TSH 5.11 N T3, T4 Generalized fatigue Unexplained pericardial eff.Does this patient need treatment ?

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Check TSH in other lab as it's very sensitive test, and up to 5.0 no medicine required. Than only start the treatment with Elthroxine at lowest dose.

Adv Echo CD. Measure the quantity of pericardial fluid. Sos diagnostic tapping.

YES .. HE NEED'S .. RX ..

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