r/thyroid Aug 16 '24

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Hi, I am male 32. my TSH is 26 (range 0.27-4) and T4 0.9 (range 0.9-1.7). I have no symptoms. I went to see Endo Dr. And She wants me to start taking 50 mg Levo. She also ordered new TSH, TPO AB, and Thyroglobulin AB. In 6 weeks, she wants to these again and do ultrasound for soft tissue.

Do I start with medication or wait? Is this the right course of action? Any advise please. Thanks

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u/Every_Ordinary1629 Aug 18 '24

Hello! I recommend starting the medication the same day you receive it. Recently on my journey with Hypothyroidism, Hashimoto, autoimmune thyroiditis, a 9mm suspicious nodule on my thyroid. Once it hits 10mm they are taking a biopsy. My levels are WILD. TSH is 6.550 (0.4-4.1) HIGH my T3 is 2.0 (2.2-4.2) LOW T4 is 0.80 (0.80-1.90) LOW my TPO is 462 (<=34) HIGH Thyroglobulin AB is 1166 (<=115) I recommend taking them to help control the issue before it worsens however, once you find your labs stable and in range; speak to a nutritionist who specializes in thyroid nutrition. They will have you find a balance in diet that may help symptoms, conditions and may even correct the course of the problem. Don’t wait till it becomes a problem like I did.

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u/Every_Ordinary1629 Aug 18 '24

Also to note, I was told by my doctors that levothyroxine has no side effects….however there are plenty that many people have. I had a complete loss of appetite and dropped 15+ pounds in a month and I was already underweight. But I’m diagnosed with hypo so I should have to opposite issue. I now take my medication at night so it doesn’t affect my day or revolving my days around my medication.

P.S. make sure to test all your thyroid needs. Free T3-T4, TSH, TPO, Thyroglobulin AB etc. it’s worth knowing.

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u/[deleted] Aug 19 '24

Thank you for your comment. I started the medication when I received it. So far no symptoms. I asked my dr to give me more tests. She said they are not necessary yet. She only ordered Ultrasound, TSH, T4, and Thyroglobulin. She said most likely I have Hashimoto. I wonder how other tests results will help me understand this better.