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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15410
Experience:  30 years of experience
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I am on synthroid .075 my tsh was 3.74 free t4 1.28. Having

Resolved Question:

I am on synthroid .075 my tsh was 3.74' free t4 1.28. Having trouble with fAtigue, heart palpitations. Should my dose be raised slightly. Last blood test tsh was in 1.3 range, felt better with fewer palpitations
Submitted: 9 months ago.
Category: Health
Expert:  Dr. Saha replied 9 months ago.
Hello,

Thank you for your question,

I’m Dr. Saha and I’ll try to help you.

When did you have those tests?

When did you last consult doctor?

Did you have any other test like EKG?

Do you have any other medical condition?

Are you taking any other medicine?
Customer: replied 9 months ago.
Labs were9/25/13 stress treadmill and EKG were normal done9/2012 had physical 9/24/13 told all was normal except cholesterol of 249 hdl67 ldl254 On bioidentical hormone replacement no other medicAtionsexcept calcium, co q 10
Expert:  Dr. Saha replied 9 months ago.
Did you have this dose of Synthroid after 9/25/13?

How was your previous dose?

When did you start feeling palpitation, tiredness?
Customer: replied 9 months ago.
Have been on this dose since8/2011
Have had palpitations since started synthroid in 2011 were better 6 months ago on same dose but tsh was 1.3
Customer: replied 9 months ago.

I have been on synthroid dose since 8/2011 Synthroid .075 since 8/11 I have these symptoms since 8/11 felt better 6 months ago when tsh was 1.3, still had palpitations but not was bad as they are now

Expert:  Dr. Saha replied 9 months ago.

Thank you Linda, for the information,

Your TSH & free T4 are both within the normal range.

TSH normally varies from 0.4 - 4.0 mIU/L

Sometimes, lower levels of TSH can be aimed at when you are getting treatment.

Palpitation can occur from many causes.

Heart issues needs to be ruled out first.

Though you had normal EKG in September, still a repeat EKG can be taken.

If heart issues can be excluded then you can discuss with your doctor about increasing dose as you are having symptoms of palpitation, weakness, lower range of pulse rate.

Doctor can consider increasing the dose slightly when you did better in lower levels of TSH.

I hope this information helps.

My goal is to provide you with excellent service today. If there’s anything else I can do, please let me know.

If you are satisfied, please rate my answer as good or excellent. If you want to click poor or bad service, please stop & feel free to reply & ask till you are satisfied.

I will be happy to assist, if you need any clarification. I hope to work with you again soon!

Regards.
Customer: replied 9 months ago.

If an increase of synthroid is implemented how long would it take to see results if he agreed to change it

Expert:  Dr. Saha replied 9 months ago.
Clinical improvement begins in 3-5 days but it can take 4-6 weeks to have full effect.
Customer: replied 9 months ago.

Thank you very much for your advice.

Expert:  Dr. Saha replied 9 months ago.

You are always welcome.

If you are satisfied, please leave an excellent rating.

Good luck.
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15410
Experience: 30 years of experience
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