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Hypothyroidism ..high TSH more than 60
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Endocrinological Disorders
Question #24962
73 days ago
270

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.
73 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

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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

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

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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

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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…

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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.

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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.

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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.
70 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 someone who really believes that Ayurveda isn’t just about giving herbs and oils—it's more like a whole way of looking at the body, the habits, the food, and how everything connects together. I got solid training in Ayurvedic clinical practice and feel most confident when I'm using therapies like Panchakarma or planning proper Shodhana for someone who's stuck in a cycle of chronic illness or stress-related issues. There’s just something powerful about seeing how classical cleansing can bring that shift in energy and clarity for ppl who've tried everything else. I work a lot on dosha assessment—sometimes it takes a bit of digging cause symptoms don’t always line up in a textbook way. But once I figure out what’s really going off-balance, I try to make treatment super personalized. It’s not just about giving a kashayam or lepa... I spend time explaining diet changes, routines, sleep timing, and even emotional triggers when needed. Many people don’t realise how big a role lifestyle play in their conditions. Right now, I’m mostly focused on lifestyle disorders and detox-based therapies. Things like PCOS, fatty liver, skin allergies, joint stiffness, IBS, anxiety-linked issues… those come up a lot. I try not to rush. I’d rather go slow n consistent, combining classical concepts with modern diagnostics if needed. Blood tests, reports, scans—they help me track things while still keeping the treatment Ayurvedic in core. I’m also pretty organized about documenting my cases—not just for reference but to understand patterns better. I guess every case teaches you something new, even after hundreds of patients. And I do keep learning, whether it’s updating protocols or trying to refine a virechana schedule that didn’t go as planned. In the end, for me it’s really about finding that balance for each person... not just patching the symptom. I think that’s where Ayurveda really shines.
5
13 reviews
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
116 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
110 reviews

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