What Can Be Done to Improve Thyroid? High TSH

TSH was as follows for the past three lab tests

  • 5.480 uIU/mL on 8/2019
  • 3.940 uIU/ml on 5/2019
  • 4.450 uIU/ml on 11/2018

Anything suggested to help this? I would like to see what can be done be before I go down the road of thyroid replacement. Any supplement recommendations would be appreciated. I am fairly ignorant on thyroid function, however, have read about the need for iodine and selenium. I get plenty of salt in my diet albeit pink Himalayan and not outright iodized.

Have labs from a CMP on 8/2019, 5/2019 and 11/2018 if you guys need more metrics to help.

Thank you to anyone who may contribute to this!

subclinical hypothyroidism

Hypothyroidism can be caused by low iodine intake. Iodine status is best assessed in a 24h urine sample.

However in case your increased TSH levels are caused by an autoimmune disease (Hashimotos or Graves disease) extra iodine might make the situation worse. In this case selenium might be able to bring down the level of anti thyroid antibodies.
Did you get the anti thyroid antibodies checked (eg anti TPO ab or anti TG ab)?

No, only TSH. Please indicate what I may need to get bloods for if needed. Ordered a selenium and iodine Supplement to see how that may help. I’m guessing urine tests for iodine could be easily ordered online?

anti TPO ab
anti TG ab
FT3 and rFT3
FT4

about the online urine test for iodine i dont know

iodine supp only if low iodine status is confirmed by urine analysis

dont get your hopes up too high, thyroid hormone replacement might just be the best option.

Did you also get your T levels tested? Or are you suffering from any low T symptoms?

Yes, pertinent information…

11/2018 - low T ~290, started TRT

5/2019 - came off TRT for fertility reasons with Clomid

8/2019 - still low T ~120, resumed therapy

All other metrics are within normal range, except 8/2019, slightly elevated LDL

ok, then i recommend to go on thyroid hormone replacement. There is a very high chance that you will fix also your low T by this.