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Hypothyroidism ..high TSH more than 60
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Endocrinological Disorders
Question #24962
93 days ago
331

Hypothyroidism ..high TSH more than 60 - #24962

Ayushi verma

How to get back high TSH level to normal and reduced T3 level to normal ..what to do for normal functioning of thyroid ... I'm using thyronorm tablet but sometimes i forget to take ...it leads to huge increase in TSH level after few month i skip the medicine

Age: 23
Chronic illnesses: Hypothyroidism
300 INR (~3.51 USD)
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Doctors’ responses

Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
93 days ago
5

Hello, When did you get diagnoses for hypothairayidism? When did you start thyronorm and what is the strength? Please do not skoip the medicine. The following will help to get TSH to normal level along with thyronorm: 1. Tab. Munithyrone 2—0—2 after food 2. Hamsapadi kashayam 20ml----0----20 ml one hour before breakfast and before dinner by adding 80 ml of boiled cooled water for 90 days. Take care. Warm regards.

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HELLO AYUSHI,

WHATS HAPPENING IN YOUR BODY? with Hypothyroidism, your thyroid isn’t producing enough T3 and T4 hormones, your brain increases TSH(thyroid-stimulating hormone) to try and push the thyroid to work harder. -High TSH(>60)= very low thyroid hormone levels. -Low T3= your body isn’t getting the energy- regulating hormones it needs.

WHY YOU MUST NOT SKIP THYRONORM Thyronorm(levothyroxine) is life long replacement therapy , not just a temporary fix. -missing even a few doses consistently can cause TSH to rise significantly -high TSH leads to fatigue, weight gain , brain fog, weakness, low hb, and other symptoms you’re experiencing.

TIP= set daily reminder. Take it first thing in the morning on an empty stomach, 30-60 minutes before breakfast for best absorption.

SUPPORTIVE THYROID MEDICATIONS(safe to take all with thyronorm)

1) KANCHANAR GUGGULU + YOGARAJ GUGGULU =2+ 1 tab twice daily after meals with warm water(Kanchana 2, yograj 1) = balances kapha and support glandular detoxification and metabolism

2) Ashwagandhadhi lehyam= 1 tsp twice daily with warm water in morning and night =adaptogenic, improves thyroid axis, reduces fatigue, supports mental clarity.

3) DHATRI LAUHA- 1 tab, NAVAYAS LAUHA- 1 tab = twice daily before meals both with honey = classical iron based formulation that boost HB, improves digestion and reduce tiredness

4) TRIPHALA CHURNA= 1 tsp with warm water at bed time and TRIKATU CHURNA= 2gm with lukewarm water before meals twice daily = promotes gut health, liver detox, and clears metabolic waste, which often builds up in hypothyroidism

5) BRAHMI VATI= 1 tab at night with milk = calms nervous system, reduces anxiety and brain fog- both are common in hypothyroidism

DIET AND LIFESTYLE

NUTRITION IODINE= add iodised salt if not already using.

SELENIUM-RICH FOODS= Brazil nuts, sunflower seeds, eggs

IRON AND B12= add spinach, jaggery, and lentils

AVOID= Raw cruciferous veggies= cabbage, broccoli, cauliflower= they will increase thyroid - soy and soy products= disrupts thyroid hormone absorption -refined sugar and processed foods= suppresses metabolism -wheat in excess= heavy to digest - cold food and drinks= suppress thyroid - fermented food(curd, pickles)= increase kapha and toxins - heavy legumes like rajma, chana, chole at night= hard to digest

HAVE -warm water sip throughout the day - herbal teas= ginger tea, tulsi tea, cumin-coriander-fennel tea - avoid caffeine excess= especially coffee

MAKE Black sesame seeds+ jaggery balls= 1 small ball daily

LIFESTYLE -sleep by 10 pm

YOGA DAILY FOR 30-45 MINUTES

-sukhasana + deep belly breathing -nadi sodhana= 7 rounds - ujjayi pranayam= 5 rounds

-sarvangasana -matsyasana -halasana -bhujangasana -setu bandhasana -suryanamskar = 5 rounds daily -utakatasana vrikshasana

avoid fast or exhausting asana= slow mindful practice is more effective for thyroid disorders -keep breathing smooth and nasal throughout -always ends with 5 minutes of savasana(corpse pose ) for full reset.

-TSH test every 6-8 weeks

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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💠 avoid kapha vridhikara ahara viharas, cabbage, cauliflower 💠 Avoid curd, non vegetarian foods, meat 💠 Avoid day sleep

🌱 Add iodized salt in the diet 🌱 Garlic, yava, kulattha, pomegranate, beneficial

💊 MEDICINE 💊

1. Varanadi kashayam - 15 ml with 60 ml boiled hot water morning and evening before food

2. Punarnavasavam - 20 ml twice after food

3. Punarnava gulgulu - 2 - 0 - 2 with kashayam before food

4. Vaishwanara choornam - 1 tspn with warm water night after food

✅ Check

* T3, T4, TSH * USG of thyroid should done every year

167 answered questions
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Hello Ayushi , I can understand your concern regarding high TSH Which is really too high . A TSH level above 60 clearly indicates severe hypothyroidism, meaning your thyroid gland is significantly underactive. The low T3 further confirms that your body is not making enough active thyroid hormone. But dont worry we are here to help you out!!😊

Skipping your Thyronorm (levothyroxine) regularly, even for a few weeks or months, can cause TSH to shoot up drastically, because your body struggles to compensate.

✅WHAT TO DO???

☑️1. Resume Thyronorm Regularly

Do not skip a single dose. Thyronorm must be taken daily, on an empty stomach with water — at least 30 minutes before breakfast. Avoid tea, coffee, calcium, or iron supplements for 1 hour after taking it.

I advice you to set a reminder or take it with your morning routine

☑️2. Additional Ayurvedic medication yo support thryoid health 1 kanchanar guggulu 1-0-1 before breakfast and dinner 2 Hamsapadadi kashyam 15ml-0- 15 ml +45 ml water after breakfast and dinner

☑️ 3. Retest in 6–8 Weeks

Once you’re regular repeat: ✔️TSH ✔️Free T3 ✔️Free T4

While Thyronorm is essential, Ayurveda can: ☑️Help reduce symptoms (fatigue, weight gain, sluggishness) ☑️Support metabolism and hormonal balance ☑️Minimize side effects and improve digestion

Diet & Lifestyle Tips

✅ Include: Warm, light, cooked food (khichdi, moong, barley) Amla, soaked almonds, ghee, flax seeds Regular walking, yoga, or Surya Namaskar (if possible)

❌ Avoid:

Cold, raw, or stale foods Curd at night, fried snacks, white sugar Broccoli, cabbage, cauliflower

Please understand: So high Tsh is not good for health Thyroid hormone takes weeks to correct, but you will start feeling better once your levels improve. Consistency with medicine, proper diet, and Ayurvedic support will bring long-term balance.

Wishing you good health and recovery 🌿 Warm regards, Dr. Snehal Vidhate

675 answered questions
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Kanchanar guggulu- Ashwagandha capsule- 1 tab twice daily after food with lukewarm water Do pranayama meditation daily

2313 answered questions
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Hi ayushi this is Dr Vinayak as considering your problem…you need to maintain your diet and weight properly Rx- chandraprabha vati 1-0-1 A/F Varunadi kashaya 10ml twice before food Trayushanadi guggulu 1-0-1 a/f

292 answered questions
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Hypothyroidism is completely curable through ayurveda medication and yoga …do

Dhania powder=100gm Mulethi powder=100gm=mix both take 2 TSP soak with 200ml of water at night till morning .lukeworm it and take empty stomach once daily

Divya thyrogrit tab=2-2 tab before meal twice daily

Divya medha vati Divya kanchnar gululu=2-2 tab after meal twice daily

Please avoid citrus fruits/vinegar/pickle/ice/ice cream /cold drinks .bcz it’s harmful to that

Do regular pranayama=BHRAMRI=10min =Simhaasna=10min

It’s control with in 90 days for xure…

563 answered questions
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Include iodised salt in your diet If eating nonveg include fish diet. Do ujjaiyi pranayam 5-10mins daily twice. Gargle with salt water twice daily. Nasya with Anu tel 2drops in both nostril once daily Take Divya Thyrogrit tablet 2-0-2 with water Aarogyavardhini vati 1-0-1 after food with water Continue Thyronorm as before Check for Thyroid profile after 2 months, if TSH values reduces can start reducing dose of Thyronorm under doctor’s advice.

2264 answered questions
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A high TSH level with reduced T3 indicates an underactive thyroid, or hypothyroidism. Regularly taking your thyronorm is vital since skipping doses can cause fluctuations in hormone levels. Always try to take it first thing in the morning on empty stomach for best absorption, but if yo forget, take it as soon as you remember. Sticking to the medicine is the first step.

From an Ayurvedic perspective, supporting the thyroid through diet and lifestyle can help. Focus on a diet that balances your primary dosha. Generally, hypothyroidism is seen as a kapha imbalance. Include warm, light, and easily digestible foods. Ginger, cinnamon, and black pepper are warming spices that can stimulate agni (digestive fire). A cup of ginger tea in the morning can be beneficial.

Ensure adequate iodine and selenium intake, which are crucial for thyroid function. Foods like seaweed, fish, brazil nuts, and sunflower seeds are good sources. Don’t go overboard on iodine-rich foods, though; balance is key.

Stress management is also crucial as stress can impact thyroid function. Incorporate daily practices like yoga, pranayama (breathing exercises), or meditation to calm the mind and balance the doshas. Simple yoga poses like Sarvangasana (Shoulder Stand) can be beneficial for thyroid health, but only if you’re comfortable doing this pose.

Avoid cold, heavy, oily, and excessively sweet foods, as they can increase kapha and might aggravate hypothyroid symptoms. Regular exercise, suited to your body, is recommended to maintain hormonal balance and weight management.

Always prioritize seeking advice from your healthcare provider if you’re considering adjusting doses or making significant lifestyle changes. They can guide based on your specific health needs, and ensure safe integration of these practices with your ongoing medical treatment.

1742 answered questions
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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
90 days ago
5

HELLO AYUSHI,

-TSH>60 mIU/L is severely elevated, indicating severe hypothyroidism. -Low t3/t4 confirms ulcerative thyroid hormone production -skipping THYRONORM even for a few days regularly disrupt hormone balance for weeks or months

HOW TO NORMALIZE TSH AND T3

-STRICTLY TAKE THYRONORM DAILY= empty stomach, 30-60 min before breakfast , same time daily

-DO NOT MISS DOSES= missing doses even once a week can destabilise thyroid function

-REGULAR FOLLOW UP= test TSH/T3/T4 every 2-3 months until stable

-AVOID INTERACTING SUBSTANCES= no calcium/iron supplements within 4 hours of taking thyronorm

AYURVEDIC TREATMENT(supportive)

MORNING -THYROGRIT TAB- 1 tab after breakfast

AFTERNOON -STRESSCOM - 1 cap after lunch with milk

AFTER LUNCH AND DINNER -PUNARNAVA MANDUR- 1 tab with warm water

NIGHT -MENTAT TAB= 1 tab with warm milk

AYURVEDIC LIFESTYLE TO FOLLOW

WAKE EARLY-before 7 am= regulates Ricardian rhythm , supports thyroid-adrenal axis

OIL MASSAGE- daily with warm sesame oil-improves metabolism and vata balance

GENTLE YOGA AND PRANAYAM= improves endocrine function. focus on asana like sarvangasana, matsyasana, and breathing exercise

AVOID COLD/RAW FOODS= favour warm, cooked, spiced meals- ginger, cumin, cinnamon

REDUCE STRESS= chronic stress affects thyroid hormone conversion(t4->t3). practice meditation daily

AVOID -skipping medications -raw cruciferous vegetables like cabbage , cauliflower, broccoli etc in large amount - overuse of soy products

THANK YOU

DR. HEMANSHU MEHTA

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I am still kinda wrapping my head around how much has happned in just these last 8 months. I got to see over 500 patients—not just names on a file but real ppl with stories, symptoms that didn’t match books, and responses to treatment that taught me a lot more than classroom ever did. Every single case added something—sometimes confidence, sometimes doubt, but mostly clarity about why Ayurveda needs to be personal. That whole idea of root-cause isn’t just a phrase to me now, cause I’ve actually *done* the work of figuring it out—through prakriti reading, hetu analysis, tailoring herbs to that one stubborn thing that wouldn’t budge unless I got it right. Started off at the Govt Ayurveda Dispensary, Paingottoor (Mar-April 2024), juggling OPD and learning to keep things practical—what you *can* do with limited time and still follow classical line of treatment. Moved to Nellimattom next month, same OPD scene but somehow I felt more ready—like I knew what I was looking for during consultation. Then came the big shifts—District Ayurveda Hospital, Thodupuzha—Shalya Tantra for a month (May-June). Learning surgical concepts, wound management, minor procedures, all that opened up a whole diff layer of Ayurveda for me. After that was NARIP, Cheruthuruthy (June-July)—real-deal Panchakarma, hands-on, under ppl who *really* knew the texts and the techiques. I saw how deep detox can go when it’s done right. Then Shalakya Tantra (ENT + eye care, July-Aug)—very niche but suprisingly common complaints. By Sept I was at Sparsh Ayurvedic Clinic, Nellimattom, and that place blended modern diagnostics with our way of thinking. Helped me sharpen decisions fast, without losing authenticity of the classical tools. All that put together—it's shaped me into a doctor who listens more, assumes less, and keeps asking, "what’s *actually* causing this?” before reaching for a remedy. I want my patients to heal for real—not temporarily cope. That's the goal every single time.
5
2 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
784 reviews

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