My TSH is 4.8 and apparently normal, but I still feel tired. Can I try a stronger dose of thyroid hormone?
The optimal dose of thyroid hormone and target TSH will vary from patient to patient and should be a matter of discussion between the physician and patient. Although most patients feel well when there TSH is in the normal range, others do not. It is important to remember that levels of thyroid hormone may be only one small contributing element to a given individuals health. In some instances, it may be worth determining whether a patient will feel better on a slightly higher dose of L-thyroxine to achieve a TSH in the low normal range. Conversely, some patients with a low normal TSH of 0.4-0.7 may actually feel mildly hyperthyroid and be more comfortable with a TSH in the high normal range. The treatment goals and clinical outcomes are best discussed, on an individual basis, with your physician or health care provider. Analysis of whether “fine tuning” of thyroid hormone doses to modulate the TSH within the normal range has not shown significant improvements in patient well being or qu
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