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Hypothyroidism ..high TSH more than 60
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Endocrinological Disorders
Question #24962
159 days ago
573

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
PAID
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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.
159 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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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
158 days ago
5

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

3156 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

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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…

698 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.

3193 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.

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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.
156 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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Dr. Sumi. S
I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
40 reviews
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
84 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
1287 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
779 reviews

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