TSH high. You have thyroid resistance syndrome and need more thyroxine. Or extremely extremely extremely rare TSH secreting tumor of the pituitary.

Dear patient. The thyroidectomy has caused minimal hypothyroidism , and the Levothroxine should be adjusted.
Respectfully
Marvin A Leder MD FACP FACE

Hello,
There are other labs that need to be obtained. Would recommend a consultation with an endocrinologist.
Dr D

If you are saying your free T4 was slightly elevated but you have an elevated TSH it probably means you have a low level of thyroid binding globulin and a low T4 total. With the elevated TSH I would check the total T4 and if it is low I would increase your thyroid hormone dose. TJ 


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You need an increase in your levothyroxine. Do not take your vitamins near
your levothyroxine. Vitamins should be taken at least 4 hours later than
when you take your levothyroxine.