Hypothyroidism

26 yr Female Breastfeeding, k/c/o hypothyroidism on L-thyroxine 50mcg/day for 1 year. But now TSH level is 4.9 Is there any need of increment in dose?. Sir Please suggest.

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There is no need to increase the dose of thyroxine unless Patient wants to conceive. TSH normal levels varies in pregnancy. If she wants to conceive, TSH should be maintained below 3 .

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