1. #1

    Professor wont start thyroid medication until TSH reaches 10!

    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!

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  3. #2
    Moderator Vince's Avatar
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    Quote Originally Posted by Powerdome View Post
    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!
    He sure doesn't know anything about how to treat hypothyroidism, does he.
    I am not a medical practitioner. Any suggestions I provide are not medical recommendations and are just my opinions. Please consult with your physician on any matters concerning your health.

  4. #3
    Moderator Vince's Avatar
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    Quote Originally Posted by Powerdome View Post
    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!
    He sure doesn't know anything about how to treat hypothyroidism, does he.
    I am not a medical practitioner. Any suggestions I provide are not medical recommendations and are just my opinions. Please consult with your physician on any matters concerning your health.

  5. #4
    That's insane...by most labs that's double the max lab values

  6. #5
    Quote Originally Posted by Powerdome View Post
    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!
    I think you should say, "Goodbye..."
    I am not a physician. Comments offered here are for discussion purposes only. Please consult your doctor before initiating, changing, or stopping any therapy.

  7. #6
    Maybe this professor should be working at the morgue instead of the hospital?

  8. #7
    Yes run for your life and find another MD hopefully not an endocrinologist. Get a private hormone specialist like Defymedical.com they can get you sorted out. If you have Hashimoto's leaving it to go to 10 means your thyroid gets further damaged. No one should go there even with an idiot for a Doctor.

  9. #8
    Quote Originally Posted by Powerdome View Post
    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!
    A professor at a university you say? It seems this professor is going by the old range values, the ranges have been reduced from 10.0 to 4.5 some time ago.

    This professor is a bit outdated, much like a Windows XP OS, if you don't update it you get left behind.

    No Reverse T3 tested.
    Last edited by Systemlord; 07-13-2018 at 09:13 AM.

  10. #9
    Super Moderator Vettester Chris's Avatar
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    Rarely ever does TSH reach 10!! That's insane!!

    First rule with a physician that is diagnosing your thyroid: If their primary method of assessment is based on the TSH assay, then it's time to seek a new physician. TSH is a good marker to compare against the other more important lab results, i.e Free T3, Free T4, RT3, and antibodies.

    In post menopausal women experiencing severe cases of estrogen dominance, it is not unheard of for TSH values to be < 0.5, along with FT3 and FT4 levels below reference range. Even in extreme hypothyroidism cases where patients FT4 and FT3 levels are at 10% of reference range (and normal RT3), it's rare to see TSH go above 5.5.
    Please, no PM's posting lab results ... Let's Keep them on the Open Forum for Everyone to Comment. Feel free to PM me a link to your thread if you would like me to comment. Thanks!!


    I am not a Doctor, I only play one on T.V. Please consult your physician, or a trained-licensed physician before proceeding with any comments or suggestions posted on this or any forum.


  11. #10
    Quote Originally Posted by Powerdome View Post
    My TSH is around 4.5 low normal T3, T4.....Im not worried about it just yet, but just asked my doctor who is a professor of endo at a university hospital.

    He said no problems, we dont medicate until it gets to 10 (TSH)...

    Not sure that anything needs to be said!!!
    Without all your other numbers hard to say, but at 4.5 I'd be concerned, and any one who will not treat until TSH hits 10, has no business treating other human beings at all. The Endocrine Society for example revised its TSH recs and above 2.5 as possible sub clinical hypothyroidism and none of the labs I have seen go above 5 as their upper range. You have "professor" you're dealing with who has apparently not looked at the lit in decades. Run as fast as you can away...

    Just wow.

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