TSH level of a 23 yr.old women is 8.30 micro IU/ml -T3 & T4 are res.0.85 & 7.9. What should be the treatment?

Patients Blood Examination report:

User Comments

  1. (3) TSH level is 8.30 micro IU./ml against the normal range specified as
  2. specified normal <98.
  3. (5) LFT Test shows higher Alkaline Phosphate level of 132 U/L against the
  4. 0.4 - 4.2
  5. (4) LIPID PROFILE specifies only VLDL choleserol 40 mg/dl against
  6. 5.5 - 16.0
  7. (2) T4 level is 7.90 microgram/dl. against the normal range specified as
  8. normal range specification of upto 30
  9. her tsh is slightly increased
    but dont worry

    normal
  10. (1) T3 level is 0.85 ng./ml against the normal range specified as 0.9 - 2.2
  11. All other parameters are within normal range. She got married in December 2002 and purposely avoided any isue till completion of her Postgraduate studies. Recently her weight increased by 6 kgs. to 74 Kgs.in last one month. Height is 5ft.-7inches. General health is O.K. with ocassional headache and pain on variable organs.She is a very cool and well behaved lady.Her father is under thyroid treatment since last 10 yr
  12. I can't help wondering , since she had this panel done then she must have gone to a doctor for some reason.
    Why then, did she not speak with her doctor about these results and their specific meaning as far as her health and any treatment needed?

    To understand the CBC, go here
    http://www.labtestsonline.org/understand...

    To understand TSH level, go here:
    http://thyroid.about.com/cs/hypothyroidi...

    To understand T3 & T4, go here:
    http://www.labtestsonline.org/understand...

    To understand Lipid Profile, go here:
    http://www.labtestsonline.org/understand...

    To understand LFT, go here:
    http://www.labtestsonline.org/understand...

    To Understand A;G ratio, go here:
    http://www.labtestsonline.org/understand...


    Knowing a little about thyroid disease I have to say that if you suspect that she/you have a problem you really shoud get a few medical opinions because once you start meds for thyroid you can not stop them..EVER. Be very certain and know the risks involved with begining any thyroid replacement therapy!

    Good Luck to you/her
    What does getting married in 2002 have to do with the current results and treatment?
  13. (6) A;G ratio is 1.43
  14. Blood sugars? Treat for hypothyroidism as well as test for PCOS. If PCOS is positive treat with metaphormin and BC pills.
  15. Please suggests measures & treatment
  16. it sounds like she has hyphothyroidsm but is in almost the euthyroid state because of the oversecretion of THS.
    I think that the first check up is complete, the next step is to measure antibodies against tyroid tissue, for rule out hashimotos thyroiditis,and maybe a I radioactive study for see any enlargement or nodule in the thyroid gland
    the treatment is thyroid hormones, like tyroxine