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How can high TSH levels be managed?

Q: My 53 years old mother had stomach ache, headache, body ache and vomiting followed by weakness last fortnight. After getting several tests done including lipid profile and ultrasound the doctor suggested for thyroid tests, which showed her TSH as 7.74 mIU/L. What are the further tests required to ascertain any specific point of reference, which will enable proper medication? What are the precautions she should take?

A:This TSH is abnormal and usually occurs in condition called as subclinical hypothyroidism. Rarely it can rise even in patients with pituitary problems. I suggest you to get at least T4, T3, anti-TPO, haemogram, kidney function test (KFT) and lipid profile. If symptoms of weakness and headache are persisting then if possible meet an endocrinologist for possible pituitary problem.

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