashimoto's. As per usual, the choices we need to make to support our thyroid depends on the actual cause of the issue. I know this isn't a great answer, but desiccated medication is not better or worse, it also depends on the situation. If you and your doctor determine that you're having a tough time with thyroid hormone conversion (converting T4 into T3), then something like desiccated medication could help as it includes both T4 and T3. However, some people can be sensitive to T3 medication or if their levels are normal, then adding T3 might push their numbers too high. It all has to be assessed within the context of what is going on with your body. Hope this makes sense! Let me know if there's anything I can clarify for you.