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,
Dr.G.
The Thyroid Doctor's log after seeing his patients. I am a rare bird. I am one of the few physicians to practice clinical thyroidology only for 35 years. I am the sole physician at the Santa Monica Thyroid Center, and have the best thyroid blood lab with Dr.Carole Spencer, expert in thyroid hormone analysis, and thyroid cancer markers, as my lab director.The lab is also CLIA certified in thyroid cytology. Dr.Guttler is a thyroid ultrasonographer certified by AACE, and AIUM.
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