TSH fluctuation - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Wednesday, February 08, 2012

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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

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The Q & A with Elaine Moore

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3/8/2010 6:31 PM

purelife

Joined: 2/11/2010

Posts: 22

TSH fluctuation

Dear Elaine,

Thanks for your reply. I will look out for any hypo symptom and get a bloodwork done if I can. I hope my endo will allow me to be tested earlier. My previous doctor was reluctant to test me even though I complained of very bad constipation and extreme cold. After a few months when the result came back, he also refused to reduce the dosage. And I naively agreed. Sometimes doctors are not always right. It is impt that we know more abt our disease and correct the doctor if necessary.

Come to my question. Does TSH rises later in the day? My blood test is always taken in the morning around 9am. However the most recent one I took is at 6pm. Will the differences in timing affect the TSH level? If yes, I will try to take my blood test every morning rather than doing it different times of the day. I'm also very surprised that my TSH has increased from 0.9 to 1.47. My endo is also doing a TSI test to chk the latest level. I will keep you posted. Jane =P

3/9/2010 11:20 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: TSH fluctuation

Hi Jane,

TSH does have a diurnal variation. The highest levels occur during the night while we're sleeping. Levels then start to fall with the lowest levels seen around noon. It's a good idea to always have your levels drawn around the same time of the day.

It could be that your TSI level has fallen and that too would cause a rise in TSH as you move toward remission. Best, Elaine

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