Recently it was discovered I had TSH if 74


Q: Recently it was discovered I had TSH if 7.4. An ultrasound revealed a slightly enlarged thyroid on the right side with subcentimeter nodules.

Antibody tests turned out normal.

I have been taking synthroid for three weeks now.

When I work out, I end up having a day or so of discomfort on the right side of my neck. It feels like my shirt collars are too tight.

Is discomfort while working out normal?

It has reduced my workout routine from 4 days a week to 1 day.


A:   Hi.
Thanks for your query.

Since you have not mentioned the values of Free T3 and Free T4, it will be difficult to comment on just TSH.
Is it 74 or 7.4?
If the TSH is 74 you need to undergo an MRI scan for the pituitary.
If this (TSH) is just elevated to 7.4, you need to consider the clinical pictures, symptoms and Free T3 and Free T4 readings too.
Mild increase in Thyroid size may not be that much significant without other values.
Please post the detailed reports and other symptoms you have.
Since you have been started on Synthroid, you may be having the symptoms of excess circulating Thyroid Hormone causing you the fatigue and all.

I would advise you to consult an Endocrinologist and review the reports and clinical picture to decide further treatment.

I hope this answer helps you. Awaiting your feedback

Related Q&A

Q: I have a birth mark on my penis that goes up to the foreskin. Why does it feel like it has dried out and has gone a ...

Q: I am 44, male, 20% overweight. My tailbone has been causing me pain - off and on - for the last eight months, when I ...

Q: One of the findings on my MRI report is: "A rudimentary disc space exists at the junction of the base of the odo...

Q: I have had a chronic cough since April. Treated for Allergy, Gerd, Post Nasal drip. Family Doctor, ENT, Pulmonologist...

Q: Since my doctor discontinued clonazepam and diazepam for severe anxiety I have hardly eaten in 4 months. In the last...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon