Saturday, September 09, 2006

Doctor, My TSH is Low, but you tell me my Thyroid dose is correct. Then Why do I feel So BAD?

Patients need to be able to read the results of their tests, and know why they are taking thyroid hormone in the first place. The normal range for TSH is lower than before. It is 0.3-3.0.

There are three different dose levels depending on your disease

1. Hypothyroidism only without nodules, or goiter. The TSH should be between 0.5-2.0.

2. Suppression for nodules, or goiter in younger patients < 50 Y/O. The TSH should be between 0.1-0.5.

3. Active thyroid cancer needing maximum suppression to act as a hormonal chemotherapy.
The TSH needs to be lower than for hypothyroidism at < 0.1, and even <0.01 in active diease.

Do not let a physician change your dose without knowing what your reason for taking thyroid hormone is. The suppressed TSH is not correct for hypothyroidism, but is needed for cancer and nodule and goiter suppression. The most suppression is for cancer patients that still have active disease.

Good Luck,

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