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I want to know if there's a chart that that shows different levels of TSH and the dose of levothyroxine required for treatment.
Is there such a thing?
Is there such a thing?
Adrenal problems, what's that about? Haven't heard that before, I've always thought those people were supposed to just have early hashimoto's thyroiditis that may or may not progress to the full picture.What every one else said. Dosing is very patient specific. Not to mention there are also a subset of patients who will have a normal TSH, but low T4 (usually because of adrenal problems)....so their dosing would have nothing to do with their TSH. There is also the subset of patients that have low T4 and low T3 and may need something else besides levothyroxine. So yeah, basically doctors just pick a dose to start with, then titrate up or down based on labs & patient response.
For the life of me I can't figure out how some of these patients end up on regimens like 88mcg MWF, 75mcg TRSa, 112mcg Sun. I mean, what the heck kind of titration are you doing that ends up that way? I know warfarin you're using a percentage of weekly dose so that can happen, but I've never heard of how to go about it for levothyroxine.
What every one else said. Dosing is very patient specific. Not to mention there are also a subset of patients who will have a normal TSH, but low T4 (usually because of adrenal problems)....so their dosing would have nothing to do with their TSH. There is also the subset of patients that have low T4 and low T3 and may need something else besides levothyroxine. So yeah, basically doctors just pick a dose to start with, then titrate up or down based on labs & patient response.
For the life of me I can't figure out how some of these patients end up on regimens like 88mcg MWF, 75mcg TRSa, 112mcg Sun. I mean, what the heck kind of titration are you doing that ends up that way? I know warfarin you're using a percentage of weekly dose so that can happen, but I've never heard of how to go about it for levothyroxine.
Adrenal problems, what's that about? Haven't heard that before, I've always thought those people were supposed to just have early hashimoto's thyroiditis that may or may not progress to the full picture.
If a patient has low T4, won't you obviously have low T3? I'm not sure I get what you're saying.